High exposure mining occupations are associated with obstructive lung disease, National Health Interview Survey (NHIS), 2006-2015

Sithembile L. Mabila; Kirsten S. Almberg; Lee Friedman; Robert Andrew Cohen

doi:10.1002/ajim.22890

High exposure mining occupations are associated with obstructive lung disease, National Health Interview Survey (NHIS), 2006-2015

Sithembile L. Mabila^*, Kirsten S. Almberg, Lee Friedman, Robert Andrew Cohen

^*Corresponding author for this work

Medicine, Pulmonary Division

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Background: The association between mining occupation categories and obstructive lung disease (OLD) has not been well explored in the United States. Methods: National Health Interview Survey (NHIS) data from 2006 to 2015 was used to determine the relationship between mining occupations and diagnosis of chronic bronchitis, emphysema, chronic obstructive pulmonary disease (COPD), and asthma. We classified occupations into low, moderate, high, and very high dust exposure groups. Extraction workers were categorized as very high dust exposure. Results: We found 4.5% of miners had chronic bronchitis, 3.3% had emphysema, 6.2% had COPD, and 9.9% had asthma. In fully adjusted models, extraction workers had significantly increased odds of having chronic bronchitis (OR = 2.18 [95%CI: 1.02, 4.64]), emphysema (OR = 7.85 [95%CI: 1.70, 36.27]), and COPD (OR = 2.56 [95%CI: 1.29, 5.12]) compared to lower exposure occupations. Conclusions: Occupation is an important predictor of OLD in the mining industry.

Original language	English (US)
Pages (from-to)	715-724
Number of pages	10
Journal	American Journal of Industrial Medicine
Volume	61
Issue number	9
DOIs	https://doi.org/10.1002/ajim.22890
State	Published - Sep 2018

Funding

The research and researchers were supported in part by the National Institute for Occupational Safety and Health (NIOSH) Training Program Grant # T42/OH008672. SM was directly involved with the study concept and design, data acquisition, statistical analysis, and drafting and editing of the manuscript. SM had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. LF was involved with the study concept and design, the statistical analysis, and drafting and editing of the manuscript. RC and KA were involved with the study concept and design, and drafting and editing of the manuscript. The research and researchers were supported in part by the National Institute for Occupational Safety and Health (NIOSH) Training Program Grant # T42/OH008672. The National Health Interview Survey (NHIS) is a publicly available de-identified annual cross-sectional survey of non-institutionalized Americans. The National Center for Health Statistics (NCHS) collects the data; informed consent is obtained from all individuals and the NCHS Research Review Board approves each years’ study protocol. The authors declare no conflicts of interest. Rodney Ehrlich declares that he has no conflict of interest in the review and publication decision regarding this article.

Keywords

COPD
NHIS
emphysema
mining
occupation

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/ajim.22890

Cite this

@article{f904c8106aad49f2bce50915bdac203a,

title = "High exposure mining occupations are associated with obstructive lung disease, National Health Interview Survey (NHIS), 2006-2015",

abstract = "Background: The association between mining occupation categories and obstructive lung disease (OLD) has not been well explored in the United States. Methods: National Health Interview Survey (NHIS) data from 2006 to 2015 was used to determine the relationship between mining occupations and diagnosis of chronic bronchitis, emphysema, chronic obstructive pulmonary disease (COPD), and asthma. We classified occupations into low, moderate, high, and very high dust exposure groups. Extraction workers were categorized as very high dust exposure. Results: We found 4.5% of miners had chronic bronchitis, 3.3% had emphysema, 6.2% had COPD, and 9.9% had asthma. In fully adjusted models, extraction workers had significantly increased odds of having chronic bronchitis (OR = 2.18 [95%CI: 1.02, 4.64]), emphysema (OR = 7.85 [95%CI: 1.70, 36.27]), and COPD (OR = 2.56 [95%CI: 1.29, 5.12]) compared to lower exposure occupations. Conclusions: Occupation is an important predictor of OLD in the mining industry.",

keywords = "COPD, NHIS, emphysema, mining, occupation",

author = "Mabila, {Sithembile L.} and Almberg, {Kirsten S.} and Lee Friedman and Cohen, {Robert Andrew}",

note = "Funding Information: The research and researchers were supported in part by the National Institute for Occupational Safety and Health (NIOSH) Training Program Grant # T42/OH008672. SM was directly involved with the study concept and design, data acquisition, statistical analysis, and drafting and editing of the manuscript. SM had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. LF was involved with the study concept and design, the statistical analysis, and drafting and editing of the manuscript. RC and KA were involved with the study concept and design, and drafting and editing of the manuscript. The research and researchers were supported in part by the National Institute for Occupational Safety and Health (NIOSH) Training Program Grant # T42/OH008672. The National Health Interview Survey (NHIS) is a publicly available de-identified annual cross-sectional survey of non-institutionalized Americans. The National Center for Health Statistics (NCHS) collects the data; informed consent is obtained from all individuals and the NCHS Research Review Board approves each years{\textquoteright} study protocol. The authors declare no conflicts of interest. Rodney Ehrlich declares that he has no conflict of interest in the review and publication decision regarding this article. Publisher Copyright: {\textcopyright} 2018 Wiley Periodicals, Inc.",

year = "2018",

month = sep,

doi = "10.1002/ajim.22890",

language = "English (US)",

volume = "61",

pages = "715--724",

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T1 - High exposure mining occupations are associated with obstructive lung disease, National Health Interview Survey (NHIS), 2006-2015

AU - Mabila, Sithembile L.

AU - Almberg, Kirsten S.

AU - Friedman, Lee

AU - Cohen, Robert Andrew

N1 - Funding Information: The research and researchers were supported in part by the National Institute for Occupational Safety and Health (NIOSH) Training Program Grant # T42/OH008672. SM was directly involved with the study concept and design, data acquisition, statistical analysis, and drafting and editing of the manuscript. SM had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. LF was involved with the study concept and design, the statistical analysis, and drafting and editing of the manuscript. RC and KA were involved with the study concept and design, and drafting and editing of the manuscript. The research and researchers were supported in part by the National Institute for Occupational Safety and Health (NIOSH) Training Program Grant # T42/OH008672. The National Health Interview Survey (NHIS) is a publicly available de-identified annual cross-sectional survey of non-institutionalized Americans. The National Center for Health Statistics (NCHS) collects the data; informed consent is obtained from all individuals and the NCHS Research Review Board approves each years’ study protocol. The authors declare no conflicts of interest. Rodney Ehrlich declares that he has no conflict of interest in the review and publication decision regarding this article. Publisher Copyright: © 2018 Wiley Periodicals, Inc.

PY - 2018/9

Y1 - 2018/9

N2 - Background: The association between mining occupation categories and obstructive lung disease (OLD) has not been well explored in the United States. Methods: National Health Interview Survey (NHIS) data from 2006 to 2015 was used to determine the relationship between mining occupations and diagnosis of chronic bronchitis, emphysema, chronic obstructive pulmonary disease (COPD), and asthma. We classified occupations into low, moderate, high, and very high dust exposure groups. Extraction workers were categorized as very high dust exposure. Results: We found 4.5% of miners had chronic bronchitis, 3.3% had emphysema, 6.2% had COPD, and 9.9% had asthma. In fully adjusted models, extraction workers had significantly increased odds of having chronic bronchitis (OR = 2.18 [95%CI: 1.02, 4.64]), emphysema (OR = 7.85 [95%CI: 1.70, 36.27]), and COPD (OR = 2.56 [95%CI: 1.29, 5.12]) compared to lower exposure occupations. Conclusions: Occupation is an important predictor of OLD in the mining industry.

AB - Background: The association between mining occupation categories and obstructive lung disease (OLD) has not been well explored in the United States. Methods: National Health Interview Survey (NHIS) data from 2006 to 2015 was used to determine the relationship between mining occupations and diagnosis of chronic bronchitis, emphysema, chronic obstructive pulmonary disease (COPD), and asthma. We classified occupations into low, moderate, high, and very high dust exposure groups. Extraction workers were categorized as very high dust exposure. Results: We found 4.5% of miners had chronic bronchitis, 3.3% had emphysema, 6.2% had COPD, and 9.9% had asthma. In fully adjusted models, extraction workers had significantly increased odds of having chronic bronchitis (OR = 2.18 [95%CI: 1.02, 4.64]), emphysema (OR = 7.85 [95%CI: 1.70, 36.27]), and COPD (OR = 2.56 [95%CI: 1.29, 5.12]) compared to lower exposure occupations. Conclusions: Occupation is an important predictor of OLD in the mining industry.

KW - COPD

KW - NHIS

KW - emphysema

KW - mining

KW - occupation

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SN - 0271-3586

VL - 61

SP - 715

EP - 724

JO - American Journal of Industrial Medicine

JF - American Journal of Industrial Medicine

IS - 9

ER -

High exposure mining occupations are associated with obstructive lung disease, National Health Interview Survey (NHIS), 2006-2015

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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