logging in or signing up 12121 Garrick Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 58 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: December 11, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript SMOKING, OCCUPATION: EITHER, NONE, BOTH? : SMOKING, OCCUPATION: EITHER, NONE, BOTH? Tee L. Guidotti Department of Environmental and Occupational Health School of Public Health and Health Services The George Washington University Medical Center A fundamental problem in occupational medicine is distinguishing between effects of smoking and effects of occupational exposure : A fundamental problem in occupational medicine is distinguishing between effects of smoking and effects of occupational exposure cancer: lung, larynx, pancreas, bladder heart disease airways disease peripheral vascular disease Smoking and Occupation: Smoking and Occupation confounding in occupational epidemiology rebuttal in presumptions (scheduled occupational diseases) individualizing risk profile confuses impairment (disability) assessment interactive effects wellness programs Many ways in which smoking and occupation may be trade-offs: : Many ways in which smoking and occupation may be trade-offs: smoking may be related to job smoking may be related to SES smoking may be interactive with occupational exposure as causes smoking may contribute proportionately to impairment Smoking related to the job: : Smoking related to the job: bartenders, sales, drivers socialization jobs of high intensity, concentration jobs with noxious odor delivery of toxic substances lead polymer fume fever Smoking related to SES: : Smoking related to SES: smoking habit concentrated in lower SES, educational attainment higher prevalence of smoking more cigarettes consumed higher nicotine-content of cigarettes lower rate of cessation hazardous occupations concentrated in lower SES Smoking as a confounder: overrated : Smoking as a confounder: overrated Example: A population with 40% smokers (x) SMR 200 = RR 2.0 = O/E O = 1(1-x) + 5 (x) , x = 1.25, or 125% E 1 (0.6) + 5(0.4) Conclusion: to double the risk as a result of confounding alone, there would have to be more smokers than there are workers. Smoking is known to be interactive with several occupational carcinogens. Best documentation:: Smoking is known to be interactive with several occupational carcinogens. Best documentation: asbestos radon daughters silica Smoking and apportionment: : Smoking and apportionment: apportionment of causation - population-based - individual care - interaction apportionment of impairment You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
12121 Garrick Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 58 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: December 11, 2007 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript SMOKING, OCCUPATION: EITHER, NONE, BOTH? : SMOKING, OCCUPATION: EITHER, NONE, BOTH? Tee L. Guidotti Department of Environmental and Occupational Health School of Public Health and Health Services The George Washington University Medical Center A fundamental problem in occupational medicine is distinguishing between effects of smoking and effects of occupational exposure : A fundamental problem in occupational medicine is distinguishing between effects of smoking and effects of occupational exposure cancer: lung, larynx, pancreas, bladder heart disease airways disease peripheral vascular disease Smoking and Occupation: Smoking and Occupation confounding in occupational epidemiology rebuttal in presumptions (scheduled occupational diseases) individualizing risk profile confuses impairment (disability) assessment interactive effects wellness programs Many ways in which smoking and occupation may be trade-offs: : Many ways in which smoking and occupation may be trade-offs: smoking may be related to job smoking may be related to SES smoking may be interactive with occupational exposure as causes smoking may contribute proportionately to impairment Smoking related to the job: : Smoking related to the job: bartenders, sales, drivers socialization jobs of high intensity, concentration jobs with noxious odor delivery of toxic substances lead polymer fume fever Smoking related to SES: : Smoking related to SES: smoking habit concentrated in lower SES, educational attainment higher prevalence of smoking more cigarettes consumed higher nicotine-content of cigarettes lower rate of cessation hazardous occupations concentrated in lower SES Smoking as a confounder: overrated : Smoking as a confounder: overrated Example: A population with 40% smokers (x) SMR 200 = RR 2.0 = O/E O = 1(1-x) + 5 (x) , x = 1.25, or 125% E 1 (0.6) + 5(0.4) Conclusion: to double the risk as a result of confounding alone, there would have to be more smokers than there are workers. Smoking is known to be interactive with several occupational carcinogens. Best documentation:: Smoking is known to be interactive with several occupational carcinogens. Best documentation: asbestos radon daughters silica Smoking and apportionment: : Smoking and apportionment: apportionment of causation - population-based - individual care - interaction apportionment of impairment