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Objective . The study aimed to estimate the prevalence of byssinosis and other respiratory symptoms among women textile workers and the associated risk factors in 18 spinning mills of Faisalabad and Lahore districts of Punjab, Pakistan.  Method . In this case–control study of 1054 female workers, we used the dose–response function to measure the association between dust level and respiratory disorders in cotton textile workers.  Results . Working overtime and long working hours per week are significantly associated with self-reported symptoms of byssinosis. Women’s age, marital status and wages were significantly associated with mitigating actions (seeing the doctor), while the education of the women was significantly associated with averting action (use of a mask).  Conclusion . Regulating working hours and ensuring employees’ compliance with the safety standards are expected to mitigate the health problems of female workers.

Epidemiology of respiratory diseases and associated factors among female textile workers in Pakistan