Chronic bronchitis incidence in the extended cohort of Mayak workers first employed during 1948–1982
ObjectivesThis paper describes findings from the study of chronic bronchitis (CB) incidence after occupational exposure to ionising radiation among workers employed at Russian Mayak Production Association (PA) during 1948 and 1982 and followed up until 2008 based on ‘Mayak Worker Dosimetry System 20...
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Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2017-02, Vol.74 (2), p.105-113 |
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creator | Azizova, TV Zhuntova, GV Haylock, RGE Moseeva, MB Grigoryeva, ES Bannikova, MV Belyaeva, ZD Bragin, EV |
description | ObjectivesThis paper describes findings from the study of chronic bronchitis (CB) incidence after occupational exposure to ionising radiation among workers employed at Russian Mayak Production Association (PA) during 1948 and 1982 and followed up until 2008 based on ‘Mayak Worker Dosimetry System 2008’.MethodsAnalyses were based on 2135 verified cases among 21 417 workers. Rate ratios (RR) were estimated by categorical analysis for non-radiation and radiation factors. Excess rate ratios per Gy (ERR/Gy) of external or internal exposures with adjustments via stratification on other factors were calculated.ResultsThe interesting finding in relation to non-radiation factors was a sharp increase in the RR for CB incidence before 1960, which could be caused by a number of factors. Analyses restricted to the follow-up after 1960 revealed statistically significant associations of the CB incidence and external γ-ray radiation, ERR/Gy=0.14 (95% CI 0.02 to 0.28) having adjusted for sex, attained age, calendar period, plant, smoking status and lung α-particle dose, and internal α-particle radiation, ERR/Gy=1.14 (95% CI 0.41 to 2.18) having adjusted for sex, attained age, calendar period, plant, smoking status and lung γ-ray dose and ERR/Gy=1.19 (95% CI 0.32 to 2.53) having additionally adjusted for pre-employment occupational hazards and smoking index instead of smoking status.ConclusionsAnalyses of CB incidence in the study cohort identified positive significant association with occupational exposure to radiation: however, there are no similar studies of CB incidence in relation to radiation in other cohorts to date with which a meaningful comparison of the results could be made. |
doi_str_mv | 10.1136/oemed-2015-103283 |
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Rate ratios (RR) were estimated by categorical analysis for non-radiation and radiation factors. Excess rate ratios per Gy (ERR/Gy) of external or internal exposures with adjustments via stratification on other factors were calculated.ResultsThe interesting finding in relation to non-radiation factors was a sharp increase in the RR for CB incidence before 1960, which could be caused by a number of factors. Analyses restricted to the follow-up after 1960 revealed statistically significant associations of the CB incidence and external γ-ray radiation, ERR/Gy=0.14 (95% CI 0.02 to 0.28) having adjusted for sex, attained age, calendar period, plant, smoking status and lung α-particle dose, and internal α-particle radiation, ERR/Gy=1.14 (95% CI 0.41 to 2.18) having adjusted for sex, attained age, calendar period, plant, smoking status and lung γ-ray dose and ERR/Gy=1.19 (95% CI 0.32 to 2.53) having additionally adjusted for pre-employment occupational hazards and smoking index instead of smoking status.ConclusionsAnalyses of CB incidence in the study cohort identified positive significant association with occupational exposure to radiation: however, there are no similar studies of CB incidence in relation to radiation in other cohorts to date with which a meaningful comparison of the results could be made.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2015-103283</identifier><identifier>PMID: 27647620</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adjustment ; Adult ; Age ; Alpha Particles - adverse effects ; Bronchitis ; Bronchitis, Chronic - chemically induced ; Bronchitis, Chronic - epidemiology ; Cohort Studies ; Dose-Response Relationship, Radiation ; Dosimetry ; Exposure ; Female ; Gamma Rays - adverse effects ; Humans ; Incidence ; Interviews as Topic ; Ionizing radiation ; Lungs ; Male ; Medical Records ; Middle Aged ; Occupational Diseases - chemically induced ; Occupational Diseases - epidemiology ; Occupational Exposure - adverse effects ; Occupational health ; Poisson Distribution ; Radiation ; Radiation Injuries - epidemiology ; Radiation, Ionizing ; Risk Factors ; Russia - epidemiology ; Sex ; Sex Distribution ; Smoking ; Smoking - epidemiology ; Workers ; Workplace ; Young Adult</subject><ispartof>Occupational and environmental medicine (London, England), 2017-02, Vol.74 (2), p.105-113</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>2017 BMJ Publishing Group</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Copyright: 2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b524t-b1b5c9902142ca8a1d8ede8ee87fe4aa7caf899b0a898f6335e513e16da788783</citedby><cites>FETCH-LOGICAL-b524t-b1b5c9902142ca8a1d8ede8ee87fe4aa7caf899b0a898f6335e513e16da788783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44213959$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44213959$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27647620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azizova, TV</creatorcontrib><creatorcontrib>Zhuntova, GV</creatorcontrib><creatorcontrib>Haylock, RGE</creatorcontrib><creatorcontrib>Moseeva, MB</creatorcontrib><creatorcontrib>Grigoryeva, ES</creatorcontrib><creatorcontrib>Bannikova, MV</creatorcontrib><creatorcontrib>Belyaeva, ZD</creatorcontrib><creatorcontrib>Bragin, EV</creatorcontrib><title>Chronic bronchitis incidence in the extended cohort of Mayak workers first employed during 1948–1982</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectivesThis paper describes findings from the study of chronic bronchitis (CB) incidence after occupational exposure to ionising radiation among workers employed at Russian Mayak Production Association (PA) during 1948 and 1982 and followed up until 2008 based on ‘Mayak Worker Dosimetry System 2008’.MethodsAnalyses were based on 2135 verified cases among 21 417 workers. Rate ratios (RR) were estimated by categorical analysis for non-radiation and radiation factors. Excess rate ratios per Gy (ERR/Gy) of external or internal exposures with adjustments via stratification on other factors were calculated.ResultsThe interesting finding in relation to non-radiation factors was a sharp increase in the RR for CB incidence before 1960, which could be caused by a number of factors. Analyses restricted to the follow-up after 1960 revealed statistically significant associations of the CB incidence and external γ-ray radiation, ERR/Gy=0.14 (95% CI 0.02 to 0.28) having adjusted for sex, attained age, calendar period, plant, smoking status and lung α-particle dose, and internal α-particle radiation, ERR/Gy=1.14 (95% CI 0.41 to 2.18) having adjusted for sex, attained age, calendar period, plant, smoking status and lung γ-ray dose and ERR/Gy=1.19 (95% CI 0.32 to 2.53) having additionally adjusted for pre-employment occupational hazards and smoking index instead of smoking status.ConclusionsAnalyses of CB incidence in the study cohort identified positive significant association with occupational exposure to radiation: however, there are no similar studies of CB incidence in relation to radiation in other cohorts to date with which a meaningful comparison of the results could be made.</description><subject>Adjustment</subject><subject>Adult</subject><subject>Age</subject><subject>Alpha Particles - adverse effects</subject><subject>Bronchitis</subject><subject>Bronchitis, Chronic - chemically induced</subject><subject>Bronchitis, Chronic - epidemiology</subject><subject>Cohort Studies</subject><subject>Dose-Response Relationship, Radiation</subject><subject>Dosimetry</subject><subject>Exposure</subject><subject>Female</subject><subject>Gamma Rays - adverse effects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Interviews as Topic</subject><subject>Ionizing radiation</subject><subject>Lungs</subject><subject>Male</subject><subject>Medical Records</subject><subject>Middle Aged</subject><subject>Occupational Diseases - chemically induced</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational health</subject><subject>Poisson Distribution</subject><subject>Radiation</subject><subject>Radiation Injuries - epidemiology</subject><subject>Radiation, Ionizing</subject><subject>Risk Factors</subject><subject>Russia - epidemiology</subject><subject>Sex</subject><subject>Sex Distribution</subject><subject>Smoking</subject><subject>Smoking - epidemiology</subject><subject>Workers</subject><subject>Workplace</subject><subject>Young Adult</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU2O1DAQhSMEYn7gACxAltjMgoDLjuPyErX4kwaxgXXkOBXaPZ24sRNB77gDN-QkOGSGBate1ZPeV69UekXxBPhLAFm_CjRQVwoOqgQuBcp7xTlUmpfaiPp-1lJByTXAWXGR0o5zkFqKh8WZ0HWla8HPi36zjWH0jrV5uK2ffGJ-dL6j0VFWbNoSox8TjR11zIVtiBMLPftoj_aGfQ_xhmJivY9pYjQc9uGYsW6OfvzKwFT4--cvMCgeFQ96u0_0-HZeFl_evvm8eV9ef3r3YfP6umyVqKayhVY5Y7iASjiLFjqkjpAIdU-VtdrZHo1puUWDfS2lIgWSoO6sRtQoL4urNfcQw7eZ0tQMPjna7-1IYU4NIHLONRp5Alqj5PkGnIAqoyWAXtDn_6G7MMcx_7wESqVQ1SpTsFIuhpQi9c0h-sHGYwO8Wapt_lbbLNU2a7V559lt8twu3t3GXZcZeLoCuzSF-M-vKgHSKJP9F6vfDrsT7v0BNbW2QQ</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Azizova, TV</creator><creator>Zhuntova, GV</creator><creator>Haylock, RGE</creator><creator>Moseeva, MB</creator><creator>Grigoryeva, ES</creator><creator>Bannikova, MV</creator><creator>Belyaeva, ZD</creator><creator>Bragin, EV</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>7U7</scope><scope>C1K</scope><scope>7QQ</scope><scope>7TA</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>JG9</scope><scope>KR7</scope></search><sort><creationdate>20170201</creationdate><title>Chronic bronchitis incidence in the extended cohort of Mayak workers first employed during 1948–1982</title><author>Azizova, TV ; Zhuntova, GV ; Haylock, RGE ; Moseeva, MB ; Grigoryeva, ES ; Bannikova, MV ; Belyaeva, ZD ; Bragin, EV</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b524t-b1b5c9902142ca8a1d8ede8ee87fe4aa7caf899b0a898f6335e513e16da788783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adjustment</topic><topic>Adult</topic><topic>Age</topic><topic>Alpha Particles - adverse effects</topic><topic>Bronchitis</topic><topic>Bronchitis, Chronic - chemically induced</topic><topic>Bronchitis, Chronic - epidemiology</topic><topic>Cohort Studies</topic><topic>Dose-Response Relationship, Radiation</topic><topic>Dosimetry</topic><topic>Exposure</topic><topic>Female</topic><topic>Gamma Rays - adverse effects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Interviews as Topic</topic><topic>Ionizing radiation</topic><topic>Lungs</topic><topic>Male</topic><topic>Medical Records</topic><topic>Middle Aged</topic><topic>Occupational Diseases - chemically induced</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational health</topic><topic>Poisson Distribution</topic><topic>Radiation</topic><topic>Radiation Injuries - epidemiology</topic><topic>Radiation, Ionizing</topic><topic>Risk Factors</topic><topic>Russia - epidemiology</topic><topic>Sex</topic><topic>Sex Distribution</topic><topic>Smoking</topic><topic>Smoking - epidemiology</topic><topic>Workers</topic><topic>Workplace</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azizova, TV</creatorcontrib><creatorcontrib>Zhuntova, GV</creatorcontrib><creatorcontrib>Haylock, RGE</creatorcontrib><creatorcontrib>Moseeva, MB</creatorcontrib><creatorcontrib>Grigoryeva, ES</creatorcontrib><creatorcontrib>Bannikova, MV</creatorcontrib><creatorcontrib>Belyaeva, ZD</creatorcontrib><creatorcontrib>Bragin, EV</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Ceramic Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azizova, TV</au><au>Zhuntova, GV</au><au>Haylock, RGE</au><au>Moseeva, MB</au><au>Grigoryeva, ES</au><au>Bannikova, MV</au><au>Belyaeva, ZD</au><au>Bragin, EV</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic bronchitis incidence in the extended cohort of Mayak workers first employed during 1948–1982</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>74</volume><issue>2</issue><spage>105</spage><epage>113</epage><pages>105-113</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>ObjectivesThis paper describes findings from the study of chronic bronchitis (CB) incidence after occupational exposure to ionising radiation among workers employed at Russian Mayak Production Association (PA) during 1948 and 1982 and followed up until 2008 based on ‘Mayak Worker Dosimetry System 2008’.MethodsAnalyses were based on 2135 verified cases among 21 417 workers. Rate ratios (RR) were estimated by categorical analysis for non-radiation and radiation factors. Excess rate ratios per Gy (ERR/Gy) of external or internal exposures with adjustments via stratification on other factors were calculated.ResultsThe interesting finding in relation to non-radiation factors was a sharp increase in the RR for CB incidence before 1960, which could be caused by a number of factors. Analyses restricted to the follow-up after 1960 revealed statistically significant associations of the CB incidence and external γ-ray radiation, ERR/Gy=0.14 (95% CI 0.02 to 0.28) having adjusted for sex, attained age, calendar period, plant, smoking status and lung α-particle dose, and internal α-particle radiation, ERR/Gy=1.14 (95% CI 0.41 to 2.18) having adjusted for sex, attained age, calendar period, plant, smoking status and lung γ-ray dose and ERR/Gy=1.19 (95% CI 0.32 to 2.53) having additionally adjusted for pre-employment occupational hazards and smoking index instead of smoking status.ConclusionsAnalyses of CB incidence in the study cohort identified positive significant association with occupational exposure to radiation: however, there are no similar studies of CB incidence in relation to radiation in other cohorts to date with which a meaningful comparison of the results could be made.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>27647620</pmid><doi>10.1136/oemed-2015-103283</doi><tpages>9</tpages></addata></record> |
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subjects | Adjustment Adult Age Alpha Particles - adverse effects Bronchitis Bronchitis, Chronic - chemically induced Bronchitis, Chronic - epidemiology Cohort Studies Dose-Response Relationship, Radiation Dosimetry Exposure Female Gamma Rays - adverse effects Humans Incidence Interviews as Topic Ionizing radiation Lungs Male Medical Records Middle Aged Occupational Diseases - chemically induced Occupational Diseases - epidemiology Occupational Exposure - adverse effects Occupational health Poisson Distribution Radiation Radiation Injuries - epidemiology Radiation, Ionizing Risk Factors Russia - epidemiology Sex Sex Distribution Smoking Smoking - epidemiology Workers Workplace Young Adult |
title | Chronic bronchitis incidence in the extended cohort of Mayak workers first employed during 1948–1982 |
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