Journal article
Association Between Occupational Exposures and Sarcoidosis: An Analysis From Death Certificates in the United States, 1988-1999
Chest, Vol.150(2), pp.289-298
08/2016
DOI: 10.1016/j.chest.2016.01.020
PMCID: PMC4980546
PMID: 26836934
Abstract
Sarcoidosis is a disease that is associated with occupational and environmental antigens, in the setting of a susceptible host. The aim of this study was to examine the association between sarcoidosis mortality and previously reported occupational exposures based on sex and race.
The decedents enrolled in this study were derived from United States death certificates from 1988-1999. Cause of death was coded according to ICD-9 and ICD-10. The usual occupation was coded with Bureau of the Census Occupation Codes. Mortality odds ratio (MOR) were determined and multiple Poisson regression were performed to evaluate the independent exposure effects after adjustment for age, sex, race and other occupational exposures.
Of the 7,118,535 decedents in our study, 3,393 were identified as sarcoidosis-related, including 1,579 identified as sarcoidosis being the underlying cause of death. The sarcoidosis-related MOR of any occupational exposure was 1.52 (95% CI, 1.35-1.71). Women with any exposure demonstrated an increased MOR compared to women without (MOR 1.65, 95% CI, 1.45-1.89). The mortality risk was significantly elevated in those with employment involving metal working, health care, teaching, sales, banking, and administration. Higher sarcoidosis-related mortality risks associated with specific exposures were noted in women vs men and blacks vs whites.
Findings of prior occupations and risk of sarcoidosis were verified using sarcoidosis mortality rates. There were significant differences in risk for sarcoidosis mortality by occupational exposures based on sex and race.
Details
- Title: Subtitle
- Association Between Occupational Exposures and Sarcoidosis: An Analysis From Death Certificates in the United States, 1988-1999
- Creators
- Hongbo Liu - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, CO; Department of Epidemiology and Biostatistics, China Medical University, Shenyang, ChinaDivya Patel - Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FLAlison M Welch - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, COCarla Wilson - Department of Biostatistics, National Jewish Health, Denver, COMargaret M Mroz - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, COLi Li - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Sciences, Colorado School of Public Health, University of Colorado, Aurora, COCecile S Rose - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Sciences, Colorado School of Public Health, University of Colorado, Aurora, CO; School of Medicine, and Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Aurora, COMichael Van Dyke - School of Medicine, and Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Aurora, COJeffrey J Swigris - Pulmonary Division, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Sciences, Colorado School of Public Health, University of Colorado, Aurora, CONabeel Hamzeh - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Sciences, Colorado School of Public Health, University of Colorado, Aurora, COLisa A Maier - Division of Environmental and Occupational Health Sciences, National Jewish Health, Denver, CO; Division of Pulmonary and Critical Care Sciences, Colorado School of Public Health, University of Colorado, Aurora, CO; School of Medicine, and Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Aurora, CO. Electronic address: maierl@njhealth.org
- Resource Type
- Journal article
- Publication Details
- Chest, Vol.150(2), pp.289-298
- DOI
- 10.1016/j.chest.2016.01.020
- PMID
- 26836934
- PMCID
- PMC4980546
- ISSN
- 0012-3692
- eISSN
- 1931-3543
- Grant note
- U01 HL112695 / NHLBI NIH HHS R01 HL114587 / NHLBI NIH HHS
- Language
- English
- Date published
- 08/2016
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Internal Medicine
- Record Identifier
- 9984094331202771
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