{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:00:51Z","timestamp":1780732851430,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We investigated associations of self\u2010reported and job exposure matrix (JEM) assigned civilian occupational exposure to vapors, gas, dust, or fumes (VGDF) with respiratory symptoms among previously deployed US Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An interviewer\u2010administered questionnaire ascertained self\u2010reported civilian occupational VGDF exposure. A JEM categorized occupational VGDF based on longest\u2010held civilian occupation and industry of employment. Models tested associations of self\u2010reported and JEM\u2010assigned VGDF with dyspnea, chronic bronchitis (CB), or wheeze, adjusting for smoking and other covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 1868 participants (mean age 37.8\u2009\u00b1\u200913.1 years); 1654 (89%) males; the median occupational duration was 6 years. The prevalence of JEM\u2010assigned VGDF exposure or self\u2010reported civilian occupational VGDF exposure was 31% for both, with modest agreement between them (kappa 0.48). Any JEM VGDF exposure was statistically significantly associated with increased odds of CB (odds ratio [OR]) 1.75; 95% Confidence Interval [CI] 1.05\u20132.20). Self\u2010reported VGDF exposure was less strongly associated with increased CB odds (OR 1.18; 95% CI 0.85\u20131.86). JEM alone demonstrated a statistically significant association with CB (OR 1.77; 95% CI 1.31\u20132.68); combined JEM and self\u2010reported VGDF demonstrated a similar but not statistically significant association with CB (OR 1.68; 95% CI 0.90\u20132.35). Self\u2010reported VGDF alone was not positively associated with CB, dyspnea, or wheeze.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Civilian occupational VGDF exposures (assessed by self\u2010report and JEM) were common. Exposure to VGDF was most consistently associated with increased odds of CB, underscoring the need to consider civilian occupational factors when assessing Veterans' health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajim.70083","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:21:51Z","timestamp":1777029711000},"page":"503-511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Civilian Occupational Exposure to Vapors, Gas, Dust, or Fumes and Respiratory Health Among United States Military Veterans"],"prefix":"10.1002","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4999-7043","authenticated-orcid":false,"given":"Sahra","family":"Mohazzab\u2010Hosseinian","sequence":"first","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Office of Research and Development VA Puget Sound Health Care System Seattle Division Seattle Washington USA"},{"name":"Department of Epidemiology University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6486-6725","authenticated-orcid":false,"given":"Carrie A.","family":"Redlich","sequence":"additional","affiliation":[{"name":"Occupational and Environmental Medicine, Department of Internal Medicine Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna M.","family":"Korpak","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Office of Research and Development VA Puget Sound Health Care System Seattle Division Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K. I.","family":"Timmons","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Office of Research and Development VA Puget Sound Health Care System Seattle Division Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas L.","family":"Smith","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Office of Research and Development VA Puget Sound Health Care System Seattle Division Seattle Washington USA"},{"name":"Department of Epidemiology University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen S.","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Office of Research and Development VA Puget Sound Health Care System Seattle Division Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farrah","family":"Kheradmand","sequence":"additional","affiliation":[{"name":"Department of Medicine Michael E. DeBakey VA Medical Center Houston Texas USA"},{"name":"Department of Medicine Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent S.","family":"Fan","sequence":"additional","affiliation":[{"name":"VA Puget Sound Health Care System Seattle Washington USA"},{"name":"Department of Medicine University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Jerrett","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences, Fielding School of Public Health University of California Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe R.","family":"Montgrain","sequence":"additional","affiliation":[{"name":"VA San Diego Health Care System San Diego California USA"},{"name":"Department of Medicine University of California San Diego San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine H.","family":"Wendt","sequence":"additional","affiliation":[{"name":"Minneapolis VA Medical Center Minneapolis Minnesota USA"},{"name":"Department of Medicine University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ware G.","family":"Kuschner","sequence":"additional","affiliation":[{"name":"VA Palo Alto Health Care System Palo Alto California USA"},{"name":"Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily S.","family":"Wan","sequence":"additional","affiliation":[{"name":"Minneapolis VA Medical Center Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Garshick","sequence":"additional","affiliation":[{"name":"Pulmonary, Allergy, Sleep and Critical Care Medicine Section, Medical Service VA Boston Healthcare System West Roxbury Massachusetts USA"},{"name":"Department of Medicine, Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D.","family":"Blanc","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System San Francisco California USA"},{"name":"Division of Occupational, Environmental, and Climate Medicine, Department of Medicine University of California San Francisco San Francisco USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.167.5.787"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201904-0717ST"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0000000000000946"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201904-344WS"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2023-109146"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.22080"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i02"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2008.040022"},{"key":"e_1_2_9_10_1","unstructured":"National Health and Nutrition Examination Survey 2011\u20102012 data documentation codebook and frequencies: respiratory health (RDQ_G). 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