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Association between outdoor ozone and compensated acute respiratory diseases among workers in Quebec (Canada)
Authors:Ariane ADAM-POUPART  France LABRèCHE  Marc-Antoine BUSQUE  Allan BRAND  Patrice DUGUAY  Michel FOURNIER  Joseph ZAYED  Audrey SMARGIASSI
Affiliation:1.Department of Environmental and Occupational Health, School of Public Health, Université de Montréal, Canada;2.Institut de Recherche Robert-Sauvé en Santé et Sécurité du Travail (IRSST), Canada;3.Institut National de Santé Publique du Québec (INSPQ), Canada;4.Direction de Santé Publique, Agence de la Santé et des Services Sociaux de Montréal, Canada
Abstract:Respiratory effects of ozone in the workplace have not been extensively studied. Our aimwas to explore the relationship between daily average ozone levels and compensated acuterespiratory problems among workers in Quebec between 2003 and 2010 using a time-stratifiedcase-crossover design. Health data came from the Workers’ Compensation Board. Dailyconcentrations of ozone were estimated using a spatiotemporal model. Conditional logisticregressions, with and without adjustment for temperature, were used to estimate oddsratios (ORs, per 1 ppb increase of ozone), and lag effects were assessed. Relationshipswith respiratory compensations in all industrial sectors were essentially null. Positivenon-statistically significant associations were observed for outdoor sectors, anddecreased after controlling for temperature (ORs of 0.98; 1.01 and 1.05 at Lags 0, 1 and 2respectively). Considering the predicted increase of air pollutant concentrations in thecontext of climate change, closer investigation should be carried out on outdoorworkers.
Keywords:Air pollution   Compensation data   Ozone   Respiratory diseases   Workers
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