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首页> 外文期刊>Occupational and environmental medicine >Unexpected excessive chronic obstructive pulmonary disease mortality among female silk textile workers in Shanghai, China.
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Unexpected excessive chronic obstructive pulmonary disease mortality among female silk textile workers in Shanghai, China.

机译：中国上海女性丝绸纺织工人中意外的慢性阻塞性肺疾病过度死亡率。

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摘要

OBJECTIVE: To investigate chronic obstructive pulmonary disease (COPD) mortality among textile workers. METHODS: A total of 267,400 Chinese female textile employees were monitored for COPD mortality from 1989 to 2000. Textile factories in the cohort were classified into 10 industrial sectors. Age-adjusted mortality, standardized mortality ratios (SMRs) and 95% CIs were calculated by sector. In addition, RRs (HRs) adjusted for smoking and age were calculated for exposure to cotton and silk textile work compared with the other sectors in the cohort. RESULTS: A majority of textile sectors had lower or similar COPD mortality (age-adjusted SMRs=0.58-1.15) compared with the general female population in the city of Nanjing, China. SMRs for cotton and silk workers were, respectively, 1.02 (95% CI: 0.81 to 1.28) and 2.03 (95% CI: 1.13 to 3.34). Compared with all other textile sectors in the cohort, there was greater COPD mortality among cotton workers (HR=1.40, 95% CI: 1.03 to 1.89) and silk workers (HR=2.54, 95% CI: 1.47 to 4.39). CONCLUSION: Elevated COPD mortality among cotton workers is consistent with previous reports of adverse respiratory effects of cotton dust. The higher rate of COPD deaths among silk workers was unexpected.
机译：目的：调查纺织工人的慢性阻塞性肺疾病（COPD）死亡率。方法：从1989年至2000年，共对267,400名中国女性纺织品员工进行了COPD死亡率监测。该队列中的纺织品工厂被划分为10个工业部门。按部门计算了年龄调整后的死亡率，标准死亡率（SMR）和95％CI。此外，与该队列中的其他部门相比，针对吸烟和年龄进行了调整的RR（HRs）被计算为接触棉和丝纺织品的时间。结果：与中国南京市的一般女性人口相比，大多数纺织部门的COPD死亡率较低或相近（年龄调整后的SMR = 0.58-1.15）。棉和丝工人的SMR分别为1.02（95％CI：0.81至1.28）和2.03（95％CI：1.13至3.34）。与该队列中的所有其他纺织部门相比，棉花工人（HR = 1.40，95％CI：1.03至1.89）和丝绸工人（HR = 2.54，95％CI：1.47至4.39）的COPD死亡率更高。结论：棉花工人的COPD死亡率升高与先前关于棉花粉尘对呼吸系统不利影响的报道一致。丝绸工人中COPD死亡率较高是出乎意料的。

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