Atopy and Upper and Lower Airway Disease Among Former World Trade Center Workers and Volunteers
Objective: A large number of workers seemed to have developed upper and lower airway disease (UAD and LAD, respectively) in relation to their occupational exposures at the World Trade Center (WTC) disaster site. This study examined atopy as a risk factor for presumably WTC-related UAD and LAD. Metho...
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Veröffentlicht in: | Journal of occupational and environmental medicine 2009-09, Vol.51 (9), p.992-995 |
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creator | de la Hoz, Rafael E. Shohet, Michael R. Wisnivesky, Juan P. Bienenfeld, Laura A. Afilaka, Aboaba A. Herbert, Robin |
description | Objective: A large number of workers seemed to have developed upper and lower airway disease (UAD and LAD, respectively) in relation to their occupational exposures at the World Trade Center (WTC) disaster site. This study examined atopy as a risk factor for presumably WTC-related UAD and LAD. Methods: Atopy was examined in 136 former WTC workers and volunteers by radioallergosorbent test, skin prick testing, or both. Overall prevalence of atopy was estimated, and bivariate and multivariate logistic regression analyses were conducted to examine associations of atopy with WTC-related UAD and LAD. Results: Atopy was prevalent in 54.4% of these WTC workers. Atopy was associated with higher symptom severity scores for both WTC-related UAD and LAD. Atopy was a predictor of WTC-related UAD but not LAD. Early arrival at the WTC site, and pre-2001 asthma diagnosis were predictors of LAD. Conclusion: The prevalence of atopy in this population is similar to what has been described for the general U.S. population. Atopy seemed to be a risk factor for presumably WTC-related UAD but not for LAD. |
doi_str_mv | 10.1097/JOM.0b013e3181b32093 |
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This study examined atopy as a risk factor for presumably WTC-related UAD and LAD. Methods: Atopy was examined in 136 former WTC workers and volunteers by radioallergosorbent test, skin prick testing, or both. Overall prevalence of atopy was estimated, and bivariate and multivariate logistic regression analyses were conducted to examine associations of atopy with WTC-related UAD and LAD. Results: Atopy was prevalent in 54.4% of these WTC workers. Atopy was associated with higher symptom severity scores for both WTC-related UAD and LAD. Atopy was a predictor of WTC-related UAD but not LAD. Early arrival at the WTC site, and pre-2001 asthma diagnosis were predictors of LAD. Conclusion: The prevalence of atopy in this population is similar to what has been described for the general U.S. population. Atopy seemed to be a risk factor for presumably WTC-related UAD but not for LAD.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/JOM.0b013e3181b32093</identifier><identifier>PMID: 19730399</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Age Distribution ; Allergies ; Biological and medical sciences ; Chi-Square Distribution ; Female ; Follow-Up Studies ; Human exposure ; Humans ; Hypersensitivity, Immediate - diagnosis ; Hypersensitivity, Immediate - epidemiology ; Hypersensitivity, Immediate - etiology ; Incidence ; Inhalation Exposure ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; New York City - epidemiology ; Occupational diseases ; Occupational Exposure - adverse effects ; Occupational health ; ORIGINAL ARTICLES ; Pneumology ; Probability ; Reference Values ; Rescue Work ; Respiration Disorders - epidemiology ; Respiration Disorders - etiology ; Respiratory diseases ; Respiratory system : syndromes and miscellaneous diseases ; Respiratory Tract Diseases - epidemiology ; Respiratory Tract Diseases - etiology ; Risk Assessment ; September 11 Terrorist Attacks ; Sex Distribution ; Statistics, Nonparametric ; Volunteers ; Volunteers - statistics & numerical data</subject><ispartof>Journal of occupational and environmental medicine, 2009-09, Vol.51 (9), p.992-995</ispartof><rights>Copyright © 2009 American College of Occupational and Environmental Medicine</rights><rights>2009The American College of Occupational and Environmental Medicine</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Sep 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5673-52fa86eedd2d11c7c4c61c658761be4f2bd32c24b81c6e38e52a9d130cd00ae13</citedby><cites>FETCH-LOGICAL-c5673-52fa86eedd2d11c7c4c61c658761be4f2bd32c24b81c6e38e52a9d130cd00ae13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44997778$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44997778$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21926556$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19730399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de la Hoz, Rafael E.</creatorcontrib><creatorcontrib>Shohet, Michael R.</creatorcontrib><creatorcontrib>Wisnivesky, Juan P.</creatorcontrib><creatorcontrib>Bienenfeld, Laura A.</creatorcontrib><creatorcontrib>Afilaka, Aboaba A.</creatorcontrib><creatorcontrib>Herbert, Robin</creatorcontrib><title>Atopy and Upper and Lower Airway Disease Among Former World Trade Center Workers and Volunteers</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Environ Med</addtitle><description>Objective: A large number of workers seemed to have developed upper and lower airway disease (UAD and LAD, respectively) in relation to their occupational exposures at the World Trade Center (WTC) disaster site. This study examined atopy as a risk factor for presumably WTC-related UAD and LAD. Methods: Atopy was examined in 136 former WTC workers and volunteers by radioallergosorbent test, skin prick testing, or both. Overall prevalence of atopy was estimated, and bivariate and multivariate logistic regression analyses were conducted to examine associations of atopy with WTC-related UAD and LAD. Results: Atopy was prevalent in 54.4% of these WTC workers. Atopy was associated with higher symptom severity scores for both WTC-related UAD and LAD. Atopy was a predictor of WTC-related UAD but not LAD. Early arrival at the WTC site, and pre-2001 asthma diagnosis were predictors of LAD. Conclusion: The prevalence of atopy in this population is similar to what has been described for the general U.S. population. Atopy seemed to be a risk factor for presumably WTC-related UAD but not for LAD.</description><subject>Adult</subject><subject>Age Distribution</subject><subject>Allergies</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Human exposure</subject><subject>Humans</subject><subject>Hypersensitivity, Immediate - diagnosis</subject><subject>Hypersensitivity, Immediate - epidemiology</subject><subject>Hypersensitivity, Immediate - etiology</subject><subject>Incidence</subject><subject>Inhalation Exposure</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>New York City - epidemiology</subject><subject>Occupational diseases</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational health</subject><subject>ORIGINAL ARTICLES</subject><subject>Pneumology</subject><subject>Probability</subject><subject>Reference Values</subject><subject>Rescue Work</subject><subject>Respiration Disorders - epidemiology</subject><subject>Respiration Disorders - etiology</subject><subject>Respiratory diseases</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Respiratory Tract Diseases - epidemiology</subject><subject>Respiratory Tract Diseases - etiology</subject><subject>Risk Assessment</subject><subject>September 11 Terrorist Attacks</subject><subject>Sex Distribution</subject><subject>Statistics, Nonparametric</subject><subject>Volunteers</subject><subject>Volunteers - statistics & numerical data</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1DAUhSMEog_4B4AipLJL8bVjO15Vo4Hy0KBuWlhaju10MnXiYCeM5t_jNqMBumHl6-vvHp3rk2WvAJ0DEvz916tv56hGQCyBCmqCkSBPsmOghBVUlNXTVCPOCswpPspOYtwgBBQQfZ4dgeAEESGOM7kY_bDLVW_ym2Gw4aFa-W2qFm3Yql3-oY1WRZsvOt_f5pc-dOnthw_O5NdBGZsvbT_OrTsb4oPAd--m1EzXF9mzRrloX-7P0-zm8uP18nOxuvr0ZblYFZoyTgqKG1Uxa43BBkBzXWoGmtGKM6ht2eDaEKxxWVepa0llKVbCAEHaIKQskNPsYtYdprqzRidPQTk5hLZTYSe9auW_L327lrf-lwSESMlLkRTe7RWC_znZOMqujdo6p3rrpyjT_3KEOErg20fgxk-hT9tJDJgBIXDvp5whHXyMwTYHK4DkfX4y5Scf55fG3vy9xp-hfWAJONsDKmrlmqB63cYDh0FgRilLXDVzW-9SOvHOTSlTubbKjev_eXg9j27i6MNBuiyF4JxX5DfoR7_e</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>de la Hoz, Rafael E.</creator><creator>Shohet, Michael R.</creator><creator>Wisnivesky, Juan P.</creator><creator>Bienenfeld, Laura A.</creator><creator>Afilaka, Aboaba A.</creator><creator>Herbert, Robin</creator><general>Lippincott Williams & Wilkins</general><general>The American College of Occupational and Environmental Medicine</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><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>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7TV</scope><scope>7U1</scope><scope>7U2</scope><scope>5PM</scope></search><sort><creationdate>200909</creationdate><title>Atopy and Upper and Lower Airway Disease Among Former World Trade Center Workers and Volunteers</title><author>de la Hoz, Rafael E. ; Shohet, Michael R. ; Wisnivesky, Juan P. ; Bienenfeld, Laura A. ; Afilaka, Aboaba A. ; Herbert, Robin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5673-52fa86eedd2d11c7c4c61c658761be4f2bd32c24b81c6e38e52a9d130cd00ae13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Allergies</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Human exposure</topic><topic>Humans</topic><topic>Hypersensitivity, Immediate - diagnosis</topic><topic>Hypersensitivity, Immediate - epidemiology</topic><topic>Hypersensitivity, Immediate - etiology</topic><topic>Incidence</topic><topic>Inhalation Exposure</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>New York City - epidemiology</topic><topic>Occupational diseases</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupational health</topic><topic>ORIGINAL ARTICLES</topic><topic>Pneumology</topic><topic>Probability</topic><topic>Reference Values</topic><topic>Rescue Work</topic><topic>Respiration Disorders - epidemiology</topic><topic>Respiration Disorders - etiology</topic><topic>Respiratory diseases</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Respiratory Tract Diseases - epidemiology</topic><topic>Respiratory Tract Diseases - etiology</topic><topic>Risk Assessment</topic><topic>September 11 Terrorist Attacks</topic><topic>Sex Distribution</topic><topic>Statistics, Nonparametric</topic><topic>Volunteers</topic><topic>Volunteers - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de la Hoz, Rafael E.</creatorcontrib><creatorcontrib>Shohet, Michael R.</creatorcontrib><creatorcontrib>Wisnivesky, Juan P.</creatorcontrib><creatorcontrib>Bienenfeld, Laura A.</creatorcontrib><creatorcontrib>Afilaka, Aboaba A.</creatorcontrib><creatorcontrib>Herbert, Robin</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Pollution Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de la Hoz, Rafael E.</au><au>Shohet, Michael R.</au><au>Wisnivesky, Juan P.</au><au>Bienenfeld, Laura A.</au><au>Afilaka, Aboaba A.</au><au>Herbert, Robin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atopy and Upper and Lower Airway Disease Among Former World Trade Center Workers and Volunteers</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2009-09</date><risdate>2009</risdate><volume>51</volume><issue>9</issue><spage>992</spage><epage>995</epage><pages>992-995</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>Objective: A large number of workers seemed to have developed upper and lower airway disease (UAD and LAD, respectively) in relation to their occupational exposures at the World Trade Center (WTC) disaster site. This study examined atopy as a risk factor for presumably WTC-related UAD and LAD. Methods: Atopy was examined in 136 former WTC workers and volunteers by radioallergosorbent test, skin prick testing, or both. Overall prevalence of atopy was estimated, and bivariate and multivariate logistic regression analyses were conducted to examine associations of atopy with WTC-related UAD and LAD. Results: Atopy was prevalent in 54.4% of these WTC workers. Atopy was associated with higher symptom severity scores for both WTC-related UAD and LAD. Atopy was a predictor of WTC-related UAD but not LAD. Early arrival at the WTC site, and pre-2001 asthma diagnosis were predictors of LAD. Conclusion: The prevalence of atopy in this population is similar to what has been described for the general U.S. population. Atopy seemed to be a risk factor for presumably WTC-related UAD but not for LAD.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19730399</pmid><doi>10.1097/JOM.0b013e3181b32093</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Age Distribution Allergies Biological and medical sciences Chi-Square Distribution Female Follow-Up Studies Human exposure Humans Hypersensitivity, Immediate - diagnosis Hypersensitivity, Immediate - epidemiology Hypersensitivity, Immediate - etiology Incidence Inhalation Exposure Logistic Models Male Medical sciences Middle Aged Multivariate Analysis New York City - epidemiology Occupational diseases Occupational Exposure - adverse effects Occupational health ORIGINAL ARTICLES Pneumology Probability Reference Values Rescue Work Respiration Disorders - epidemiology Respiration Disorders - etiology Respiratory diseases Respiratory system : syndromes and miscellaneous diseases Respiratory Tract Diseases - epidemiology Respiratory Tract Diseases - etiology Risk Assessment September 11 Terrorist Attacks Sex Distribution Statistics, Nonparametric Volunteers Volunteers - statistics & numerical data |
title | Atopy and Upper and Lower Airway Disease Among Former World Trade Center Workers and Volunteers |
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