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Trends in respiratory diagnoses and symptoms of firefighters exposed to the World Trade Center disaster: 2005-2010.

机译:暴露于世界贸易中心灾难中的消防员的呼吸诊断趋势和症状:2005-2010年。

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OBJECTIVES: To compare the prevalence of self-reported respiratory diagnoses in World Trade Center-exposed Fire Department of New York City firefighters to the prevalence in demographically similar National Health Interview Survey participants by year; and, 2) to describe the prevalence of World Trade Center-related symptoms up to 9 years post-9/11. METHODS: We analyzed 45,988 questionnaires completed by 10,999 firefighters from 10/2/2001 to 9/11/2010. For comparison of diagnosis rates, we calculated 95% confidence intervals around yearly firefighter prevalence estimates and generated odds ratios and confidence intervals to compare the odds of diagnoses in firefighters to the National Health Interview Survey prevalence, by smoking status. RESULTS: Overall, World Trade Center-exposed firefighters had higher respiratory diagnosis rates than the National Health Interview Survey; Fire Department of New York City rates also varied less by smoking status. In 2009, bronchitis rates in firefighters aged 45-65 were 13.3 in smokers versus 13.1 in never-smokers while in the National Health Interview Survey, bronchitis rates were doubled for smokers: 4.3 vs. 2.1. In serial cross-sectional analyses, the prevalence of most symptoms stabilized by 2005, at ~10% for cough to ~48% for sinus. CONCLUSIONS: We found generally higher rates of respiratory diagnoses in World Trade Center-exposed firefighters compared to US males, regardless of smoking status. This underscores the impact of World Trade Center exposure and the need for continued monitoring and treatment of this population.
机译:目的:比较按年度报告在纽约世贸中心消防员中自我报告的呼吸系统诊断的患病率与按人口统计学相似的《国家卫生访问调查》参与者的患病率(按年份); 2)描述9/11之后的9年内与世界贸易中心相关的症状的患病率。方法:我们分析了2001年10月2日至2010年9月11日的10,999名消防员填写的45,988份问卷。为了比较诊断率,我们计算了每年消防员患病率估计值的95%置信区间,并生成了比值比和置信区间,以根据吸烟状况将消防员诊断出的几率与美国国家健康采访调查的患病率进行比较。结果:总体而言,在世贸中心工作的消防员的呼吸系统诊断率高于《国家健康访问调查》;纽约市消防局的吸烟率差异也较小。 2009年,年龄在45-65岁之间的消防员中,吸烟者的支气管炎发生率是13.3,而从不吸烟者中则是13.1,而在《国家健康访问调查》中,吸烟者的支气管炎发生率则翻了一番:4.3比2.1。在系列横断面分析中,大多数症状的患病率在2005年之前稳定下来,咳嗽的发生率约为10%,鼻窦的发生率约为48%。结论:我们发现,与美国男性相比,世贸中心接触的消防员的呼吸系统诊断率普遍较高,而与吸烟状况无关。这突显了世贸中心暴露的影响以及对这一人口进行持续监测和治疗的需要。

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