Details:

Alternative Title:
BMC Pulm Med
Personal Author:
Kim, Jeong-Lim ; Henneberger, Paul K. ; Lohman, Susanna ; Olin, Anna-Carin ; Dahlman-Höglund, Anna ; ... More +
Kim, Jeong-Lim ; Henneberger, Paul K. ; Lohman, Susanna ; Olin, Anna-Carin ; Dahlman-Höglund, Anna ; Andersson, Eva ; Torén, Kjell ; Holm, Mathias Less -
Description:
Background

Asthma is a prevalent chronic disease and occupation contributes to approximately 15 % of cases among adults. However, there are still few studies on risk factors for work-exacerbated asthma. The current study investigated the association between asthma exacerbations and occupational exposures.

Methods

The study comprised all currently working adults (n = 1356) who reported ever asthma in prior population-based cohorts. All subjects completed a questionnaire about exposures, occupations and exacerbations of asthma. Exposure to high and low molecular weight agents, irritating agents and asthmagens were classified using the asthma-specific job exposure matrix for northern Europe (N-JEM). Severe exacerbation of asthma was defined as sought emergency care at a hospital, admitted to a hospital overnight, or made an urgent visit to a primary care physician or district medical office due to breathing problems during the last 12 months. Moderate exacerbation was defined as both being not severe exacerbation and an additional visit to a primary care physician or district medical office, or had extra treatments with corticosteroid tablets. Mild exacerbation was defined as being neither severe nor moderate exacerbation, and increasing usage of inhaled corticosteroids.

Results

Approximately 26 % of the working asthmatics reported exacerbation, and more than two-thirds of them had moderate or severe exacerbation. From 23 to 49 % of the asthmatics reported occupational exposure to a variety of different types of agents. Exposure to any gas, smoke or dust (OR 1.7[95 % CI 1.2–2.6]) was associated with severe exacerbation of asthma, as were organic dust (OR 1.7[1.2–2.5]), dampness and mold (OR 1.8[1.2–2.7]), cold conditions (OR 1.7[1.1–2.7]), and a physically strenuous job (OR 1.6[1.03–2.3]). Asthmagens and low molecular weight agents classified by the N-JEM were associated with mild exacerbation, with OR 1.6[1.1–2.5] and OR 2.2[1.1–4.4], respectively.

Conclusions

Self-reported exposure to any gas, smoke or dust, organic dust, dampness and mold, cold conditions and physically strenuous work, and jobs handling low molecular weight agents were associated with exacerbation of asthma. Reduction of these occupational exposures may help to reduce exacerbation of asthma.


Subjects:
[+]
Administration, Inhalation Administration, Oral Adrenal Cortex Hormones Adult Aged Asthma Cohort Studies Disease Progression Dust Female Fungi Humans Logistic Models Male Middle Aged Occupational Exposure Risk Factors Self Report Workplace
Source:
BMC Pulm Med. 16.
Pubmed ID:
27842581
Pubmed Central ID:
PMC5109668
Document Type:
Journal Article
Place as Subject:
Sweden
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f3583e528dae3efd2a1412444ba81c44e355ff0dfcd743e028652347e4d74559
Download URL:
https://stacks.cdc.gov/view/cdc/43285/cdc_43285_DS1.pdf
File Type:

Supporting Files

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