Prevalence of chronic obstructive pulmonary disease in elderly Finns

Isoaho, Raimo; Puolijoki, Hannu; Huhti, E; Kivelä, Sirkka‐Liisa; Laippala, Pékka; Tala, E

doi:10.1016/s0954-6111(05)80004-6

Cited by 79 publications

(50 citation statements)

References 30 publications

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“…Farming work involves exposure to organic dusts, microbial dusts, and endotoxins. The prevalence of chronic obstructive pulmonary disease in an elderly Finnish population living in a semi-industrialized rural district was common (17%) among those with a history of work in dusty occupations such as manufacturing and construction work (230). In these studies, there was no confounding by smoking, but especially among women the effect of exposure to dust was related to low social class.…”

Section: Respiratory Diseasesmentioning

confidence: 90%

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Nurminen¹,

Karjalainen²

2001

Scand J Work Environ Health

260

202

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Objectives This study attempts to estimate the proportion of annual deaths related to occupational factors in Finland and considers related methodological issues and associated uncertainties.Methods Statistics on causes of death, numbers of subjects exposed, and risk ratios obtained from the epidemiologic literature were used to estimate the population attributable fraction and disease burden for causes of death from work-related diseases. Gender-, age-and disease-specific numbers of deaths were provided by Statistics Finland for 1996. Information on the size of the population, broken down by gender, age, occupation, and industry, was acquired from population censuses. A Finnish job-exposure matrix supplied data on the prevalence of exposure for specific agents and the level of exposure among exposed workers. ResultsThe attributable fraction of work-related mortality in the relevant disease and age categories was estimated to be 7% (10% for men and 2% for women), and for all diseases and ages the fraction was 4%. For the main cause-of-death categories, the attributable fraction became 12% for circulatory system diseases, 8% for malignant neoplasms, 4% for respiratory system diseases, 4% for mental disorders, 3% for nervous system diseases, and 3% for accidents and violence. The following estimates were obtained for specific important diseases: 24% for lung cancer, 17% for ischemic heart disease, 12% for chronic obstructive pulmonary disease, and 11% for stroke. Based on these fractions, the total number of work-related deaths that occurred in Finland in 1996 was calculated to be on the order of 1800 (employed work force of 2.1 million); 86% involved men.Conclusions High-quality epidemiologic studies and national survey data are essential for obtaining reliable estimates of the proportion of deaths attributable to occupational factors. The magnitude of work-related mortality is an insufficiently recognized contributor to total mortality in Finland, especially from circulatory diseases and other diseases caused by exposure to agents other than asbestos.Key terms attributable fraction, burden of disease, epidemiologic methods, health statistics, occupational exposure. Global estimates of the burden of disease due to occupational factors have been calculated through the application of Finnish rates of registered work-related diseases (1). The approach is subject to the following two fundamental uncertainties: (i) the validity of the data on disease incidence from the national reporting scheme and (ii) the validity of worldwide extrapolations to different regions with different exposure circumstances. With the exception of studies using workers' compensation records, only a few research projects have estimated the magnitude of morbidity or mortality induced by exposure to hazardous agents or stress factors in the work environment at a state or national level. The investigations conducted in this area have covered New York State (2), the whole of the United States (3), Canada (4), and Australia (5). Given the lack of ...

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Section: Respiratory Diseasesmentioning

confidence: 90%

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Nurminen¹,

Karjalainen²

2001

Scand J Work Environ Health

260

202

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“…Isoaho and coworkers 6 reported an overall 4 The Nippon COPD epidemiology study 8 found that only 9.4% of cases with airflow limitation reported a previous COPD diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9] According to the Global Burden of Disease Study, 1,2 COPD will be the fifth-leading cause of disability and the third-leading cause of death in the world in the first half of the 21st century. For developing countries, COPD is expected to be the fourth cause of disability for men and the third cause of disability for women by 2020.…”

mentioning

confidence: 99%

Diagnostic Labeling of COPD in Five Latin American Cities

Tálamo

Halbert

et al. 2007

Chest

120

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“…The divergent findings may be a result of differences in study design, varying definitions of socio-economic status, the age distributions of the studied samples, differences in exposures, occupational and otherwise, and geographical aspects. Generally, studies in Nordic countries have found more symptoms or asthma [5,23], lower lung function [24] or a greater prevalence of chronic obstructive pulmonary disease [25,26] in lower SECs. The present results confirm those of previously performed cohort studies, one of Nordic adults [9] and the other of US adolescents [10].…”

Section: Discussionmentioning

confidence: 99%

Socio-economic status is related to incidence of asthma and respiratory symptoms in adults

Hedlund

Eriksson²,

Rönmark³

2006

European Respiratory Journal

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The aim of the present study was to assess the association between socio-economic status and impaired respiratory health in a 10-yr follow-up of a population-based postal survey in Northern Sweden.Multiple logistic regression was used to estimate odds ratios in relation to socio-economic class, using age, sex, a family history of asthma, smoking habits, and occupational exposures to dust, gases and fumes as possible confounders.The study comprised 2,341 males and 2,413 females. Cumulative incidences were generally lowest in professionals, including executives and civil servants at intermediate and higher levels, who were chosen as reference group. Manual workers in industry showed a significantly increased risk of developing asthma, recurrent wheeze, attacks of shortness of breath or a combination of the two, and chronic productive cough. Manual workers in service showed a similar pattern for attacks of shortness of breath, recurrent wheeze, or a combination of the two, and chronic productive cough. The corresponding population attributable risks were ,10%.Low socio-economic status was a risk factor for the development of asthma, symptoms common in asthma and chronic productive cough.

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Prevalence of chronic obstructive pulmonary disease in elderly Finns

Cited by 79 publications

References 30 publications

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Epidemiologic estimate of the proportion of fatalities related to occupational factors in Finland

Diagnostic Labeling of COPD in Five Latin American Cities

Socio-economic status is related to incidence of asthma and respiratory symptoms in adults

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