Occupational risk and chronic kidney disease: a population-based study in the United States adult population

Sofia Rubinstein,1 Chengwei Wang,1 Wenchun Qu2 1Department of Medicine, Nassau University Medical Center, East Meadow, NY, USA; 2Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA Objective: Previous studies on occupational risk for chronic kidney disease (CKD) have...

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Main Authors: Rubinstein S, Wang C, Qu W
Format: Article
Language:English
Published: Dove Medical Press 2013-03-01
Series:International Journal of Nephrology and Renovascular Disease
Online Access:http://www.dovepress.com/occupational-risk-and-chronic-kidney-disease-a-population-based-study--a12423
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spelling doaj-e374d85cd43c41dd9a0ab4a5e45fa7df2020-11-24T21:38:20ZengDove Medical PressInternational Journal of Nephrology and Renovascular Disease1178-70582013-03-012013default5359Occupational risk and chronic kidney disease: a population-based study in the United States adult populationRubinstein SWang CQu WSofia Rubinstein,1 Chengwei Wang,1 Wenchun Qu2 1Department of Medicine, Nassau University Medical Center, East Meadow, NY, USA; 2Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA Objective: Previous studies on occupational risk for chronic kidney disease (CKD) have analyzed a limited range of occupations and focused on nephrotoxins. The primary purpose of this study was to examine the relative risk for the occurrence of CKD between different occupations in the US adult population. Materials and methods: This was a population-based survey study of 91,340 participants in the US, who completed the National Health Interview Survey, 2004 through 2008. The outcome variable, CKD, was defined as having weakening/failing kidneys in the past 12 months, as diagnosed by a physician. The predictor variable, occupation, was obtained using the census occupational codes, regrouped according to North American Industrial Classification System. Results: After controlling for age, gender, hypertension, and education, and with the category Life, Physical, and Social Science Occupations as a reference group, the likelihood of developing CKD was 4.3 times higher in respondents working in Building, Grounds Cleaning and Maintenance Occupations, 4.4 times higher in Healthcare Practitioners and Technical Occupations, 4.7 times higher in Transportation and Material Moving Occupations and in Computer and Mathematical Occupations, 4.8 times higher in Production Occupations, 5.3 times higher in Food Preparation and Serving Related Occupations, and 6.1 times higher in Healthcare Support Occupations and in Legal Occupations. Conclusion: This study identified occupation groups in US adult population with increased risk for CKD. Alleviation of workplace stress is suggested as a goal for behavioral intervention in high-risk occupations. Keywords: CKD, risk factors, occupationshttp://www.dovepress.com/occupational-risk-and-chronic-kidney-disease-a-population-based-study--a12423
collection DOAJ
language English
format Article
sources DOAJ
author Rubinstein S
Wang C
Qu W
spellingShingle Rubinstein S
Wang C
Qu W
Occupational risk and chronic kidney disease: a population-based study in the United States adult population
International Journal of Nephrology and Renovascular Disease
author_facet Rubinstein S
Wang C
Qu W
author_sort Rubinstein S
title Occupational risk and chronic kidney disease: a population-based study in the United States adult population
title_short Occupational risk and chronic kidney disease: a population-based study in the United States adult population
title_full Occupational risk and chronic kidney disease: a population-based study in the United States adult population
title_fullStr Occupational risk and chronic kidney disease: a population-based study in the United States adult population
title_full_unstemmed Occupational risk and chronic kidney disease: a population-based study in the United States adult population
title_sort occupational risk and chronic kidney disease: a population-based study in the united states adult population
publisher Dove Medical Press
series International Journal of Nephrology and Renovascular Disease
issn 1178-7058
publishDate 2013-03-01
description Sofia Rubinstein,1 Chengwei Wang,1 Wenchun Qu2 1Department of Medicine, Nassau University Medical Center, East Meadow, NY, USA; 2Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA Objective: Previous studies on occupational risk for chronic kidney disease (CKD) have analyzed a limited range of occupations and focused on nephrotoxins. The primary purpose of this study was to examine the relative risk for the occurrence of CKD between different occupations in the US adult population. Materials and methods: This was a population-based survey study of 91,340 participants in the US, who completed the National Health Interview Survey, 2004 through 2008. The outcome variable, CKD, was defined as having weakening/failing kidneys in the past 12 months, as diagnosed by a physician. The predictor variable, occupation, was obtained using the census occupational codes, regrouped according to North American Industrial Classification System. Results: After controlling for age, gender, hypertension, and education, and with the category Life, Physical, and Social Science Occupations as a reference group, the likelihood of developing CKD was 4.3 times higher in respondents working in Building, Grounds Cleaning and Maintenance Occupations, 4.4 times higher in Healthcare Practitioners and Technical Occupations, 4.7 times higher in Transportation and Material Moving Occupations and in Computer and Mathematical Occupations, 4.8 times higher in Production Occupations, 5.3 times higher in Food Preparation and Serving Related Occupations, and 6.1 times higher in Healthcare Support Occupations and in Legal Occupations. Conclusion: This study identified occupation groups in US adult population with increased risk for CKD. Alleviation of workplace stress is suggested as a goal for behavioral intervention in high-risk occupations. Keywords: CKD, risk factors, occupations
url http://www.dovepress.com/occupational-risk-and-chronic-kidney-disease-a-population-based-study--a12423
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