Cakir Erkan, Uyan Zeynep S, Varol Nezih, Ay Pinar, Ozen Ahmet, Karadag Bulent, Ersu Refika, Karakoc Fazilet, Dagli Elif
Division of Pediatric Pulmonology, Marmara University, Istanbul, Turkey.
Am J Ind Med. 2009 Jun;52(6):471-8. doi: 10.1002/ajim.20696.
To compare the respiratory symptoms and the lung function of children who work in different occupational groups.
The study was performed among children attending vocational training centers. The participants were evaluated in six different occupation groups. Chronic cough, wheezing and shortness of breath were evaluated by questionnaire. The association of independent variables with the respiratory symptoms was investigated through both univariate and multivariate methods.
Among 642 children, 534 were males; the mean age was 17.7 +/- 1.0 years. Using an internal reference group, the odds ratios of chronic cough were significantly higher in the lathe (OR: 2.0, 95%CI: 1.07-3.74), coiffure (OR: 1.94. 95%CI: 1.01-3.70), and electricity-construction (OR: 2.63, 95%CI: 1.06-6.54) groups after adjustment for smoking, age, gender, and work characteristics. There were no significant differences in spirometric values between occupational groups in either smoking or non-smoking males. In non-smoking females, median values of FEV(1) (P: 0.046), PEF (P: 0.005) and FEF(25-75%) (P: 0.019) were lower in the textile compared to the coiffure group. There was no significant association between the total working time and spirometric values. There was no statistically significant relationship between the work-related factors and the smoking status.
The prevalence of chronic cough was higher in the lathe, coiffure, and electricity-construction groups and pulmonary function tests were lower in the non-smoking textile female group. Working children should be screened for respiratory symptoms and disease.
比较不同职业组儿童的呼吸道症状和肺功能。
该研究在参加职业培训中心的儿童中进行。参与者被评估为六个不同的职业组。通过问卷调查评估慢性咳嗽、喘息和呼吸急促情况。通过单变量和多变量方法研究自变量与呼吸道症状之间的关联。
在642名儿童中，534名是男性；平均年龄为17.7±1.0岁。以内在参照组为对照，在调整吸烟、年龄、性别和工作特征后，车床组（比值比：2.0，95%可信区间：1.07 - 3.74）、美发组（比值比：1.94，95%可信区间：1.01 - 3.70）和电力建设组（比值比：2.63，95%可信区间：1.06 - 6.54）慢性咳嗽的比值比显著更高。吸烟或不吸烟男性的职业组之间肺量计值无显著差异。在不吸烟女性中，与美发组相比，纺织组的第一秒用力呼气容积（P：0.046）、呼气峰值流速（P：0.005）和用力呼气中期流速（P：0.019）的中位数较低。总工作时间与肺量计值之间无显著关联。工作相关因素与吸烟状况之间无统计学显著关系。
车床组、美发组和电力建设组慢性咳嗽的患病率较高，不吸烟的纺织女工组肺功能测试值较低。应对工作儿童进行呼吸道症状和疾病筛查。
