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Abdominal symptoms among sewage workers

L Friis1, L Agréus, C Edling

  • 1Department of Occupational and Environmental Medicine, University Hospital, Uppsala, Sweden. Lennart.Friis@arbmed.uas.se

Occupational Medicine (Oxford, England)
|November 4, 1998
PubMed
Summary

Sewage workers reported significantly less nausea compared to a control group. This occupational health study found no major differences in other common gastrointestinal issues.

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Area of Science:

  • Occupational Health
  • Gastroenterology
  • Epidemiology

Background:

  • Understanding the health impacts of specific occupations is crucial for targeted interventions.
  • Sewage work involves potential exposure to various pathogens and chemicals, necessitating investigation into associated health risks.
  • Previous research on gastrointestinal health in sewage workers is limited.

Purpose of the Study:

  • To determine the prevalence of abdominal symptoms and analyze the abdominal medical history of male sewage workers.
  • To compare the gastrointestinal health outcomes of sewage workers with a comparable male reference group.
  • To identify potential occupational health risks associated with sewage work.

Main Methods:

  • A cross-sectional study design was employed.
  • A questionnaire was administered to 142 male sewage workers and 137 male referents across 11 Swedish municipalities.
  • Data collected included abdominal symptoms, medical history, occupational history, and lifestyle factors. Odds ratios were adjusted for age, tobacco, and alcohol use.

Main Results:

  • Sewage workers experienced significantly less nausea (adjusted odds ratio [adjOR] = 0.18) compared to referents.
  • No significant differences were observed in the prevalence of diarrhea, dyspepsia, or irritable bowel syndrome between the groups.
  • A non-significant trend indicated a higher incidence of peptic ulcers among sewage workers.

Conclusions:

  • Sewage workers appear to have a lower prevalence of nausea compared to the general male population.
  • The study did not find significant differences in other common gastrointestinal symptoms between sewage workers and referents.
  • Further research may be warranted to explore the slightly elevated, though not significant, risk of peptic ulcers in this occupational group.

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