• J. Occup. Environ. Med. · Mar 2008

    Burden of smoking and occupational exposure on etiology of chronic obstructive pulmonary disease in workers of Southern Italy.

    • Bartolomeo Boggia, Eduardo Farinaro, Luigi Grieco, Antonio Lucariello, and Umberto Carbone.
    • Department of Preventive Medical Science, Unit of Occupational Medicine, University of Naples, Italy. dr.boggia@libero.it
    • J. Occup. Environ. Med. 2008 Mar 1; 50 (3): 366-70.

    ObjectiveThis study evaluates the burden of smoking and occupational exposure on chronic obstructive pulmonary disease (COPD).MethodsTwo thousand nineteen workers underwent a diagnostic protocol for COPD at the baseline and after 5 and 10 years. Taking into account individual and occupational exposures the sample was divided in four groups. Prevalence, incidence of COPD, differences among groups, and logistic regression were calculated.ResultsHigher COPD prevalence and incidence were observed in the group with combined exposures. Smoking habits and occupational exposure were confirmed as risk factors for COPD and an interaction between smoking and occupational exposure was found.ConclusionsWorkers exposed to both risk factors have to be considered in COPD high-risk class. Smoking cessation programs could play an important role particularly in activities where effects of smoking have a positive interaction with occupational exposure.

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