Evidence map›Paper›PMID 24297825›Full record

ArticleOccupational and environmental medicine2014

Gender differences in the effect of occupational endotoxin exposure on impaired lung function and death: the Shanghai Textile Worker Study.

Peggy S Lai, Jing-Qing Hang, Feng-Ying Zhang, Xinyi Lin, Bu-Yong Zheng, Hei-Lian Dai, Li Su, Tianxi Cai, David C Christiani

Open access · greenAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Peggy S Lai *Pulmonary and Critical Care Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jing-Qing Hang *Shanghai Putuo District People's Hospital, Shanghai, China.
Feng-Ying ZhangShanghai Putuo District People's Hospital, Shanghai, China.
Xinyi LinDepartment of Biostatistics, Harvard School of Public Health, Boston, Massachusetts, USA.
Bu-Yong ZhengShanghai Putuo District People's Hospital, Shanghai, China.
Hei-Lian DaiShanghai Putuo District People's Hospital, Shanghai, China.
Li SuDepartment of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA.
Tianxi CaiDepartment of Biostatistics, Harvard School of Public Health, Boston, Massachusetts, USA.
David C ChristianiPulmonary and Critical Care Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Central Hospital of Putuo District · CNHarvard University · USMassachusetts General Hospital · US

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Marc G Weisskopf · 1985 to 2026
$44.6M
LUNG DISEASE IN CHINESE TEXTILE WORKERSR01OH002421 · OH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTIANI, DAVID C · 1988 to 2020
$5.5M
Endotoxin, the airway transcriptome, and obstructive lung diseaseK23ES023700 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI LAI, PEGGY SUE · 2013 to 2017
$764k
Lung disease due to chronic endotoxin exposure in mouse and human modelsF32ES020082 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI LAI, PEGGY SUE · 2012 to 2013
$81k
ACL HHS R01OH002421NIEHS NIH HHS ES00002NIEHS NIH HHS F32 ES020082NIEHS NIH HHS K23 ES023700NIEHS NIH HHS K23ES023700NIEHS NIH HHS P30 ES000002NIOSH CDC HHS OH002421NIOSH CDC HHS R01 OH002421
6 · The paper itself

Abstract

objectiveAirborne endotoxin exposure has adverse and protective health effects. Studies show men have augmented acute inflammatory responses to endotoxin. In this longitudinal cohort study we investigated the effect of long-term exposure to endotoxin in cotton dust on health, and determined whether these effects differ by gender.

methodsIn the Shanghai Textile Worker Study, 447 cotton and 472 control silk textile workers were followed from 1981 to 2011 with repeated measures of occupational endotoxin exposure, spirometry and health questionnaires. Impaired lung function was defined as a decline in forced expiratory volume in one second to less than the 5th centile of population predicted. Death was ascertained by death registries. We used Cox proportional hazards models to assess the effect of endotoxin exposure on the time to development of impaired lung function and death.

results128 deaths and 164 diagnoses of impaired lung function were ascertained between 1981 and 2011. HRs for the composite end point of impaired lung function or death was 1.47 (95% CI 1.09 to 1.97) for cotton vs silk workers and 1.04 (95% CI 1.01 to 1.07) per 10 000 endotoxin units (EU)/m(3)-years increase in exposure. HRs for all-cause mortality was 1.36 (95% CI 0.93 to 1.99) for cotton vs silk workers and 1.04 (95% CI 0.99 to 1.08) per 10 000 EU/m(3)-years. The risk associated with occupational endotoxin exposure was elevated only in men.

conclusionsOccupational endotoxin exposure is associated with an increase in the risk of impaired lung function and all-cause mortality in men.

Indexed as

Textile IndustryAdultAir Pollutants, OccupationalChinaCotton FiberDustEndotoxinsFemaleHumansLongitudinal StudiesLung DiseasesMaleMiddle AgedOccupational ExposureSex DistributionSurveys and QuestionnairesAir Pollutants, OccupationalDustEndotoxins

Identifiers

PMID24297825
PMCPMC4033669
OpenAlexW2335479661

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.