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Respiratory health in Turkish asbestos cement workers: The role of environmental exposure
Aim Benign and malignant pleural and lung diseases due to environmental asbestos exposure constitute an important health problem in Turkey. The country has widespread natural deposits of asbestos in rural parts of central and eastern regions. Few data exists about the respiratory health effects of o...
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| Published in: | American journal of industrial medicine 2006-08, Vol.49 (8), p.609-616 |
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| container_end_page | 616 |
| container_issue | 8 |
| container_start_page | 609 |
| container_title | American journal of industrial medicine |
| container_volume | 49 |
| creator | Akkurt, İbrahim Önal, Buhara Demir, Ahmet Uğur Tüzün, Dilek Sabır, Handan Ulusoy, Lütfi Karadağ, Kaan Ö. Ersoy, Nihat Çöplü, Lütfi |
| description | Aim
Benign and malignant pleural and lung diseases due to environmental asbestos exposure constitute an important health problem in Turkey. The country has widespread natural deposits of asbestos in rural parts of central and eastern regions. Few data exists about the respiratory health effects of occupational asbestos exposure in Turkey. A cross‐sectional study was conducted to investigate respiratory health effects of occupational asbestos exposure and the contribution of environmental asbestos exposure.
Methods
Investigations included asbestos dust measurements in the workplace and application of an interviewer‐administered questionnaire, a standard posteroanterior chest X‐ray and spirometry. Information on birthplace of the workers was obtained in 406 workers and used to identify environmental exposure to asbestos, through a map of geographic locations with known asbestos exposure.
Results
Asbestos dust concentration in the ambient air of the work sites (fiber/ml) ranged between 0.2 and 0.76 (mean: 0.25, median: 0.22). Environmental exposure to asbestos was determined in 24.4% of the workers. After the adjustment for age, smoking, occupational asbestos exposure, and potential risk factors environmental asbestos exposure was associated with small irregular opacities grade ≥1/0 (44.2% vs. 26.6%, P |
| doi_str_mv | 10.1002/ajim.20326 |
| format | article |
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Benign and malignant pleural and lung diseases due to environmental asbestos exposure constitute an important health problem in Turkey. The country has widespread natural deposits of asbestos in rural parts of central and eastern regions. Few data exists about the respiratory health effects of occupational asbestos exposure in Turkey. A cross‐sectional study was conducted to investigate respiratory health effects of occupational asbestos exposure and the contribution of environmental asbestos exposure.
Methods
Investigations included asbestos dust measurements in the workplace and application of an interviewer‐administered questionnaire, a standard posteroanterior chest X‐ray and spirometry. Information on birthplace of the workers was obtained in 406 workers and used to identify environmental exposure to asbestos, through a map of geographic locations with known asbestos exposure.
Results
Asbestos dust concentration in the ambient air of the work sites (fiber/ml) ranged between 0.2 and 0.76 (mean: 0.25, median: 0.22). Environmental exposure to asbestos was determined in 24.4% of the workers. After the adjustment for age, smoking, occupational asbestos exposure, and potential risk factors environmental asbestos exposure was associated with small irregular opacities grade ≥1/0 (44.2% vs. 26.6%, P < 0.01), FVC% (97.8 vs. 104.5, P < 0.0001), and FEV1% (92.4 vs. 99.9, P < .0001). Occupational exposure to asbestos was associated with small irregular opacities grade ≥1/0 (OR: 2.0, 95% CI: 1.3–3.1, per 1 unit increase in the natural logarithm of fiber/ml) and FEV1/FVC% (beta: 1.1, SEM: 0.54; P < 0.05, per 1 unit increase in the natural logarithm of fiber/ml).
Conclusions
Environmental exposure to asbestos could increase the risk of asbestosis and lung function impairment in workers occupationally exposed to asbestos, independent from occupational exposure and smoking. Am. J. Ind. Med. 2006. © 2006 Wiley‐Liss, Inc.</description><identifier>ISSN: 0271-3586</identifier><identifier>EISSN: 1097-0274</identifier><identifier>DOI: 10.1002/ajim.20326</identifier><identifier>PMID: 16691614</identifier><identifier>CODEN: AJIMD8</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; asbestos ; Asbestos - toxicity ; Asbestosis - epidemiology ; Asbestosis - etiology ; Biological and medical sciences ; Chemical and industrial products toxicology. Toxic occupational diseases ; Construction Materials - toxicity ; Cross-Sectional Studies ; Dust ; environmental ; health ; Humans ; Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.) ; Interviews as Topic ; Medical sciences ; occupational ; Occupational Exposure - adverse effects ; Pneumology ; respiratory ; Respiratory System ; Respiratory system : syndromes and miscellaneous diseases ; Risk Assessment ; Risk Factors ; Spirometry ; Surveys and Questionnaires ; Toxicology ; Turkey ; Turkey - epidemiology</subject><ispartof>American journal of industrial medicine, 2006-08, Vol.49 (8), p.609-616</ispartof><rights>Copyright © 2006 Wiley‐Liss, Inc.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright 2006 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4266-460c4c669ea7ccb62d8edb6cb76e3fd25051f249c646c571185b5ac03dfb15e3</citedby><cites>FETCH-LOGICAL-c4266-460c4c669ea7ccb62d8edb6cb76e3fd25051f249c646c571185b5ac03dfb15e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17989094$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16691614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akkurt, İbrahim</creatorcontrib><creatorcontrib>Önal, Buhara</creatorcontrib><creatorcontrib>Demir, Ahmet Uğur</creatorcontrib><creatorcontrib>Tüzün, Dilek</creatorcontrib><creatorcontrib>Sabır, Handan</creatorcontrib><creatorcontrib>Ulusoy, Lütfi</creatorcontrib><creatorcontrib>Karadağ, Kaan Ö.</creatorcontrib><creatorcontrib>Ersoy, Nihat</creatorcontrib><creatorcontrib>Çöplü, Lütfi</creatorcontrib><title>Respiratory health in Turkish asbestos cement workers: The role of environmental exposure</title><title>American journal of industrial medicine</title><addtitle>Am. J. Ind. Med</addtitle><description>Aim
Benign and malignant pleural and lung diseases due to environmental asbestos exposure constitute an important health problem in Turkey. The country has widespread natural deposits of asbestos in rural parts of central and eastern regions. Few data exists about the respiratory health effects of occupational asbestos exposure in Turkey. A cross‐sectional study was conducted to investigate respiratory health effects of occupational asbestos exposure and the contribution of environmental asbestos exposure.
Methods
Investigations included asbestos dust measurements in the workplace and application of an interviewer‐administered questionnaire, a standard posteroanterior chest X‐ray and spirometry. Information on birthplace of the workers was obtained in 406 workers and used to identify environmental exposure to asbestos, through a map of geographic locations with known asbestos exposure.
Results
Asbestos dust concentration in the ambient air of the work sites (fiber/ml) ranged between 0.2 and 0.76 (mean: 0.25, median: 0.22). Environmental exposure to asbestos was determined in 24.4% of the workers. After the adjustment for age, smoking, occupational asbestos exposure, and potential risk factors environmental asbestos exposure was associated with small irregular opacities grade ≥1/0 (44.2% vs. 26.6%, P < 0.01), FVC% (97.8 vs. 104.5, P < 0.0001), and FEV1% (92.4 vs. 99.9, P < .0001). Occupational exposure to asbestos was associated with small irregular opacities grade ≥1/0 (OR: 2.0, 95% CI: 1.3–3.1, per 1 unit increase in the natural logarithm of fiber/ml) and FEV1/FVC% (beta: 1.1, SEM: 0.54; P < 0.05, per 1 unit increase in the natural logarithm of fiber/ml).
Conclusions
Environmental exposure to asbestos could increase the risk of asbestosis and lung function impairment in workers occupationally exposed to asbestos, independent from occupational exposure and smoking. Am. J. Ind. Med. 2006. © 2006 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>asbestos</subject><subject>Asbestos - toxicity</subject><subject>Asbestosis - epidemiology</subject><subject>Asbestosis - etiology</subject><subject>Biological and medical sciences</subject><subject>Chemical and industrial products toxicology. Toxic occupational diseases</subject><subject>Construction Materials - toxicity</subject><subject>Cross-Sectional Studies</subject><subject>Dust</subject><subject>environmental</subject><subject>health</subject><subject>Humans</subject><subject>Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.)</subject><subject>Interviews as Topic</subject><subject>Medical sciences</subject><subject>occupational</subject><subject>Occupational Exposure - adverse effects</subject><subject>Pneumology</subject><subject>respiratory</subject><subject>Respiratory System</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Spirometry</subject><subject>Surveys and Questionnaires</subject><subject>Toxicology</subject><subject>Turkey</subject><subject>Turkey - epidemiology</subject><issn>0271-3586</issn><issn>1097-0274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNp90E1v1DAQBmALgehSuPADkC9wQEqxHX8k3KoVtEXbolYrECfLcSZad5N460lo99-TZbf0xmkuz7wzegl5y9kJZ0x8crehOxEsF_oZmXFWmowJI5-T2TR4lqtCH5FXiLeMcS61fEmOuNYl11zOyK8bwE1IbohpS1fg2mFFQ0-XY1oHXFGHFeAQkXrooB_ofUxrSPiZLldAU2yBxoZC_zuk2O-Aayk8bCKOCV6TF41rEd4c5jFZfv2ynJ9ni-9nF_PTReal0DqTmnnpp3_AGe8rLeoC6kr7ymjIm1oopngjZOm11F4ZzgtVKedZXjcVV5Afkw_72E2Kd-P0rO0Cemhb10Mc0fJSKiZYMcGPe-hTREzQ2E0KnUtby5nd9Wh3Pdq_PU743SF1rDqon-ihuAm8PwCH3rVNcr0P-ORMWZSs3Dm-d_ehhe1_TtrTbxeXj8ez_U7AAR7-7bi0ttrkRtmfV2d2fv7jmpn5lV3kfwA1n5rb</recordid><startdate>200608</startdate><enddate>200608</enddate><creator>Akkurt, İbrahim</creator><creator>Önal, Buhara</creator><creator>Demir, Ahmet Uğur</creator><creator>Tüzün, Dilek</creator><creator>Sabır, Handan</creator><creator>Ulusoy, Lütfi</creator><creator>Karadağ, Kaan Ö.</creator><creator>Ersoy, Nihat</creator><creator>Çöplü, Lütfi</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><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>7U1</scope><scope>7U2</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>200608</creationdate><title>Respiratory health in Turkish asbestos cement workers: The role of environmental exposure</title><author>Akkurt, İbrahim ; Önal, Buhara ; Demir, Ahmet Uğur ; Tüzün, Dilek ; Sabır, Handan ; Ulusoy, Lütfi ; Karadağ, Kaan Ö. ; Ersoy, Nihat ; Çöplü, Lütfi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4266-460c4c669ea7ccb62d8edb6cb76e3fd25051f249c646c571185b5ac03dfb15e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>asbestos</topic><topic>Asbestos - toxicity</topic><topic>Asbestosis - epidemiology</topic><topic>Asbestosis - etiology</topic><topic>Biological and medical sciences</topic><topic>Chemical and industrial products toxicology. Toxic occupational diseases</topic><topic>Construction Materials - toxicity</topic><topic>Cross-Sectional Studies</topic><topic>Dust</topic><topic>environmental</topic><topic>health</topic><topic>Humans</topic><topic>Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.)</topic><topic>Interviews as Topic</topic><topic>Medical sciences</topic><topic>occupational</topic><topic>Occupational Exposure - adverse effects</topic><topic>Pneumology</topic><topic>respiratory</topic><topic>Respiratory System</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Spirometry</topic><topic>Surveys and Questionnaires</topic><topic>Toxicology</topic><topic>Turkey</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akkurt, İbrahim</creatorcontrib><creatorcontrib>Önal, Buhara</creatorcontrib><creatorcontrib>Demir, Ahmet Uğur</creatorcontrib><creatorcontrib>Tüzün, Dilek</creatorcontrib><creatorcontrib>Sabır, Handan</creatorcontrib><creatorcontrib>Ulusoy, Lütfi</creatorcontrib><creatorcontrib>Karadağ, Kaan Ö.</creatorcontrib><creatorcontrib>Ersoy, Nihat</creatorcontrib><creatorcontrib>Çöplü, Lütfi</creatorcontrib><collection>Istex</collection><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>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akkurt, İbrahim</au><au>Önal, Buhara</au><au>Demir, Ahmet Uğur</au><au>Tüzün, Dilek</au><au>Sabır, Handan</au><au>Ulusoy, Lütfi</au><au>Karadağ, Kaan Ö.</au><au>Ersoy, Nihat</au><au>Çöplü, Lütfi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Respiratory health in Turkish asbestos cement workers: The role of environmental exposure</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am. J. Ind. Med</addtitle><date>2006-08</date><risdate>2006</risdate><volume>49</volume><issue>8</issue><spage>609</spage><epage>616</epage><pages>609-616</pages><issn>0271-3586</issn><eissn>1097-0274</eissn><coden>AJIMD8</coden><abstract>Aim
Benign and malignant pleural and lung diseases due to environmental asbestos exposure constitute an important health problem in Turkey. The country has widespread natural deposits of asbestos in rural parts of central and eastern regions. Few data exists about the respiratory health effects of occupational asbestos exposure in Turkey. A cross‐sectional study was conducted to investigate respiratory health effects of occupational asbestos exposure and the contribution of environmental asbestos exposure.
Methods
Investigations included asbestos dust measurements in the workplace and application of an interviewer‐administered questionnaire, a standard posteroanterior chest X‐ray and spirometry. Information on birthplace of the workers was obtained in 406 workers and used to identify environmental exposure to asbestos, through a map of geographic locations with known asbestos exposure.
Results
Asbestos dust concentration in the ambient air of the work sites (fiber/ml) ranged between 0.2 and 0.76 (mean: 0.25, median: 0.22). Environmental exposure to asbestos was determined in 24.4% of the workers. After the adjustment for age, smoking, occupational asbestos exposure, and potential risk factors environmental asbestos exposure was associated with small irregular opacities grade ≥1/0 (44.2% vs. 26.6%, P < 0.01), FVC% (97.8 vs. 104.5, P < 0.0001), and FEV1% (92.4 vs. 99.9, P < .0001). Occupational exposure to asbestos was associated with small irregular opacities grade ≥1/0 (OR: 2.0, 95% CI: 1.3–3.1, per 1 unit increase in the natural logarithm of fiber/ml) and FEV1/FVC% (beta: 1.1, SEM: 0.54; P < 0.05, per 1 unit increase in the natural logarithm of fiber/ml).
Conclusions
Environmental exposure to asbestos could increase the risk of asbestosis and lung function impairment in workers occupationally exposed to asbestos, independent from occupational exposure and smoking. Am. J. Ind. Med. 2006. © 2006 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16691614</pmid><doi>10.1002/ajim.20326</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0271-3586 |
| ispartof | American journal of industrial medicine, 2006-08, Vol.49 (8), p.609-616 |
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| language | eng |
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| source | Wiley |
| subjects | Adult asbestos Asbestos - toxicity Asbestosis - epidemiology Asbestosis - etiology Biological and medical sciences Chemical and industrial products toxicology. Toxic occupational diseases Construction Materials - toxicity Cross-Sectional Studies Dust environmental health Humans Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.) Interviews as Topic Medical sciences occupational Occupational Exposure - adverse effects Pneumology respiratory Respiratory System Respiratory system : syndromes and miscellaneous diseases Risk Assessment Risk Factors Spirometry Surveys and Questionnaires Toxicology Turkey Turkey - epidemiology |
| title | Respiratory health in Turkish asbestos cement workers: The role of environmental exposure |
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