Comparison of respiratory morbidity between present and ex-workers of quartz crushing units: Healthy workers’ effect
2010

Respiratory Health in Quartz Workers

Sample size: 316 publication 10 minutes Evidence: moderate

Author Information

Author(s): Tiwari Rajnarayan R., Narain Raj, Sharma Y. K., Kumar Sunil

Primary Institution: National Institute of Occupational Health, Ahmedabad, India

Hypothesis

Is there a difference in respiratory morbidity between current and ex-workers of quartz crushing units?

Conclusion

Ex-workers have a higher prevalence of respiratory morbidity compared to current workers due to the healthy workers’ effect.

Supporting Evidence

  • 24 ex-workers (17.9%) were diagnosed with silicosis.
  • 10 current workers (5.5%) had radiological suspected tuberculosis.
  • 94% of current workers were free from respiratory morbidity.
  • Mean age of ex-workers was 31.77 years, while current workers was 26.74 years.
  • More than half of both groups were engaged in the crushing process.

Takeaway

Workers who used to grind quartz have more breathing problems than those who currently do it because the sick ones have already left the job.

Methodology

Cross-sectional study with chest radiography and pulmonary function tests on 134 ex-workers and 182 current workers.

Potential Biases

Potential bias due to the healthy worker effect.

Limitations

The study may not account for all confounding factors affecting respiratory health.

Participant Demographics

Majority of participants were young males, with a significant number being illiterate.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.4103/0019-5278.75695

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