Healthy hire effect, job selection and inhalation exposure among young adults with asthma.
Olivieri-M; Mirabelli-MC; Plana-E; Radon-K; Antó-JM; Bakke-P; Benke-G; D'Errico-A; Henneberger-P; Kromhout-H; Norbäck-D; Torén-K; van Sprundel-M; Villani-S; Wieslander-G; Zock-JP; Kogevinas-M
Eur Respir J 2010 Sep; 36(3):517-523
The aim of the present study was to assess whether asthma onset prior to entering the workforce influences whether a person holds a subsequent job with asthma-related inhalation exposures. The data of 19,784 adults from the European Community Respiratory Health Survey were analysed. For each respondent, a current or previously held job was linked to a job exposure matrix assigning high, low or no exposure to dust, gases or fumes. Jobs were also categorised according to the risk of exposures related to occupational asthma. Associations between asthma and subsequent occupational exposures were assessed using logistic regression models, with a random intercept for study centre and fixed adjustment for age, sex, type of study sample and smoking status. Of the respondents, 8% (n = 1,619) reported asthma with onset before completion of full-time education. This population was at decreased risk of having a job with high (odds ratio 0.79; 95% confidence interval 0.68-0.92) or low (0.91; 0.80-1.03) exposure to dust, gases or fumes. The associations were consistent across exposure types (dusts, gases or fumes) and for jobs with a high risk of occupational asthma. Adults with asthma onset prior to entering the workforce may be less likely to hold jobs involving inhalation exposures.
Respiratory-irritants; Respiratory-hypersensitivity; Inhalants; Exposure-limits; Occupational-exposure; Pulmonary-disorders; Lung-disease; Lung-disorders; Respiratory-system-disorders; Humans; Workers; Bronchial-asthma; Age-factors; Age-groups;
Author Keywords: Lung disease; Bronchus disease; Public health; Obstructive pulmonary disease; Respiratory disease; Work safety; Occupational medicine; Human; Pneumology; Worker; Cross sectional study; Young adult; Occupational exposure; Inhalation; Asthma
M. Olivieri, Dept of Medicine and Public Health, Unit of Occupational Medicine, University Hospital of Verona, University of Verona, 37129 Verona, Italy
European Respiratory Journal