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
Hauptverfasser: de la Hoz, Rafael E., Shohet, Michael R., Wisnivesky, Juan P., Bienenfeld, Laura A., Afilaka, Aboaba A., Herbert, Robin
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container_end_page 995
container_issue 9
container_start_page 992
container_title Journal of occupational and environmental medicine
container_volume 51
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. 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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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; 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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source Jstor Complete Legacy; MEDLINE; Journals@Ovid Complete
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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