학술논문

Occupational and environmental risk factors for chronic rhinosinusitis in China: a multicentre cross-sectional study.
Document Type
Journal Article
Source
Respiratory Research. 5/17/2016, Vol. 17, p1-7. 7p. 3 Charts.
Subject
*SINUSITIS
*PUBLIC health
*DISEASE prevalence
*OCCUPATIONAL hazards
*HAZARDOUS geographic environments
*DISEASE risk factors
*CHI-squared test
*CHRONIC diseases
*COMPARATIVE studies
*INDOOR air pollution
*INDUSTRIAL hygiene
*RESEARCH methodology
*MEDICAL cooperation
*MULTIVARIATE analysis
*NASAL polyps
*OCCUPATIONAL diseases
*RESEARCH
*RHINITIS
*LOGISTIC regression analysis
*ENVIRONMENTAL exposure
*EVALUATION research
*CROSS-sectional method
*INHALATION injuries
*ODDS ratio
*DIAGNOSIS
OCCUPATIONAL disease diagnosis
Language
ISSN
1465-9921
Abstract
Background: Chronic rhinosinusitis (CRS) is defined as a condition of inflammation in the paranasal sinus mucosa persisting for more than 12 weeks. We previously reported that the prevalence of CRS was about 8 % in China. Here, we aim to investigate the occupational and environmental risk factors associated with CRS.Methods: Data were collected from seven Chinese cities: Urumqi, Changchun, Beijing, Wuhan, Chengdu, Huaian and Guangzhou. CRS was diagnosed according to the European Position Paper on Rhinosinusitis and Nasal Polyps (EP(3)OS) document. Participants were asked to complete a standardized questionnaire, which was developed by the Global Allergy and Asthma European Network (GA(2)LEN) project and covered sociodemographic characteristics, CRS-related symptoms and occupational and environmental exposures. We evaluated the association between CRS and various occupational and environmental factors using odds ratios (ORs) and 95 % confidence intervals (95 % CIs).Results: The total study population consisted of 10,633 subjects, 850 (7.99 %) of whom were defined as having CRS according to the EP(3)OS criteria. We found that there were significant associations between occupational and environmental factors and CRS. Specifically, having a clearance-related job, occupational exposure to dust, occupational exposure to poisonous gas, a pet at home or carpet at home or at the workplace were risk factors for CRS. Additionally, the method used to keep warm in winter, the duration of time spent using air conditioning in summer and the frequency of exposure to mouldy or damp environments were significantly different in subjects with and without CRS.Conclusions: Our data showed that some occupational and environmental exposures are strongly associated with CRS, which aids in understanding the epidemiology of CRS. [ABSTRACT FROM AUTHOR]