title: Respiratory symptoms and lung function in two prebake aluminum smelters.
abstract: BACKGROUND
  Respiratory symptoms are known to occur in some aluminum smelter employees working in the potroom department but little is known about the respiratory health of employees in other departments.
  
  
  METHODS
  This cross-sectional study examined the prevalence of work-related respiratory symptoms and levels of lung function in different departments of two aluminum smelters compared to administration employees. Multiple logistic regression was performed with each of four work-related symptoms as outcomes and multiple linear regressions were performed with FEV1 and FVC as outcomes.
  
  
  RESULTS
  There were 1,529 male participants in the two smelters representing a response rate of 89.6%. After adjusting for age and smoking, work-related respiratory symptoms were reported significantly more often among the ingot mill, anode, and potroom groups in Smelter A. In Smelter B, ingot employees were more likely to report work-related wheeze and potroom employees were more likely to report work-related rhinitis. Symptoms tended to increase with increasing time in the potrooms but were more likely to occur in new employees in the ingot mill and anode process groups. After adjusting for age, height, and smoking, there were no significant differences between the process groups for either FEV1 or FVC at Smelter A, and at Smelter B potroom employees had slightly greater FEV1 and FVC than the administration employees.
  
  
  CONCLUSIONS
  Work-related respiratory symptoms among aluminum smelter workers are not reported only by potroom employees but also by ingot mill and anode employees.
authors.affiliation: Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia. lin.fritschi@med.monash.edu.au
authors.forename: L
authors.initials: L
authors.lastname: Fritschi
authors.forename: J
authors.initials: J
authors.lastname: Beach
authors.forename: M
authors.initials: M
authors.lastname: Sim
authors.forename: M
authors.initials: M
authors.lastname: Abramson
authors.forename: G
authors.initials: G
authors.lastname: Benke
authors.forename: A W
authors.initials: AW
authors.lastname: Musk
authors.forename: N
authors.initials: N
authors.lastname: de Klerk
authors.forename: J
authors.initials: J
authors.lastname: McNeil
mesh_terms: D000328:Adult; D000367:Age Factors; D000535:Aluminum; D001315:Australia; D001827:Body Height; D003430:Cross-Sectional Studies; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D008171:Lung Diseases / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008669:Metallurgy / Q000145:classification; D009784:Occupational Diseases / Q000209:etiology*; D015995:Prevalence; D012135:Respiratory Sounds / Q000209:etiology; D012140:Respiratory Tract Diseases / Q000209:etiology*; D012220:Rhinitis / Q000209:etiology; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors; D014797:Vital Capacity / Q000502:physiology
chemical_list: D000535:Aluminum