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

Sofia Rubinstein, Chengwei Wang, Wenchun Qu

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)53-59
Number of pages7
JournalInternational Journal of Nephrology and Renovascular Disease
Volume6
DOIs
StatePublished - Mar 8 2013

Fingerprint

Chronic Renal Insufficiency
Occupations
Population
Delivery of Health Care
Natural Science Disciplines
Biological Science Disciplines
Social Sciences
Censuses
Health Surveys
Workplace
Maintenance
Interviews

Keywords

  • CKD
  • Occupations
  • Risk factors

ASJC Scopus subject areas

  • Nephrology

Cite this

Occupational risk and chronic kidney disease : A population-based study in the United States adult population. / Rubinstein, Sofia; Wang, Chengwei; Qu, Wenchun.

In: International Journal of Nephrology and Renovascular Disease, Vol. 6, 08.03.2013, p. 53-59.

Research output: Contribution to journalArticle

@article{98e785ebf860489280f5385180eac958,
title = "Occupational risk and chronic kidney disease: A population-based study in the United States adult population",
abstract = "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, Occupations, Risk factors",
author = "Sofia Rubinstein and Chengwei Wang and Wenchun Qu",
year = "2013",
month = "3",
day = "8",
doi = "10.2147/IJNRD.S39522",
language = "English (US)",
volume = "6",
pages = "53--59",
journal = "International Journal of Nephrology and Renovascular Disease",
issn = "1178-7058",
publisher = "Dove Medical Press Limited",

}

TY - JOUR

T1 - Occupational risk and chronic kidney disease

T2 - A population-based study in the United States adult population

AU - Rubinstein, Sofia

AU - Wang, Chengwei

AU - Qu, Wenchun

PY - 2013/3/8

Y1 - 2013/3/8

N2 - 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.

AB - 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.

KW - CKD

KW - Occupations

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=84875088926&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875088926&partnerID=8YFLogxK

U2 - 10.2147/IJNRD.S39522

DO - 10.2147/IJNRD.S39522

M3 - Article

C2 - 23662070

AN - SCOPUS:84875088926

VL - 6

SP - 53

EP - 59

JO - International Journal of Nephrology and Renovascular Disease

JF - International Journal of Nephrology and Renovascular Disease

SN - 1178-7058

ER -