ArticleOccupational and environmental medicine2011
Unexpected excessive chronic obstructive pulmonary disease mortality among female silk textile workers in Shanghai, China.
Article in Occupational and environmental medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health vulnerabilities of readymade garment (RMG) workers: a systematic review.BMC public health · 2019Pooled it
- Prediction models for the development of COPD: a systematic review.International journal of chronic obstructive pulmonary disease · 2018Pooled it
- Clinical Characteristics of Chronic Obstructive Pulmonary Disease according to Smoking Status.Tuberculosis and respiratory diseases · 2025Article
- Occupational COPD-The most under-recognized occupational lung disease?Respirology (Carlton, Vic.) · 2022Review
- Endotoxin and gender modify lung function recovery after occupational organic dust exposure: a 30-year study.Occupational and environmental medicine · 2015Article
- Gender differences in the effect of occupational endotoxin exposure on impaired lung function and death: the Shanghai Textile Worker Study.Occupational and environmental medicine · 2014Article
- Long-term respiratory health effects in textile workers.Current opinion in pulmonary medicine · 2013Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo investigate chronic obstructive pulmonary disease (COPD) mortality among textile workers.
methodsA 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.
resultsA 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).
conclusionElevated 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.
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