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Effect of occupation and smoking on respiratory symptoms in working children
Erkan Cakir1, Zeynep S Uyan, Nezih Varol
1Division of Pediatric Pulmonology, Marmara University, Istanbul, Turkey. erkancakir1@yahoo.com
Insights
Children in lathe, coiffure, and electricity-construction jobs showed higher chronic cough rates. Non-smoking female textile workers had lower lung function, highlighting the need for respiratory health screening in working children.
Area of Science:
- Occupational health
- Pediatric pulmonology
- Environmental health
Background:
- Children in vocational training are exposed to various occupational hazards.
- Assessing respiratory health in child laborers is crucial for early intervention.
- Limited data exists on specific occupational risks for respiratory symptoms in adolescents.
Purpose of the Study:
- To compare respiratory symptoms and lung function across different child occupational groups.
- To identify specific vocations associated with increased respiratory risks.
- To evaluate the impact of work on adolescent respiratory health.
Main Methods:
- Cross-sectional study of 642 children in six vocational groups.
- Respiratory symptoms (chronic cough, wheezing, shortness of breath) assessed via questionnaire.
- Lung function measured using spirometry (FEV1, PEF, FEF25-75%) and analyzed with univariate/multivariate methods.
Main Results:
- Higher odds of chronic cough observed in lathe, coiffure, and electricity-construction groups.
- No significant lung function differences in males across occupational groups.
- Non-smoking females in textile work showed lower FEV1, PEF, and FEF25-75% compared to coiffure group.
Conclusions:
- Specific occupations like lathe, coiffure, and electricity-construction are linked to higher chronic cough prevalence.
- Textile work in non-smoking females is associated with reduced pulmonary function.
- Routine screening for respiratory symptoms and diseases is recommended for working children.
Objectives:
To compare the respiratory symptoms and the lung function of children who work in different occupational groups.
Methods:
The study was performed among children attending vocational training centers. The participants were evaluated in six different occupation groups. Chronic cough, wheezing and shortness of breath were evaluated by questionnaire. The association of independent variables with the respiratory symptoms was investigated through both univariate and multivariate methods.
Results:
Among 642 children, 534 were males; the mean age was 17.7 +/- 1.0 years. Using an internal reference group, the odds ratios of chronic cough were significantly higher in the lathe (OR: 2.0, 95%CI: 1.07-3.74), coiffure (OR: 1.94. 95%CI: 1.01-3.70), and electricity-construction (OR: 2.63, 95%CI: 1.06-6.54) groups after adjustment for smoking, age, gender, and work characteristics. There were no significant differences in spirometric values between occupational groups in either smoking or non-smoking males. In non-smoking females, median values of FEV(1) (P: 0.046), PEF (P: 0.005) and FEF(25-75%) (P: 0.019) were lower in the textile compared to the coiffure group. There was no significant association between the total working time and spirometric values. There was no statistically significant relationship between the work-related factors and the smoking status.
Conclusions:
The prevalence of chronic cough was higher in the lathe, coiffure, and electricity-construction groups and pulmonary function tests were lower in the non-smoking textile female group. Working children should be screened for respiratory symptoms and disease.
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