title: Byssinosis among male textile workers in Pondicherry: a case-control study.
abstract: BACKGROUND
  In India, 20 million workers are involved in the manufacturing of textiles. However, there are few epidemiological studies from India that have assessed the magnitude or the risk factors associated with byssinosis. In Pondicherry, textile mills have been in existence for over a century. This case-control study aimed to find the factors associated with the development of byssinosis in textile workers.
  
  
  METHODS
  The sample consisted of 761 men above the age of 30 years who had worked for at least 10 years in a textile factory. All the respondents were interviewed by a pretested questionnaire to gather information regarding the symptoms of byssinosis, certain personal characteristics and occupational history. Byssinosis was identified using the classification proposed by the World Health Organization. Two age-matched controls were selected for each case.
  
  
  RESULTS
  Univariate analysis of the factors for symptomatic byssinosis showed that dusty worksites, heavy smoking and duration of service > or = 30 years were significant. Logistic regression analysis showed that working in the spinning (odds ratio 6.1) and weaving sections (odds ratio 1.9), heavy smoking (odds ratio 3.9) and > or = 30 years of service (odds ratio 2.0) were independent significant risk factors.
  
  
  CONCLUSIONS
  Efforts to reduce dust levels in the working environment and to discourage smoking among textile workers need to be strengthened to minimize the risk of developing byssinosis.
authors.affiliation: Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Mishra
authors.forename: S B
authors.initials: SB
authors.lastname: Rotti
authors.forename: Ajit
authors.initials: A
authors.lastname: Sahai
authors.lastname: Madanmohan
authors.forename: K A
authors.initials: KA
authors.lastname: Narayan
mesh_terms: D002095:Byssinosis / Q000453:epidemiology*; D016022:Case-Control Studies; D006801:Humans; D007194:India / Q000453:epidemiology; D012129:Respiratory Function Tests; D012307:Risk Factors; D013783:Textile Industry