Occupational risk factors for asthma among nurses and related healthcare professionals in an international study

Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). Methods: In a random population sample of adult...

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Published in:Occupational and environmental medicine (London, England) Vol. 64; no. 7; pp. 474 - 479
Main Authors: Mirabelli, Maria C, Zock, Jan-Paul, Plana, Estel, Antó, Josep Maria, Benke, Geza, Blanc, Paul D, Dahlman-Höglund, Anna, Jarvis, Deborah L, Kromhout, Hans, Lillienberg, Linnéa, Norbäck, Dan, Olivieri, Mario, Radon, Katja, Sunyer, Jordi, Torén, Kjell, van Sprundel, Marc, Villani, Simona, Kogevinas, Manolis
Format: Journal Article
Language:English
Published: London BMJ Publishing Group Ltd 01-07-2007
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Abstract Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). Methods: In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n = 2481). Results: Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported new-onset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% CI 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% CI 1.03 to 4.53). Conclusions: In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.
AbstractList OBJECTIVE: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). METHODS: In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n = 2481). RESULTS: Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported new-onset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% CI 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% CI 1.03 to 4.53). CONCLUSIONS: In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.
Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). Methods: In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n=2481). Results: Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported newonset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% CI 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% CI 1.03 to 4.53). Conclusions: In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.
Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). Methods: In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n=2481). Results: Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported new-onset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% Cl 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% Cl 1.03 to 4.53). Conclusions: In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.
The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n = 2481). Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported new-onset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% CI 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% CI 1.03 to 4.53). In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.
Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II). Methods: In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n = 2481). Results: Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported new-onset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% CI 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% CI 1.03 to 4.53). Conclusions: In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.
Author Jarvis, Deborah L
van Sprundel, Marc
Sunyer, Jordi
Torén, Kjell
Radon, Katja
Zock, Jan-Paul
Dahlman-Höglund, Anna
Olivieri, Mario
Kogevinas, Manolis
Antó, Josep Maria
Villani, Simona
Kromhout, Hans
Norbäck, Dan
Mirabelli, Maria C
Benke, Geza
Plana, Estel
Blanc, Paul D
Lillienberg, Linnéa
AuthorAffiliation J M Antó , M Kogevinas , M C Mirabelli , E Plana , J Sunyer , J Zock , Centre for Research in Environmental Epidemiology, Municipal Institute of Medical Research, Barcelona, Spain
G Benke , Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia
H Kromhout , Institute for Risk Assessment Sciences, Environmental Epidemiology Division, Utrecht University, Utrecht, the Netherlands
S Villani , Section of Medical Statistics and Epidemiology, Department of Health Sciences, University of Pavia, Italy
J M Antó , J Sunyer , Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
K Radon , Unit for Occupational and Environmental Epidemiology & NetTeaching, Institute for Occupational and Environmental Medicine, Ludwig‐Maximilians‐University, Munich, Germany
M Kogevinas , Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece
P D Blanc , Department of Medicine, University of California San Francisco, Cali
AuthorAffiliation_xml – name: G Benke , Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia
– name: S Villani , Section of Medical Statistics and Epidemiology, Department of Health Sciences, University of Pavia, Italy
– name: D Norbäck , Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University and University Hospital, Sweden
– name: K Radon , Unit for Occupational and Environmental Epidemiology & NetTeaching, Institute for Occupational and Environmental Medicine, Ludwig‐Maximilians‐University, Munich, Germany
– name: M van Sprundel , Department Epidemiology and Social Medicine, University of Antwerp, Belgium
– name: P D Blanc , Department of Medicine, University of California San Francisco, California, USA
– name: M Kogevinas , Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece
– name: D L Jarvis , Respiratory Epidemiology and Public Health Group, National Heart and Lung Insititute, Imperial College, London, UK
– name: A Dahlman‐Höglund , L Lillienberg , K Torén , Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Göteborg, Sweden
– name: J M Antó , J Sunyer , Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
– name: M Olivieri , Unit of Occupational Medicine, University of Verona, Italy
– name: J M Antó , M Kogevinas , M C Mirabelli , E Plana , J Sunyer , J Zock , Centre for Research in Environmental Epidemiology, Municipal Institute of Medical Research, Barcelona, Spain
– name: K Torén , Department of Allergology, Sahlgrenska University Hospital, Göteborg, Sweden
– name: H Kromhout , Institute for Risk Assessment Sciences, Environmental Epidemiology Division, Utrecht University, Utrecht, the Netherlands
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  organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece
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https://www.ncbi.nlm.nih.gov/pubmed/17332135$$D View this record in MEDLINE/PubMed
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-14656$$DView record from Swedish Publication Index
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ContentType Journal Article
Copyright Occupational and Environmental Medicine
Copyright 2007 BMJ Publishing Group Ltd.
2007 INIST-CNRS
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Issue 7
Keywords Human
Lung disease
Glove
Respiratory disease
Health staff
Occupational exposure
Latex
Asthma
Cohort study
Risk factor
Cleaning materials
Bronchus disease
Obstructive pulmonary disease
Occupational medicine
Nurse
International
Occupational/toxicity
Gloves
Protective
Air Pollutants
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Correspondence to:
 Dr M C Mirabelli
 Centre for Research in Environmental Epidemiology, Instituto Municipal de Investigación Médica, c/Dr Aiguader, 88, 08003 Barcelona, Spain; mmirabelli@imim.es
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PublicationTitle Occupational and environmental medicine (London, England)
PublicationTitleAlternate Occup Environ Med
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Snippet Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses...
The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other...
Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses...
OBJECTIVE: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses...
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StartPage 474
SubjectTerms Adult
Air Pollutants, Occupational - toxicity
Asthma
Asthma - etiology
Biological and medical sciences
Case-Control Studies
Chronic obstructive pulmonary disease, asthma
Cleaning
Cleaning compounds
Cleaning products
Courthouses
Detergents - toxicity
Disinfection & disinfectants
ECRHS
Employment
Europe
European Community Respiratory Health Survey
Female
Gloves, Protective
Health care
Health care industry
Health Occupations
Health Personnel
Health Surveys
Humans
Inhalation Exposure
International Standard Classification of Occupations
International studies
ISCO
Laboratory Personnel
Latex
Latex Hypersensitivity - etiology
Longitudinal studies
Lungmedicin och allergi
Male
Medical Laboratory Personnel
Medical personnel
Medical sciences
MEDICIN
MEDICINE
Middle Aged
Nurses
Nursing
Occupational Diseases - etiology
Occupational Exposure
Occupations
Original
Participation
Pneumology
Prospective Studies
Questionnaires
Referents
Respiratory Medicine and Allergy
Risk Factors
Surveys and Questionnaires
Technicians
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Title Occupational risk factors for asthma among nurses and related healthcare professionals in an international study
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