Healthy hire effect, job selection and inhalation exposure among young adults with asthma.
Healthy hire effect, job selection and inhalation exposure among young adults with asthma.
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DOI：
10.1183/09031936.00125709
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发表时间：
2010-09
期刊：
影响因子：
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通讯作者：
Kogevinas M
中科院分区：
文献类型：
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作者：
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
本研究的目的是评估是否哮喘发作之前进入劳动力市场的影响是否一个人持有随后的工作与哮喘相关的吸入暴露。分析了来自欧洲共同体呼吸健康调查的19，784名成年人的数据。对于每个受访者来说，当前或以前的工作与工作接触矩阵相关联，该矩阵指定高，低或无粉尘，气体或烟雾暴露。工作也根据与职业性哮喘相关的暴露风险进行分类。哮喘和随后的职业暴露之间的关联进行了评估，使用逻辑回归模型，研究中心的随机截距和固定的年龄，性别，研究样本类型和吸烟状况的调整。在受访者中，8%（n= 1，619）报告哮喘在完成全日制教育之前发作。该人群从事高（比值比0.79; 95%置信区间0.68-0.92）或低（0.91; 0.80-1.03）暴露于粉尘、气体或烟雾的工作的风险降低。这种关联在不同的暴露类型（灰尘、气体或烟雾）和职业性哮喘高风险的工作中是一致的。在进入劳动力市场之前患有哮喘的成年人可能不太可能从事涉及吸入暴露的工作。
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.