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 |
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Main Authors: | , , , , , , , , , , , , , , , , , |
Format: | Journal Article |
Language: | English |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: Maria C surname: Mirabelli fullname: Mirabelli, Maria C organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 2 givenname: Jan-Paul surname: Zock fullname: Zock, Jan-Paul organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 3 givenname: Estel surname: Plana fullname: Plana, Estel organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 4 givenname: Josep Maria surname: Antó fullname: Antó, Josep Maria organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 5 givenname: Geza surname: Benke fullname: Benke, Geza organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 6 givenname: Paul D surname: Blanc fullname: Blanc, Paul D organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 7 givenname: Anna surname: Dahlman-Höglund fullname: Dahlman-Höglund, Anna organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 8 givenname: Deborah L surname: Jarvis fullname: Jarvis, Deborah L organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 9 givenname: Hans surname: Kromhout fullname: Kromhout, Hans organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 10 givenname: Linnéa surname: Lillienberg fullname: Lillienberg, Linnéa organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 11 givenname: Dan surname: Norbäck fullname: Norbäck, Dan organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 12 givenname: Mario surname: Olivieri fullname: Olivieri, Mario organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 13 givenname: Katja surname: Radon fullname: Radon, Katja organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 14 givenname: Jordi surname: Sunyer fullname: Sunyer, Jordi organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 15 givenname: Kjell surname: Torén fullname: Torén, Kjell organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 16 givenname: Marc surname: van Sprundel fullname: van Sprundel, Marc organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 17 givenname: Simona surname: Villani fullname: Villani, Simona organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece – sequence: 18 givenname: Manolis surname: Kogevinas fullname: Kogevinas, Manolis organization: Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece |
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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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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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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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