Respiratory Findings in Tobacco Workers

To screen for respiratory symptoms and lung function impairment in workers occupationally exposed to tobacco dust in a tobacco-processing plant. One hundred twenty-one tobacco workers (97 women and 24 men) were included in the study. In addition, a group of 98 control workers (73 women and 25 men) w...

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Veröffentlicht in:Chest 2003-05, Vol.123 (5), p.1740-1748
Hauptverfasser: Mustajbegovic, Jadranka, Zuskin, Eugenija, Schachter, E. Neil, Kern, Josipa, Luburic-Milas, Marijana, Pucarin, Jasna
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container_end_page 1748
container_issue 5
container_start_page 1740
container_title Chest
container_volume 123
creator Mustajbegovic, Jadranka
Zuskin, Eugenija
Schachter, E. Neil
Kern, Josipa
Luburic-Milas, Marijana
Pucarin, Jasna
description To screen for respiratory symptoms and lung function impairment in workers occupationally exposed to tobacco dust in a tobacco-processing plant. One hundred twenty-one tobacco workers (97 women and 24 men) were included in the study. In addition, a group of 98 control workers (73 women and 25 men) were studied. Acute and chronic respiratory symptoms were recorded in all tobacco workers. Lung function was measured by recording the maximum expiratory flow-volume curves on which FVC, FEV1, and flow rates at 50% of FVC (FEF50) and the last 25% of FVC (FEF25) were read. There was a high prevalence of chronic respiratory symptoms among these workers, and this prevalence was significantly higher in exposed female workers than in female or male control workers (p < 0.01 and p < 0.05, respectively). Occupational asthma was recorded in 6 female tobacco workers (6.2%) and in none of the control subjects (p < 0.05). None of the male workers were found to have occupational asthma. There was also a high prevalence of acute symptoms that were noted during the work shift (particularly for nose and throat dryness, as well as eye irritation). Among these tobacco workers, the odds ratios for respiratory symptoms were frequently significant for employment and smoking among male tobacco workers but were not significant in general for female tobacco workers. The ventilatory capacity data in tobacco workers showed statistically significant reductions in FEV1, FEF50, and FEF25 in relation to predicted values. These reductions were demonstrated in smokers as well as in nonsmokers. Regression analysis suggested that there were significant changes according to employment status for FVC, FEV1, and FEF25 in female tobacco workers. Measurements of ventilatory capacity during the course of the work shift in 38 female tobacco workers demonstrated significant mean acute reductions in FEV1 (−5.7%), in FEF50 (−15.7%), and in FEF25 (−23.4%). Our data indicate that tobacco workers may develop respiratory disorders related to tobacco dust in their work environment.
doi_str_mv 10.1378/chest.123.5.1740
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There was a high prevalence of chronic respiratory symptoms among these workers, and this prevalence was significantly higher in exposed female workers than in female or male control workers (p &lt; 0.01 and p &lt; 0.05, respectively). Occupational asthma was recorded in 6 female tobacco workers (6.2%) and in none of the control subjects (p &lt; 0.05). None of the male workers were found to have occupational asthma. There was also a high prevalence of acute symptoms that were noted during the work shift (particularly for nose and throat dryness, as well as eye irritation). Among these tobacco workers, the odds ratios for respiratory symptoms were frequently significant for employment and smoking among male tobacco workers but were not significant in general for female tobacco workers. The ventilatory capacity data in tobacco workers showed statistically significant reductions in FEV1, FEF50, and FEF25 in relation to predicted values. These reductions were demonstrated in smokers as well as in nonsmokers. Regression analysis suggested that there were significant changes according to employment status for FVC, FEV1, and FEF25 in female tobacco workers. Measurements of ventilatory capacity during the course of the work shift in 38 female tobacco workers demonstrated significant mean acute reductions in FEV1 (−5.7%), in FEF50 (−15.7%), and in FEF25 (−23.4%). 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Neil</au><au>Kern, Josipa</au><au>Luburic-Milas, Marijana</au><au>Pucarin, Jasna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Respiratory Findings in Tobacco Workers</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2003-05-01</date><risdate>2003</risdate><volume>123</volume><issue>5</issue><spage>1740</spage><epage>1748</epage><pages>1740-1748</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>To screen for respiratory symptoms and lung function impairment in workers occupationally exposed to tobacco dust in a tobacco-processing plant. One hundred twenty-one tobacco workers (97 women and 24 men) were included in the study. In addition, a group of 98 control workers (73 women and 25 men) were studied. Acute and chronic respiratory symptoms were recorded in all tobacco workers. Lung function was measured by recording the maximum expiratory flow-volume curves on which FVC, FEV1, and flow rates at 50% of FVC (FEF50) and the last 25% of FVC (FEF25) were read. There was a high prevalence of chronic respiratory symptoms among these workers, and this prevalence was significantly higher in exposed female workers than in female or male control workers (p &lt; 0.01 and p &lt; 0.05, respectively). Occupational asthma was recorded in 6 female tobacco workers (6.2%) and in none of the control subjects (p &lt; 0.05). None of the male workers were found to have occupational asthma. There was also a high prevalence of acute symptoms that were noted during the work shift (particularly for nose and throat dryness, as well as eye irritation). Among these tobacco workers, the odds ratios for respiratory symptoms were frequently significant for employment and smoking among male tobacco workers but were not significant in general for female tobacco workers. The ventilatory capacity data in tobacco workers showed statistically significant reductions in FEV1, FEF50, and FEF25 in relation to predicted values. These reductions were demonstrated in smokers as well as in nonsmokers. Regression analysis suggested that there were significant changes according to employment status for FVC, FEV1, and FEF25 in female tobacco workers. Measurements of ventilatory capacity during the course of the work shift in 38 female tobacco workers demonstrated significant mean acute reductions in FEV1 (−5.7%), in FEF50 (−15.7%), and in FEF25 (−23.4%). Our data indicate that tobacco workers may develop respiratory disorders related to tobacco dust in their work environment.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>12740295</pmid><doi>10.1378/chest.123.5.1740</doi><tpages>9</tpages></addata></record>
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subjects Acute Disease
Adolescent
Adult
Asthma
Biological and medical sciences
Chronic Disease
Demographic aspects
Diagnosis
Diseases
Dust
Employment
Female
Forced Expiratory Volume
Health aspects
Humans
Leaves
Male
Maximal Expiratory Flow-Volume Curves
Medical sciences
Middle Aged
Occupational Diseases - diagnosis
Occupational Exposure
Pneumology
Predation
Pulmonary Ventilation
respiratory function
Respiratory system : syndromes and miscellaneous diseases
Respiratory tract diseases
Respiratory Tract Diseases - diagnosis
Respiratory Tract Diseases - etiology
Tobacco industry
Tobacco Products
Tobacco workers
Vital Capacity
Work environment
title Respiratory Findings in Tobacco Workers
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