Mortality Associated With Occupational Exposure in Helsinki, Finland-A 24-Year Follow-up.

Jalasto, Juuso; Luukkonen, Ritva; Lindqvist, Ari; Langhammer, Arnulf; Kankaanranta, Hannu; Backman, Helena; Rönmark, Eva; Sovijärvi, Anssi et al. · J Occup Environ Med · 2023

prospective_cohort · Level II

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Abstract

Our objective was to study mortality related to different obstructive lung diseases, occupational exposure, and their potential joint effect in a large, randomized population-based cohort. We divided the participants based on the answers to asthma and chronic obstructive pulmonary disease (COPD) diagnoses and occupational exposure and used a combined effects model and compared the results to no asthma or COPD with no occupational exposure. High exposure had a hazards ratio (HR) of 1.34 (1.11-1.62) and asthma and COPD coexistence of 1.58 (1.10-2.27). The combined effects of intermediate exposure and coexistence had an HR of 2.20 (1.18-4.09), high exposure with coexistence of 1.94 (1.10-3.42) for overall mortality, and sub-HR for respiratory-related mortality of 3.21 (1.87-5.50). High occupational exposure increased overall but not respiratory-related mortality hazards, while coexisting asthma and COPD overall and respiratory-related hazards of mortality.

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