Guillam Marie-Thérèse, Martin Sylvie, Le Guelennec Marine, Puterflam Julie, Le Bouquin Sophie, Huneau-Salaün Adeline
SEPIA-Sante, 31 rue de Pontivy, 56150 Baud, France.
ITAVI, 41 rue de Beaucemaine, 22440 Ploufragan, France.
Ann Agric Environ Med. 2017 Jul 4;24(3):360-365. doi: 10.26444/aaem/75670.
The objectives of this cross-sectional study were to investigate dust exposure and respiratory health of workers in duck hatcheries in western France.
Ninety volunteer workers, who work in sorting rooms and/or incubation rooms, participated in exposure assessments and medical examinations. Medical examinations were performed by occupational health practitioners.They filled-in a questionnaire with the workers, followed by a lung function test on each worker. General characteristics and prevalence of chronic respiratory symptoms were described in each type of working rooms. Associations between symptoms and exposure (working room or dust level) were studied in GEE multivariate models.
Overall prevalence of chronic respiratory symptoms (cough, phlegm) and chronic bronchitis were similar or lower than in the reference population. However, prevalence of these symptoms was higher for those working in sorting rooms, that were associated with an increased risk of respiratory symptoms and decreased lung function. Respirable dust was also significantly associated with an increased risk of respiratory symptoms. The prevalence of asthma and rhinitis were well above those in the reference population, but did not vary among working rooms. Descriptive data suggested an occupational origin for some cases.
Hatchery workers were at increased risk of compromised respiratory health due to dust exposure, particularly those who work in sorting rooms. Asthma and rhinitis were in excess in this population of workers. Thorough clinical examination of these workers should be performed and all exposures assessed.
本横断面研究的目的是调查法国西部鸭孵化场工人的粉尘暴露情况和呼吸健康状况。
90名在分拣室和/或孵化室工作的志愿者工人参与了暴露评估和医学检查。医学检查由职业健康从业者进行。他们与工人一起填写了一份问卷,随后对每位工人进行了肺功能测试。描述了每种工作场所慢性呼吸道症状的一般特征和患病率。在广义估计方程(GEE)多变量模型中研究了症状与暴露(工作场所或粉尘水平)之间的关联。
慢性呼吸道症状(咳嗽、咳痰)和慢性支气管炎的总体患病率与参考人群相似或更低。然而,在分拣室工作的人员中这些症状的患病率更高,这与呼吸道症状风险增加和肺功能下降有关。可吸入粉尘也与呼吸道症状风险增加显著相关。哮喘和鼻炎的患病率远高于参考人群,但在不同工作场所之间没有差异。描述性数据表明部分病例有职业性病因。
由于粉尘暴露,孵化场工人呼吸健康受损的风险增加,尤其是在分拣室工作的工人。该工人群体中哮喘和鼻炎的患病率过高。应对这些工人进行全面的临床检查并评估所有暴露情况。