Radon K, Winter C
Institute of Occupational and Environmental Medicine, Ludwig-Maximilians-University, Munich, Germany.
Occup Environ Med. 2003 Oct;60(10):770-3. doi: 10.1136/oem.60.10.770.
The European Farmers' Study has indicated that sheep farmers might be at risk for the development of respiratory symptoms.
To assess the prevalence of respiratory symptoms in sheep breeders and potential work related risk factors.
All sheep breeders listed in two regions of South Germany were asked to answer a mailed questionnaire on respiratory symptoms, work related respiratory symptoms (WRS), and details of farming. Overall, 325 sheep breeders keeping at least 10 sheep could be included in the survey (response rate 81.9%). The prevalences were compared to the results of the European Farmers' Study.
Sheep breeders showed a significantly higher prevalence of asthma related symptoms (prevalence odds ratio (POR) 2.1, 95% CI 1.5 to 3.0), chronic phlegm (POR 4.0, 95% CI 2.8 to 5.9), and WRS (POR 1.7, 95% CI 1.3 to 2.2) after adjusting for age, gender, smoking habits, full time farming, and study centre. In the multiple logistic regression model the risk for asthma related symptoms was doubled in full time farmers (POR 2.3, 95% CI 1.2 to 4.3). The major predictor of WRS was full time farming (POR 1.6, 95% CI 0.93 to 2.7) and the use of chemical footbaths (POR 2.1, 95% CI 1.2 to 3.7).
Sheep breeders might be at high risk for the development of respiratory symptoms. These symptoms may be associated with work intensity and chemical exposure during work. Studies including objective measurements should be performed.
欧洲农民研究表明,养羊农民可能有出现呼吸道症状的风险。
评估养羊者呼吸道症状的患病率以及潜在的工作相关风险因素。
要求德国南部两个地区列出的所有养羊者回答一份关于呼吸道症状、工作相关呼吸道症状(WRS)和养殖细节的邮寄问卷。总体而言,325名饲养至少10只羊的养羊者可纳入调查(回复率81.9%)。将患病率与欧洲农民研究的结果进行比较。
在对年龄、性别、吸烟习惯、全职养殖和研究中心进行调整后,养羊者哮喘相关症状(患病率比值比(POR)2.1,95%可信区间1.5至3.0)、慢性咳痰(POR 4.0,95%可信区间2.8至5.9)和WRS(POR 1.7,95%可信区间1.3至2.2)的患病率显著更高。在多元逻辑回归模型中,全职农民哮喘相关症状的风险增加一倍(POR 2.3,95%可信区间1.2至4.3)。WRS的主要预测因素是全职养殖(POR 1.6,95%可信区间0.93至2.7)和使用化学足浴(POR 2.1,95%可信区间1.2至3.7)。
养羊者可能有出现呼吸道症状的高风险。这些症状可能与工作强度和工作期间的化学暴露有关。应进行包括客观测量的研究。