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  • 21
    Publication Date: 2018-05-18
    Description: Objectives Occupational pesticide exposure is associated with a wide range of diseases, including lung diseases, but it is largely unknown how pesticides influence airway disease pathogenesis. A potential mechanism might be through epigenetic mechanisms, like DNA methylation. Therefore, we assessed associations between occupational exposure to pesticides and genome-wide DNA methylation sites. Methods 1561 subjects of LifeLines were included with either no (n=1392), low (n=108) or high (n=61) exposure to any type of pesticides (estimated based on current or last held job). Blood DNA methylation levels were measured using Illumina 450K arrays. Associations between pesticide exposure and 420 938 methylation sites (CpGs) were assessed using robust linear regression adjusted for appropriate confounders. In addition, we performed genome-wide stratified and interaction analyses by gender, smoking and airway obstruction status, and assessed associations between gene expression and methylation for genome-wide significant CpGs (n=2802). Results In total for all analyses, high pesticide exposure was genome-wide significantly (false discovery rate P〈0.05) associated with differential DNA methylation of 31 CpGs annotated to 29 genes. Twenty of these CpGs were found in subjects with airway obstruction. Several of the identified genes, for example, RYR1 , ALLC , PTPRN2 , LRRC3B , PAX2 and VTRNA2-1 , are genes previously linked to either pesticide exposure or lung-related diseases. Seven out of 31 CpGs were associated with gene expression levels. Conclusions We show for the first time that occupational exposure to pesticides is genome-wide associated with differential DNA methylation. Further research should reveal whether this differential methylation plays a role in the airway disease pathogenesis induced by pesticides.
    Keywords: Open access
    Print ISSN: 1351-0711
    Electronic ISSN: 1470-7926
    Topics: Medicine
    Published by BMJ Publishing Group
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  • 22
    Publication Date: 2018-05-18
    Description: Objectives Exposure to farm environments during childhood and adult life seems to reduce the risk of atopic sensitisation. Most studies have been conducted among farmers, but people living in rural areas may have similar protective effects for atopy. This study aims to investigate the association between residential proximity to livestock farms and atopy among non-farming adults living in a rural area in the Netherlands. Methods We conducted a cross-sectional study among 2443 adults (20–72 years). Atopy was defined as specific IgE to common allergens and/or total IgE ≥100 IU/mL. Residential proximity to livestock farms was assessed as 1) distance to the nearest pig, poultry, cattle or any farm, 2) number of farms within 500 m and 1000 m, and 3) modelled annual average fine dust emissions from farms within 500 m and 1000 m. Data were analysed with multiple logistic regression and generalised additive models. Results The prevalence of atopy was 29.8%. Subjects living at short distances from farms (〈327 m, first tertile) had a lower odds for atopy compared with subjects living further away (〉527 m, third tertile) (OR 0.79, 95% CI 0.63 to 0.98). Significant associations in the same direction were found with distance to the nearest pig or cattle farm. The associations between atopy and livestock farm exposure were somewhat stronger in subjects who grew up on a farm. Conclusions Living in close proximity to livestock farms seems to protect against atopy. This study provides evidence that protective effects of early-life and adult farm exposures may extend beyond farming populations.
    Print ISSN: 1351-0711
    Electronic ISSN: 1470-7926
    Topics: Medicine
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  • 23
    Publication Date: 2018-05-18
    Description: Marsh and colleagues 1 have published a review and meta-analysis of non-occupational exposure to asbestos and the risk of pleural mesothelioma. They confirmed that non-occupational exposures to asbestos fibres are associated with a large increased risk of pleural mesothelioma and reported a fibre-type potency difference for non-occupational exposures. A major problem with assessing fibre-type differences is the very few studies in which fibre type can be unambiguously identified. Given the paucity of studies, it is important to have data from the most recent studies with the largest number of cases. Marsh used PubMed to locate relevant studies. Of the four chrysotile studies they identified, there were one each from Egypt 2 and France 3 and two from Canada. 4   5 The 1998 Canadian publication of Camus  et al 4 reported seven neighbourhood cases of mesothelioma. The Public Health Institute of Quebec published an updated report of...
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    Electronic ISSN: 1470-7926
    Topics: Medicine
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  • 24
    Publication Date: 2018-05-18
    Description: We reviewed the letter submitted by Finkelstein 1 regarding our paper evaluating the risk of pleural mesothelioma from non-occupational asbestos exposure. 2 Finkelstein indicated that, in addition to two Canadian studies in our analysis, 3 4 a third unpublished report was produced in 2004 by Quebec Public Health. 5 It is unclear if Finkelstein is suggesting that the Quebec report is an update to both Camus 3 and McDonald, 4 but it should be noted that although the study populations were similar, case ascertainment was different. Finkelstein 1 cited that the historical progression of case ascertainment for pleural mesothelioma among women with neighbourhood exposure in the Quebec mining regions was 0 cases in 1980, 4 7 cases in 1998 3 and 17 cases in 2004. 5 However, in 2004, Quebec Public Health only reported a total of...
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    Topics: Medicine
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  • 25
    Publication Date: 2018-05-18
    Description: There has been limited attention to gender as a wider structural influence on either working conditions or health outcomes in occupational epidemiology. 1 2 From an analytic perspective, gender is often treated as an individual characteristic that may either confound or modify an exposure–outcome relationship. 3 This is despite the awareness in epidemiology that expressions of gender relations, such as gendered segregation of the workforce and gender discrimination in wages, are important public health issues. 4 The article by Buscariolli and colleagues 5 uses a national data set to interrogate the influence of both the gendered working environment and gender on antidepressant use in Finland. As the authors point out in the rationale for the study, there has been a lack of longitudinal research on this topic. The current study is based on a 19-year follow-up of over 752 683 women and men working in...
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    Topics: Medicine
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  • 26
    Publication Date: 2018-05-18
    Description: Objectives Although many studies have investigated the association between trichloroethylene (TCE) exposure and non-Hodgkin’s lymphoma (NHL), less is known about other chlorinated solvents. We extended our previous analysis of occupational TCE exposure in a multicentre population-based case-control study of NHL to investigate associations with five additional chlorinated solvents: 1,1,1,-trichloroethane, carbon tetrachloride, chloroform, methylene chloride and perchloroethylene. Methods Cases (n=1189) and controls (n=982) provided detailed information on their occupational histories and workplace exposure to chlorinated solvents for selected occupations using job-specific interview modules. An industrial hygienist used this information and a review of the literature to assess occupational exposure to chlorinated solvents. We computed ORs and 95% CIs for different exposure metrics, with the unexposed group as the referent. We also computed ORs by NHL subtype. Results High cumulative hours exposed to carbon tetrachloride was associated with NHL (〉520 hours: OR 1.9; 95% CI 1.0 to 3.6; P trend =0.04). This association remained after restricting to jobs with high-intensity exposure (OR 2.0; 95% CI 1.1 to 3.8; P=0.03) and ≥90% exposure probability (OR 2.1; 95% CI 1.0 to 4.3; P=0.03), adjusting for TCE (OR 2.1; 95% CI 1.0– to 4.1; P=0.04) and incorporating a 15-year lag (OR 1.9; 95% CI 1.0 to 3.6; P=0.06). The other evaluated chlorinated solvents were not associated with NHL. Conclusions This is the first study using high-quality quantitative exposure assessment methods to identify a statistically significant elevated association between occupational exposure to carbon tetrachloride and NHL. Our findings, although limited by a small number of exposed cases, offer evidence that carbon tetrachloride may be a lymphomagen.
    Keywords: Epidemiology
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    Electronic ISSN: 1470-7926
    Topics: Medicine
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  • 27
    Publication Date: 2018-05-18
    Description: Managers are in an influential position to make decisions that can impact on the mental health and well-being of their employees. As a result, there is an increasing trend for organisations to provide managers with training in how to reduce work-based mental health risk factors for their employees. A systematic search of the literature was conducted to identify workplace interventions for managers with an emphasis on the mental health of employees reporting directing to them. A meta-analysis was performed to calculate pooled effect sizes using the random effects model for both manager and employee outcomes. Ten controlled trials were identified as relevant for this review. Outcomes evaluating managers’ mental health knowledge (standardised mean difference (SMD)=0.73; 95% CI 0.43 to 1.03; p〈0.001), non-stigmatising attitudes towards mental health (SMD=0.36; 95% CI 0.18 to 0.53; p〈0.001) and improving behaviour in supporting employees experiencing mental health problems (SMD=0.59; 95% CI 0.14 to 1.03; p=0.01) were found to have significant pooled effect sizes favouring the intervention. A significant pooled effect was not found for the small number of studies evaluating psychological symptoms in employees (p=0.28). Our meta-analysis indicates that training managers in workplace mental health can improve their knowledge, attitudes and self-reported behaviour in supporting employees experiencing mental health problems. At present, any findings regarding the impact of manager training on levels of psychological distress among employees remain preliminary as only a very limited amount of research evaluating employee outcomes is available. Our review suggests that in order to understand the effectiveness of manager training on employees, an increase in collection of employee level data is required.
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    Topics: Medicine
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  • 28
    Publication Date: 2018-05-18
    Description: Chetty-Mhlanga S, Basera W, Aqiel Dalvie M, et al . A study of school-going children on neurobehavior and currently used agricultural pesticide exposure in the rural western cape, South Africa. Occup Environ Med 2018;75(Suppl 1):A11.2. doi: 10.1136/oemed-2018-ISEEabstracts.27 The following changes are required to abstract number A11.2 of the ‘ISEE Young 2018, Early Career Researchers Conference on Environmental Epidemiology – Together for a Healthy Environment’ supplement. (1) The first author should be listed as Shala Chetty-Mhlanga; (2) the third author should be listed as Mohamed Aqiel Dalvie; (3) Martin Röösli should be the last author (not Nicole Probst).
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    Topics: Medicine
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  • 29
    Publication Date: 2018-04-13
    Description: Objectives Firefighters are exposed to multiple cardiovascular hazards, but few epidemiological studies have addressed their cardiovascular morbidity. The objective of this study was therefore to examine the incidence of cardiovascular diseases (CVD) in Danish firefighters. Methods We used individual historical employment records on 11.691 male Danish firefighters supplied by trade unions and fire agencies. The Supplementary Pension Fund Register was used to establish two occupational reference groups (a random sample from the male employed population and military employees). Information on CVD incidence was retrieved from the nationwide Danish National Patient Registry. SIRs and Poisson regression analyses (incidence rate ratio) were used for estimation of risks, including 95% CIs. Results In comparison with the population sample, the age-adjusted and calendar time-adjusted SIR for all CVDs combined was increased in firefighters (SIR=1.10, 95% CI 1.05 to 1.15). The risk was also elevated for the most frequent outcomes, including angina pectoris (SIR=1.16, 95% CI 1.08 to 1.24), acute myocardial infarction (SIR=1.16, 95% CI 1.06 to 1.26), chronic ischaemic heart disease (SIR=1.15, 95% CI 1.06 to 1.24) and atrial fibrillation/flutter (SIR=1.25, 95% CI 1.14 to 1.36). This analysis showed the most elevated SIRs for CVD in full-time firefighters compared with part-time/volunteer firefighters. Both types of firefighters employed 〈15 years had an increased risk of CVD. Similar risk patterns appeared in comparisons with the military. Internal analysis supported external findings. Conclusion The risk of overall CVD, including the most frequent subtypes was modestly increased in Danish firefighters and was most elevated in full-time firefighters compared with other male employees.
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    Topics: Medicine
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  • 30
    Publication Date: 2018-04-13
    Description: Objective Research indicates that shiftwork may be associated with increased risks of adverse health outcomes, including some cancers. However, the evidence of an association between shiftwork and colorectal cancer risk is limited and inconclusive. Further, while several possible pathways through which shiftwork might result in cancer have been proposed, few studies have taken these factors into account. We investigated the association between two types of shiftwork (graveyard shiftwork and early-morning shiftwork) and six mechanistic shiftwork variables (including light at night and phase shift) and the risk of colorectal cancer among females in an Australian population-based case–control study. Graveyard shiftwork was the primary exposure of interest. Methods Participants (350 cases and 410 controls) completed a lifetime occupational history, and exposure to each of the eight shiftwork variables was assigned to participants through a job exposure matrix. We used logistic regression to calculate odds ratios (OR) and corresponding 95% confidence intervals (CI) for the association between different shiftwork variables and the risk of colorectal cancer, adjusting for potential demographic, lifestyle and medical confounders. Results Working in an occupation involving long-term exposure (〉7.5 years) to graveyard shiftwork was not associated with colorectal cancer risk (adjusted OR 0.95, 95% CI 0.57 to 1.58). Similarly, no increased risks of colorectal cancer were seen for any of the other seven shiftwork variables examined. Conclusions No evidence of an increased risk of colorectal cancer among females who had worked in occupations involving shiftwork was observed in this study.
    Keywords: Epidemiology
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    Topics: Medicine
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