2.50
Hdl Handle:
http://hdl.handle.net/10755/157757
Type:
Presentation
Title:
The Libby Asbestos Health Status Study: Physical Outcomes
Abstract:
The Libby Asbestos Health Status Study: Physical Outcomes
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Hill, Wade G., PHCNS-BC
P.I. Institution Name:Montana State University, College of Nursing
Title:Associate Professor
Contact Address:PO Box 173560, Bozeman, MT, 59717-3560, USA
Contact Telephone:406-994-4011
Purpose/Aims: The aim of this analysis was to examine physical health status with a specific focus on respiratory morbidity among a national sample of persons exposed to Libby asbestos. Background: Disagreements concerning the diagnostic process used to identify asbestos related disease for persons exposed to asbestos from Libby, Montana have been well publicized. At stake is both a clear understanding of health status of those exposed to asbestos and the access the health care resources and remuneration provided by those responsible for community exposures. Some research estimates that nearly 18% of community residents of Libby, Montana have B-reader confirmed pleural abnormalities [1], although representatives of industry have made attempts to discredit these numbers [2]. Until advances in diagnostic methods arbitrate this disagreement, comprehensive assessment of physical health status for those with confirmed asbestos exposures can help clinicians understand the disease course and plan for resource acquisition. Methods: Participants (n=452) of the LHSS were recruited through primary care activities at the Center for Asbestos Related Disease (CARD) and completed research questionnaires on either an electronic Kiosk or paper versions prior to usual care activities. Physical health data, diagnostic data, and measures of respiratory morbidity were collected from existing medical records by CARD clinic staff. Results reported here include data from the St. George Respiratory Questionnaire (SGRQ) used to measure quality of life related to respiratory status. Results: Means for SGRQ subscales (Symptoms x=51.5, sd=24.8; Activity x=49.5, sd= 28.0; Impacts x=27.9, sd=22.0) indicate that participants generally experienced much greater respiratory morbidity than comparison populations with other respiratory illnesses (e.g. COPD). Over 66% of the sample had pleural abnormalities and 24% had interstitial abnormalities on chest radiograph. Presence of comorbidities, respiratory symptomatology, and comprehensive pulmonary function will be presented. Implications: Significant numbers of persons exposed to Libby asbestos live with severe morbidity having both impaired lung function and poor general health. Clinical data reinforce the need to provide health care resources and continue prevention efforts among those affected by this disaster.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Libby Asbestos Health Status Study: Physical Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157757-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Libby Asbestos Health Status Study: Physical Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hill, Wade G., PHCNS-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Montana State University, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">PO Box 173560, Bozeman, MT, 59717-3560, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">406-994-4011</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">whill@montana.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: The aim of this analysis was to examine physical health status with a specific focus on respiratory morbidity among a national sample of persons exposed to Libby asbestos. Background: Disagreements concerning the diagnostic process used to identify asbestos related disease for persons exposed to asbestos from Libby, Montana have been well publicized. At stake is both a clear understanding of health status of those exposed to asbestos and the access the health care resources and remuneration provided by those responsible for community exposures. Some research estimates that nearly 18% of community residents of Libby, Montana have B-reader confirmed pleural abnormalities [1], although representatives of industry have made attempts to discredit these numbers [2]. Until advances in diagnostic methods arbitrate this disagreement, comprehensive assessment of physical health status for those with confirmed asbestos exposures can help clinicians understand the disease course and plan for resource acquisition. Methods: Participants (n=452) of the LHSS were recruited through primary care activities at the Center for Asbestos Related Disease (CARD) and completed research questionnaires on either an electronic Kiosk or paper versions prior to usual care activities. Physical health data, diagnostic data, and measures of respiratory morbidity were collected from existing medical records by CARD clinic staff. Results reported here include data from the St. George Respiratory Questionnaire (SGRQ) used to measure quality of life related to respiratory status. Results: Means for SGRQ subscales (Symptoms x=51.5, sd=24.8; Activity x=49.5, sd= 28.0; Impacts x=27.9, sd=22.0) indicate that participants generally experienced much greater respiratory morbidity than comparison populations with other respiratory illnesses (e.g. COPD). Over 66% of the sample had pleural abnormalities and 24% had interstitial abnormalities on chest radiograph. Presence of comorbidities, respiratory symptomatology, and comprehensive pulmonary function will be presented. Implications: Significant numbers of persons exposed to Libby asbestos live with severe morbidity having both impaired lung function and poor general health. Clinical data reinforce the need to provide health care resources and continue prevention efforts among those affected by this disaster.</td></tr></table>en_GB
dc.date.available2011-10-26T20:10:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:10:31Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.