Table 5.
Adjusted Odds Ratios for chronic bronchitis† and wheeze‡ with occupational exposure from questionnaire
| Characteristic | All | Males | Females | Never smokers | ||||
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Chronic bronchitis | n=3508; chronic bronchitis = 280 | n=1782; chronic bronchitis = 143 | n=1726; chronic bronchitis = 137 | n=1581; chronic bronchitis = 91 | ||||
|
| ||||||||
| OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
|
|
||||||||
| Dust | 1.95 | 1.49–2.55 | 2.45 | 1.66–3.61 | 1.60 | 1.09–2.33 | 1.96 | 1.23–3.12 |
| Vapor-gas | 1.54 | 1.13–2.09 | 1.87 | 1.28–2.75 | 1.11 | 0.65–1.91 | 1.33 | 0.75–2.38 |
| Fumes | 1.66 | 1.25–2.20 | 1.81 | 1.24–2.65 | 1.46 | 0.95–2.26 | 1.39 | 0.82–2.38 |
| Severity of VGDF | ||||||||
| None | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| Mild | 1.83 | 1.35–2.48 | 2.14 | 1.38–3.30 | 1.58 | 1.02–2.44 | 1.12 | 0.63–1.98 |
| Moderate | 2.04 | 1.42–2.93 | 2.73 | 1.65–4.53 | 1.48 | 0.87–2.54 | 2.25 | 1.23–4.13 |
| Severe | 1.70 | 1.00–2.88 | 1.25 | 0.54–2.89 | 2.38 | 1.17–4.84 | 3.38 | 1.43–7.97 |
| X2-trend, p-value | 14.7, p < 0.001 | 8.1, p < 0.01 | 6.8, p < 0.01 | 10.8, p = 0.001 | ||||
| Years exposure VGDF | ||||||||
| None | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| ≤15 | 1.57 | 1.13–2.17 | 1.77 | 1.11–2.82 | 1.36 | 0.86–2.16 | 1.23 | 0.69–2.19 |
| >15 | 2.23 | 1.63–3.03 | 2.52 | 1.61–3.94 | 2.05 | 1.32–3.19 | 1.81 | 1.04–3.13 |
| X2-trend, p-value | 22.9, p < 0.0001 | 16.6, p < 0.0001 | 10.1, p < 0.01 | 5.4, p < 0.05 | ||||
| No. of VGDF agents* | ||||||||
| 0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| 1 | 1.58 | 1.14–2.20 | 1.38 | 0.81–2.35 | 1.71 | 1.11–2.63 | 1.48 | 0.85–2.60 |
| 2 | 2.41 | 1.64–3.56 | 2.85 | 1.67–4.87 | 1.91 | 1.07–3.41 | 1.56 | 0.73–3.30 |
| 3 | 2.15 | 1.47–3.15 | 2.53 | 1.57–4.08 | 1.57 | 0.79–3.14 | 2.09 | 1.04–4.18 |
| X2-trend, p-value | 22.9, p < 0.0001 | 18.6, p < 0.001 | 5.1, p < 0.05 | 4.8, p < 0.05 | ||||
| Wheeze | n=3508; wheeze = 488 | n=1783; wheeze = 219 | n=1726; wheeze = 269 | n=1564; wheeze = 156 | ||||
|
| ||||||||
| OR | 95% CI | OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | |
|
|
||||||||
| Dust | 1.76 | 1.43–2.18 | 2.13 | 1.54–2.95 | 1.56 | 1.17–2.08 | 1.83 | 1.28–2.63 |
| Vapor-gas | 1.62 | 1.26–2.07 | 1.65 | 1.20–2.28 | 1.52 | 1.03–2.23 | 1.32 | 0.84–2.08 |
| Fumes | 1.53 | 1.21–1.92 | 1.60 | 1.16–2.21 | 1.43 | 1.02–2.01 | 1.64 | 1.09–2.47 |
| Severity of VGDF | ||||||||
| None | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| Mild | 1.67 | 1.30–2.14 | 2.0 | 1.37–2.90 | 1.46 | 1.04–2.04 | 1.39 | 0.90–2.13 |
| Moderate | 1.95 | 1.45–2.61 | 2.61 | 1.69–4.03 | 1.54 | 1.02–2.32 | 1.98 | 1.20–3.27 |
| Severe | 3.15 | 2.16–4.60 | 3.03 | 1.75–5.26 | 3.52 | 2.04–6.07 | 4.55 | 2.35–8.81 |
| X2-trend, p-value | 44.6, p < 0.0001 | 25.5, p < 0.0001 | 18.9, p < 0.0001 | 20.6, p < 0.0001 | ||||
| Years exposure VGDF | ||||||||
| None | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| ≤15 | 1.97 | 1.54–2.53 | 2.60 | 1.79–3.79 | 1.51 | 1.07–2.13 | 1.72 | 1.09–2.70 |
| >15 | 1.92 | 1.48–2.48 | 1.93 | 1.31–2.85 | 2.04 | 1.44–2.90 | 1.55 | 0.97–2.48 |
| X2-trend, p-value | 28.9, p < 0.0001 | 12.5, p < 0.0001 | 16.9, p < 0.0001 | 8.2, p < 0.01 | ||||
| No. of VGDF agents* | ||||||||
| 0 | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| 1 | 1.84 | 1.42–2.37 | 2.23 | 1.47–3.37 | 1.62 | 1.16–2.25 | 1.72 | 1.12–2.63 |
| 2 | 1.75 | 1.25–2.45 | 2.09 | 1.28–3.41 | 1.52 | 0.95–2.45 | 1.66 | 0.92–2.97 |
| 3 | 2.14 | 1.57–2.90 | 2.41 | 1.60–3.63 | 1.92 | 1.17–3.16 | 2.11 | 1.22–3.67 |
| X2-trend, p-value | 27.2, p < 0.0001 | 17.3, p < 0.0001 | 9.5, p < 0.01 | 8.8, p < 0.01 | ||||
Odds ratios for MRC defined chronic bronchitis adjusted for age, race/ethnicity, BMI, smoking status, cigarette pack-years, pipe-years, cigar-years, environmental tobacco smoke, and education.
Odds ratios for wheeze in last 12 months adjusted for age, race/ethnicity, BMI, smoking status, cigarette pack-years, pipe-years, cigar-years, environmental tobacco smoke, and education.
The number of VGDF agent was determined by exposure to vapor-gas, dust, and/or fumes.