Deprez R D, Oliver C, Halteman W
J Occup Med. 1986 Jul;28(7):486-91. doi: 10.1097/00043764-198607000-00007.
This study investigated whether occupational exposure in pulp and paper mills or geographic proximity to mills was associated with an increase in risk for respiratory disease hospitalizations. Three years (1980 to 1982) of 100% age- and sex-adjusted hospital admission rates for selected respiratory diagnoses were calculated for 66 Maine towns located between 0 and 15 miles for seven Kraft mills and four groundwood pulp and paper mills. Additional data collected for each town included the number of production workers at each mill, mill proximity, insurance coverage, hospital distance, bed size, full-time equivalent physicians, unemployment and income rates. Regression results provide evidence that occupational exposure may be a significant factor in hospitalizations for respiratory infections, bronchitis and asthma, and respiratory signs and symptoms, although potential confounders (smoking, commercial health insurance) need to be examined.
本研究调查了纸浆和造纸厂的职业暴露或与工厂的地理接近程度是否与呼吸道疾病住院风险增加有关。针对位于7家硫酸盐制浆厂和4家磨木浆造纸厂0至15英里范围内的66个缅因州城镇，计算了1980年至1982年期间选定呼吸道诊断的100%年龄和性别调整后的住院率。为每个城镇收集的其他数据包括每家工厂的生产工人数量、与工厂的距离、保险覆盖范围、医院距离、床位规模、全职等效医生数量、失业率和收入率。回归结果表明，职业暴露可能是呼吸道感染、支气管炎和哮喘以及呼吸道体征和症状住院治疗的一个重要因素，尽管需要对潜在的混杂因素（吸烟、商业健康保险）进行研究。
