What Should We Do with Short-Term Jobs in Studies of Chronic Diseases?

What Should We Do with Short-Term Jobs in Studies of Chronic Diseases?
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慢性病研究的短期工作我们应该怎么办?

DOI:
10.1093/annweh/wxz041
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发表时间:
2019
影响因子:
2.6
通讯作者:
Friesen,MelissaC
Friesen,MelissaC
中科院分区:
医学4区
文献类型:
--
作者:
Friesen,MelissaC

文献摘要

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在基于人群的慢性病研究中,终生职业信息通常直接从研究参与者那里获得。通常的做法是,不收集关于任职时间不到12个月的工作的信息,以减轻答卷人的负担,因为这些工作往往在受试者工作生涯的早期就开始了,因此更难回忆。在这一期中,Parent等人评估了工作时间稍长-> 1年,但< 2年(本文称为“短期工作”)的影响。(2019年)。他们发现,短期工作占所有工作的19%,但平均而言,贡献了不到4%的工作年。他们的结论是,这给专家进行逐职审查以编码工作和评估接触造成了很大负担,对终生接触评估的影响可能很小。然而,他们还指出,根据有限的暴露评估,短期工作比从事≥ 2年的工作更经常暴露于烟雾,气味,灰尘,通风不良,户外工作和繁重的体力活动。一项类似的评估是使用一项职业性铅暴露评估的数据进行的,该评估是在一项肾癌病例对照研究中进行的,任职时间≥ 6个月且< 2年的术语定义(卡拉汉等人,2018)。与Parent等人类似,这些职位占一万一千九百五十八个职位的百分之十九。在2408名受试者中,49%的人至少有一份短期工作;对于这些受试者,短期工作占其就业人员年的中位数为8%(四分位数范围:4.7-15%)。然而,短期工作分别为47和27名受试者贡献了> 50%和100%的受试者就业人年。少
In population-based studies of chronic diseases, lifetime occupation information is typically obtained directly from study participants. It is common practice to exclude collection of information on jobs held< 12 months to ease respondent burden because these are more difficult to recall as they often were held early in subjects’ working lives. In this issue, the impact of jobs held for a slightly longer—> 1 year, but< 2 years (herein,“shortterm jobs”)—was evaluated by Parent et al.(2019). They found that short-term jobs comprised 19% of all jobs but, on average, contributed< 4% of subjects’ work years. They concluded that this resulted in a large burden on expert job-by-job review to code jobs and assess exposure, with a likely marginal impact on lifetime exposure assessment. However, they also noted, based on a limited exposure assessment, that short-term jobs were more often exposed to fumes, odors, dust, poor ventilation, outdoor work, and heavy physical activity than jobs held≥ 2 years.For this commentary, a similar evaluation was performed using data from an occupational lead exposure assessment conducted within a case–control study of kidney cancer using a short-term definition of jobs held≥ 6 months and< 2 years (Callahan et al. 2018). Similar to Parent et al., these jobs comprised 19% of the 11 958 jobs. At least one short-term job was held by 49% of the 2408 subjects; for these subjects, short-term jobs comprised a median of 8% of their employed person-years (interquartile range: 4.7–15%). However, short-term jobs contributed> 50 and 100% of a subject’s employed person-years for 47 and 27 subjects, respectively. Less