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* Corresponding author 1 Sahlgrenska Academy at University of Gothenburg 2 UCSF - University of California San Francisco 3 University of Pavia 4 Università degli Studi di Verona 5 Galdakao Hospital 6 UA - University of Antwerp 7 Haukeland University Hospital 8 CESP - Centre de recherche en épidémiologie et santé des populations 9 IMIM - Hospital del Mar Research Institute 10 CIBER de Epidemiología y Salud Pública CIBERESP 11 CREAL - Centre for Research in Environmental Epidemiology

Abstract : Respiratory tract-related occupational disability is common among adults of working age. We examined occupational vapors, gas, dust, or fume VGDF exposure as a predictor of disability, based on respiratory sickness absence among the actively employed, at an early point at which prevention may be most relevant. Currently employed European Community Respiratory Health Survey II participants n = 6,988 were classified into three mutually exclusive, condition-symptom-based categories: physician-diagnosed asthma, self-reported rhinitis, and wheeze-breathlessness n = 4,772. Logistic regression analysis estimated the odds of respiratory sickness absence past 12 months by VGDF exposure. In the condition-symptom groups, 327 6.9% reported respiratory sickness absence. Exposure to VGDF was associated with increased odds of respiratory sickness absence: asthma odds ratio OR 2.0 95% confidence interval CI 1.1-3.6, wheeze-breathlessness OR 2.2 95% CI 1.01-4.8; rhinitis OR 1.9 95% CI 1.02-3.4. One in 15 currently employed with asthma, breathlessness, or rhinitis reported respiratory sickness absence. VGDF exposure doubled the odds of respiratory sickness absence, suggesting a focus for disability prevention.

Keywords : work exposure wheeze work disability Asthma job termination rhinitis





Autor: Jeong-Lim Kim - Paul Blanc - Simona Villani - Mario Olivieri - Isabel Urrutia - Marc Van Sprundel - Torgeir Storaas - Nicole Le M

Fuente: https://hal.archives-ouvertes.fr/



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