Chronic Bronchitis: An Introductory Examination of Existing Data

Goodman, Neville; Lane, Ronald E.; Rampling, S. B.

doi:10.1136/bmj.2.4830.237

Cited by 56 publications

(25 citation statements)

References 4 publications

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“…Nevetheless, the figures do suggest that bronchitis may be more prevalent in miners than in the general population. It should, however, be noted that a high mortality due to bronchitis is found in those coalfields which are situated in areas where bronchitis death rates are high also in the non-mining population (Goodman et al, 1953), and that the wives of coal-miners share this excessive mortality from bronchitis to a large extent (Registrar-General, 1938). …”

Section: Prevalence Of Chronic Bronchitismentioning

confidence: 99%

Respiratory Symptoms and Pulmonary Disability in an Industrial Town

Higgins¹,

Oldham²,

Cochrane³

et al. 1956

BMJ

110

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Section: Prevalence Of Chronic Bronchitismentioning

confidence: 99%

Respiratory Symptoms and Pulmonary Disability in an Industrial Town

Higgins¹,

Oldham²,

Cochrane³

et al. 1956

BMJ

110

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“…Analysis of epidemiological data from the 1930s and 1940s confirmed the impression of a strong link between occupation and chronic bronchitis [5,6]. Later, in the 1950s and early 1960s, irreversible airflow limitation and emphysema, which are functional and pathological abnormalities linked with chronic bronchitis, were shown to be increased among mineworkers, one of the occupational groups most heavily exposed to dust and fumes [7,8].…”

mentioning

confidence: 96%

The occupational burden of chronic obstructive pulmonary disease

Trupin¹,

Earnest²,

Balmes³

et al. 2003

Eur Respir J

291

190

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Although chronic obstructive pulmonary disease (COPD) is attributed predominantly to tobacco smoke, occupational exposures are also suspected risk factors for COPD. Estimating the proportion of COPD attributable to occupation is thus an important public health need.A randomly selected sample of 2,061 US residents aged 55-75 yrs completed telephone interviews covering respiratory health, general health status and occupational history. Occupational exposure during the longest-held job was determined by selfreported exposure to vapours, gas, dust or fumes and through a job exposure matrix. COPD was defined by self-reported physician9s diagnosis.After adjusting for smoking status and demography, the odds ratio for COPD related to self-reported occupational exposure was 2.0 (95% confidence interval (CI) 1.6-2.5), resulting in an adjusted population attributable risk (PAR) of 20% (95% CI 13-27%). The adjusted odds ratio based on the job exposure matrix was 1.6 (95% CI 1.1-2.5) for high and 1.4 (95% CI 1.1-1.9) for intermediate probability of occupational dust exposure; the associated PAR was 9% (95% CI 3-15%). A narrower definition of COPD, excluding chronic bronchitis, was associated with a PAR based on reported occupational exposure of 31% (95% CI 19-41%).Past occupational exposures significantly increased the likelihood of chronic obstructive pulmonary disease, independent of the effects of smoking. Given that one in five cases of chronic obstructive pulmonary disease may be attributable to occupational exposures, clinicians and health policy-makers should address this potential avenue of chronic obstructive pulmonary disease causation and its prevention.

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“…There is equally good evidence that at least chronic obstructive pulmonary disease (COPD) mortality is strongly associated with poverty even among fairly homogeneous populations [8]. In the UK the social class gradient for deaths from COPD in 1980 was far steeper than the social class gradient for lung cancer and even steeper than the social class gradient for tuberculosis [9].…”

mentioning

confidence: 99%