Prevalence of asthma by industry and occupation in the U.S. working population

McHugh, Michelle K.; Symanski, Elaine; Pompeii, Lisa; Delclos, George L.

doi:10.1002/ajim.20800

Cited by 28 publications

(12 citation statements)

References 35 publications

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“…These include mining, health-related industries and occupations, teaching, bakers, sawmill labourers, metal processing, plant operators, and animal producers [61]. These include mining, health-related industries and occupations, teaching, bakers, sawmill labourers, metal processing, plant operators, and animal producers [61].…”

Section: High-risk Jobsmentioning

confidence: 99%

Risk factors for nonwork-related adult-onset asthma and occupational asthma

Jeebhay¹,

Ngajilo²,

Moual³

2014

Current Opinion in Allergy &Amp; Clinical Immunology

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Section: High-risk Jobsmentioning

confidence: 99%

Risk factors for nonwork-related adult-onset asthma and occupational asthma

Jeebhay¹,

Ngajilo²,

Moual³

2014

Current Opinion in Allergy &Amp; Clinical Immunology

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“…Exposure to asthmagens is common in many workplaces and hundreds of asthma‐causing agents have been identified . In the last decades, a growing proportion of work‐related asthma cases has been observed in the healthcare industry, raising concerns about the role of exposure to cleaning products and disinfectants, especially in women …”

Section: Introductionmentioning

confidence: 99%

Occupational exposure to disinfectants and asthma incidence in U.S. nurses: A prospective cohort study

Dumas

Boggs

Quinot

et al. 2019

American J Industrial Med

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Background: Exposure to disinfectants among healthcare workers has been associated with respiratory health effects, in particular, asthma. However, most studies are cross-sectional and the role of disinfectant exposures in asthma development requires longitudinal studies. We investigated the association between occupational exposure to disinfectants and incident asthma in a large cohort of U.S. female nurses. Methods: The Nurses' Health Study II is a prospective cohort of 116 429 female nurses enrolled in 1989. Analyses included 61 539 participants who were still in a nursing job and with no history of asthma in 2009 (baseline; mean age: 55 years). During 277 744 person-years of follow-up (2009-2015), 370 nurses reported incident physician-diagnosed asthma. Occupational exposure was evaluated by questionnaire and a Job-Task-Exposure Matrix (JTEM). We examined the association between disinfectant exposure and subsequent asthma development, adjusted for age, race, ethnicity, smoking status, and body mass index.Results: Weekly use of disinfectants to clean surfaces only (23% exposed) or to clean medical instruments (19% exposed) was not associated with incident asthma (adjusted hazard ratio [95% confidence interval] for surfaces, 1.12 [0.87-1.43]; for instruments, 1.13 [0.87-1.48]). No association was observed between high-level exposure to specific disinfectants/cleaning products evaluated by the JTEM (formaldehyde, glutaraldehyde, bleach, hydrogen peroxide, alcohol quats, or enzymatic cleaners) and asthma incidence. Conclusions:In a population of late career nurses, we observed no significant association between exposure to disinfectants and asthma incidence. A potential role of disinfectant exposures in asthma development warrants further study among healthcare workers at earlier career stage to limit the healthy worker effect. K E Y W O R D Sasthma, cleaning products, disinfection, healthcare workers, occupational asthma

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“…For example, males are more likely to work in construction and females are more likely to work in health-related occupations [18]. The characteristics of exposure, even within the same job, and the impact of the exposure on health may also differ by gender [15,19].…”

Section: Introductionmentioning

confidence: 99%

Gender differences in work-related asthma: surveillance data from California, Massachusetts, Michigan, and New Jersey, 1993–2008

White¹,

Seaman²,

Filios³

et al. 2014

Journal of Asthma

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Objective To characterize work-related asthma by gender. Methods We analyzed state-based sentinel surveillance data on confirmed work-related asthma cases collected from California, Massachusetts, Michigan, and New Jersey during 1993–2008. We used Chi-square and Fisher’s Exact Test statistics to compare select characteristics between females and males. Results Of the 8239 confirmed work-related asthma cases, 60% were female. When compared to males with work-related asthma, females with work-related asthma were more likely to be identified through workers’ compensation (14.8% versus 10.6%) and less likely to be identified through hospital data (14.2% versus 16.9%). Moreover, when compared to males, females were more likely to have work-aggravated asthma (24.4% versus 13.5%) and less likely to have new-onset asthma (48.0% versus 56.5%). Females were also more likely than males with work-related asthma to work in healthcare and social assistance (28.7% versus 5.2%), educational services (11.8% versus 4.2%), and retail trade (5.0% versus 3.9%) industries and in office and administrative support (20.0% versus 4.0%), healthcare practitioners and technical (13.4% versus 1.6%), and education training and library (6.2% versus 1.3%) occupations. Agent groups most frequently associated with work-related asthma were miscellaneous chemicals (20.3%), cleaning materials (15.3%), and indoor air pollutants (14.9%) in females and miscellaneous chemicals (15.7%), mineral and inorganic dusts (13.2%), and pyrolysis products (12.7%) in males. Conclusions Among adults with work-related asthma, males and females differ in terms of workplace exposures, occupations, and industries. Physicians should consider these gender differences when diagnosing and treating asthma in working adults.

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Prevalence of asthma by industry and occupation in the U.S. working population

Abstract: Our study adds to the increasing evidence that miners, healthcare workers and teachers remain high-risk working populations and appropriate evaluation and control measures are needed to protect these workers.

Cited by 28 publications

References 35 publications

Risk factors for nonwork-related adult-onset asthma and occupational asthma

Risk factors for nonwork-related adult-onset asthma and occupational asthma

Occupational exposure to disinfectants and asthma incidence in U.S. nurses: A prospective cohort study

Gender differences in work-related asthma: surveillance data from California, Massachusetts, Michigan, and New Jersey, 1993–2008

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