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Factors Associated With Obstructive Pattern Spirometry In Shipyard Workers
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조선소 근로자들의 폐쇄성 폐기능 저하와 관련된 요인

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Type
Academic journal
Author
Kim, Jahyun (성균관대학교 의과대학 삼성창원병원 직업환경의학과) Kim, Young Wook (부산대학교 의학전문대학원 예방의학교실) Chae, Chang Ho (Department of Occupational and Environmental Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) Son, Jun Seok (Department of Preventive and Occupational Medicine, Pusan National University School of Medicine)
Journal
Korean Industrial Hygiene Association 한국산업보건학회지 한국산업보건학회지 제25권 제4호 KCI Accredited Journals
Published
2015.1
Pages
525 - 533 (9page)

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Factors Associated With Obstructive Pattern Spirometry In Shipyard Workers
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Objectives: Alongside smoking, occupational exposure is an important risk factor for chronic obstructive pulmonary disease. The purpose of this study was to evaluate factors associated with occupational pulmonary function decline that can be used to create guidelines for the health management of shipyard workers Materials: This study analyzed spirometry from 10,597 male shipbuilding workers. Functional decline in spirometry was defined as FEV1/FVC <70% and logistic regression for work duration and occupational hazard exposure was performed Results: Among the subjects, 4.2% showed an obstructive pattern in pulmonary function. The odds ratios for hazard exposure were 1.67(indirect) and 3.54(direct), and for work duration 1.97(10-18 years), 2.29(19-27), and 5.02(28+). After adjusting for smoking and work-related factors, the odds ratios for work durations of over 10 years were 1.73(10-18 years), 1.99(19-27), and 4.09(28+), but for hazards exposure was 1.71(direct) alone after adjustment. Conclusions: Occupational COPD is insidious and chronic, and thus long-term hazard exposed(especially over 10 years) shipyard workers with functional decline in spirometry need to prevent and manage COPD. This study is important for establishing guidelines to manage hazard exposure among shipyard workers and prevent COPD.

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