Associations between ethylene oxide exposure and chronic bronchitis: results from the NHANES 2013–2018
2024

Ethylene Oxide Exposure and Chronic Bronchitis

Sample size: 5044 publication 10 minutes Evidence: high

Author Information

Author(s): Li Yan, Wang Hui, Bi Xiaoqing, Zhao Guowei

Primary Institution: Department of Dermatology, ZiBo Central Hospital, Zibo, Shangdong, China

Hypothesis

What is the relationship between ethylene oxide exposure and chronic bronchitis?

Conclusion

The study found a significant association between ethylene oxide exposure and the occurrence of chronic bronchitis.

Supporting Evidence

  • Patients with chronic bronchitis had elevated hemoglobin adducts of ethylene oxide.
  • Each unit increase in hemoglobin adducts was associated with a 24.3% greater likelihood of chronic bronchitis.
  • Participants in the highest quartile of hemoglobin adducts had more than twice the odds of chronic bronchitis compared to those in the lowest quartile.

Takeaway

Breathing in ethylene oxide, a chemical used in many products, might make you more likely to have chronic bronchitis, which is a long-lasting cough and mucus problem.

Methodology

The study analyzed data from 5,044 NHANES participants using weighted logistic regression to examine the relationship between hemoglobin adducts of ethylene oxide and chronic bronchitis.

Potential Biases

Potential recall bias and misclassification due to self-reported chronic bronchitis data.

Limitations

The reliance on self-reported data may introduce recall bias, and the cross-sectional design limits causal interpretation.

Participant Demographics

The sample included 50.2% females and 49.8% males, with an average age of 48.2 years; 6.1% reported chronic bronchitis.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.143–1.352

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1424555

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