在工作场所接触物质和新发喘:国际前性基于人口的研究 (ECRHS-II)
Manolis Kogevinas1, Jan-Paul Zock, Debbie Jarvis
1Centre for Research in Environmental Epidemiology, Municipal Institute of Medical Research, Barcelona, Spain. kogevinas@imim.es
Lancet (London, England)
|July 31, 2007
概括
工作场所的暴露显著增加了患成人喘的风险. 急性吸入事件,如化学物质泄漏,也构成相当大的风险,突出显示了对工人的监控的需要.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 呼吸系统药物 呼吸系统药物
背景情况:
- 在人口研究中,工作场所暴露与新发成人喘之间的联系尚不清楚.
- 以前的研究还没有完全描述喘发展的职业风险.
研究的目的:
- 估计与特定职业和工作场所暴露相关的新发喘风险.
- 为了确定由职业因素导致的成年人喘的可归因风险.
主要方法:
- 在13个国家对6837名来自欧洲共同体呼吸健康调查的参与者进行前性研究.
- 喘通过甲胆挑战测试和症状问卷进行评估.
- 使用职业暴露矩阵,专家判断和自我报告的急性吸入事件来评估职业暴露.
主要成果:
- 暴露于已知的职业喘剂增加了喘风险 (相对风险=1.6).
- 护理被确定为一个高风险的职业 (RR=2.2).
- 急性吸入事件,如化学物质泄露,显著增加了喘风险 (RR=3.3).
结论:
- 职业暴露对成人喘发病率有很大影响.
- 吸入事故后喘风险增加需要对受影响的工人进行密切监测.
- 很大一部分成人喘病例可以归因于工作场所的因素.
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