Abstract

Background: Agricultural exposure is a risk factor for the development of chronic obstructive pulmonary disease (COPD). However, there are no good estimates of the number of COPD patients with a history of agricultural exposure. Methods: We conducted a telephone interview of subjects with COPD identified by reviewing all pulmonary function tests at the Omaha Veterans Administration Hospital between November 2004 and March 2005. Obstructive lung disease was defined as a FEV1/FVC ratio of less than 70%. The survey detailed demographic data, smoking history, pulmonary symptoms, and history of agricultural exposures. Results: Participants included 150 veterans (mean age 68.2 years ± 10.8). A history of agricultural exposure was elicited in 68% of subjects. Of those who had worked in agriculture, the types of exposures varied, with 14% in hog confinement barns, 20% on dairy farms, 8% on poultry farms, and 87% exposed to grain dust. There was a trend of diminishing FEV1 with increasing years of agricultural exposure. Conclusions: In health systems that serve rural areas, patients with COPD commonly have a history of agricultural exposures that may contribute to the development of COPD. Health care workers in these areas should include agricultural exposures as an important part of the social/occupational history in these patients.

Original languageEnglish (US)
Pages (from-to)71-76
Number of pages6
JournalJournal of Agromedicine
Volume12
Issue number3
DOIs
StatePublished - Dec 1 2007

Fingerprint

Chronic Obstructive Pulmonary Disease
Health
Veterans Hospitals
Obstructive Lung Diseases
United States Department of Veterans Affairs
Respiratory Function Tests
Veterans
Poultry
Agriculture
Dust
Smoking
History
Demography
Interviews
Delivery of Health Care
Lung
Farms

Keywords

  • Agriculture
  • COPD
  • Farming
  • Lung disease
  • Pulmonary function tests

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{d0a5620bb59d49dcae81a14602294a3a,
title = "Agricultural exposures in patients with COPD in health systems serving rural areas",
abstract = "Background: Agricultural exposure is a risk factor for the development of chronic obstructive pulmonary disease (COPD). However, there are no good estimates of the number of COPD patients with a history of agricultural exposure. Methods: We conducted a telephone interview of subjects with COPD identified by reviewing all pulmonary function tests at the Omaha Veterans Administration Hospital between November 2004 and March 2005. Obstructive lung disease was defined as a FEV1/FVC ratio of less than 70{\%}. The survey detailed demographic data, smoking history, pulmonary symptoms, and history of agricultural exposures. Results: Participants included 150 veterans (mean age 68.2 years ± 10.8). A history of agricultural exposure was elicited in 68{\%} of subjects. Of those who had worked in agriculture, the types of exposures varied, with 14{\%} in hog confinement barns, 20{\%} on dairy farms, 8{\%} on poultry farms, and 87{\%} exposed to grain dust. There was a trend of diminishing FEV1 with increasing years of agricultural exposure. Conclusions: In health systems that serve rural areas, patients with COPD commonly have a history of agricultural exposures that may contribute to the development of COPD. Health care workers in these areas should include agricultural exposures as an important part of the social/occupational history in these patients.",
keywords = "Agriculture, COPD, Farming, Lung disease, Pulmonary function tests",
author = "Bailey, {Kristina L} and Meza, {Jane L} and Smith, {Lynette M} and {Von Essen}, {Susanna G} and Debra Romberger",
year = "2007",
month = "12",
day = "1",
doi = "10.1080/10599240801887918",
language = "English (US)",
volume = "12",
pages = "71--76",
journal = "Journal of Agromedicine",
issn = "1059-924X",
publisher = "Taylor and Francis Ltd.",
number = "3",

}

TY - JOUR

T1 - Agricultural exposures in patients with COPD in health systems serving rural areas

AU - Bailey, Kristina L

AU - Meza, Jane L

AU - Smith, Lynette M

AU - Von Essen, Susanna G

AU - Romberger, Debra

PY - 2007/12/1

Y1 - 2007/12/1

N2 - Background: Agricultural exposure is a risk factor for the development of chronic obstructive pulmonary disease (COPD). However, there are no good estimates of the number of COPD patients with a history of agricultural exposure. Methods: We conducted a telephone interview of subjects with COPD identified by reviewing all pulmonary function tests at the Omaha Veterans Administration Hospital between November 2004 and March 2005. Obstructive lung disease was defined as a FEV1/FVC ratio of less than 70%. The survey detailed demographic data, smoking history, pulmonary symptoms, and history of agricultural exposures. Results: Participants included 150 veterans (mean age 68.2 years ± 10.8). A history of agricultural exposure was elicited in 68% of subjects. Of those who had worked in agriculture, the types of exposures varied, with 14% in hog confinement barns, 20% on dairy farms, 8% on poultry farms, and 87% exposed to grain dust. There was a trend of diminishing FEV1 with increasing years of agricultural exposure. Conclusions: In health systems that serve rural areas, patients with COPD commonly have a history of agricultural exposures that may contribute to the development of COPD. Health care workers in these areas should include agricultural exposures as an important part of the social/occupational history in these patients.

AB - Background: Agricultural exposure is a risk factor for the development of chronic obstructive pulmonary disease (COPD). However, there are no good estimates of the number of COPD patients with a history of agricultural exposure. Methods: We conducted a telephone interview of subjects with COPD identified by reviewing all pulmonary function tests at the Omaha Veterans Administration Hospital between November 2004 and March 2005. Obstructive lung disease was defined as a FEV1/FVC ratio of less than 70%. The survey detailed demographic data, smoking history, pulmonary symptoms, and history of agricultural exposures. Results: Participants included 150 veterans (mean age 68.2 years ± 10.8). A history of agricultural exposure was elicited in 68% of subjects. Of those who had worked in agriculture, the types of exposures varied, with 14% in hog confinement barns, 20% on dairy farms, 8% on poultry farms, and 87% exposed to grain dust. There was a trend of diminishing FEV1 with increasing years of agricultural exposure. Conclusions: In health systems that serve rural areas, patients with COPD commonly have a history of agricultural exposures that may contribute to the development of COPD. Health care workers in these areas should include agricultural exposures as an important part of the social/occupational history in these patients.

KW - Agriculture

KW - COPD

KW - Farming

KW - Lung disease

KW - Pulmonary function tests

UR - http://www.scopus.com/inward/record.url?scp=58149313007&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149313007&partnerID=8YFLogxK

U2 - 10.1080/10599240801887918

DO - 10.1080/10599240801887918

M3 - Article

VL - 12

SP - 71

EP - 76

JO - Journal of Agromedicine

JF - Journal of Agromedicine

SN - 1059-924X

IS - 3

ER -