1. Under-estimation of self-reported occupational exposure by questionnaire in hospital workers
- Author
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Isabelle Pin, M.-A. Denis, N. Massin, F Kauffmann, C. Donnay, Dominique Choudat, Orianne Dumas, J. Fevotte, R. Magis, N. Le Moual, Service de Pneumologie Allergologie [CHU Necker], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Médecine et Santé au Travail, Hospices Civils de Lyon (HCL)-Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL)-Groupement Hospitalier Est, Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE UMR T9405), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Service Central de Médecine du Travail (SCMT), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital de l'Hotel Dieu, Institut national de recherche et de sécurité (Vandoeuvre lès Nancy) (INRS ( Vandoeuvre lès Nancy)), Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Institut d'oncologie/développement Albert Bonniot de Grenoble (INSERM U823), Institut National de la Santé et de la Recherche Médicale (INSERM)-EFS-CHU Grenoble-Université Joseph Fourier - Grenoble 1 (UJF), Merck Sharp & Dohme (MSD), Hospital program of clinical research (PHRC)-Paris, National Research Agency - Health environment, health-work program, French Agency of health safety, environment and work (AFSSET, EST-09-15)., CHU Necker - Enfants Malades [AP-HP]-Assistance publique - Hôpitaux de Paris (AP-HP), Hospices Civils de Lyon ( HCL ) -Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon ( HCL ) -Groupement Hospitalier Est, Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement ( UMRESTTE UMR T9405 ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux ( IFSTTAR ), Service Central de Médecine du Travail ( SCMT ), Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital de l'Hotel Dieu, Institut national de recherche et de sécurité (Vandoeuvre lès Nancy) ( INRS ( Vandoeuvre lès Nancy) ), Centre de recherche en épidémiologie et santé des populations ( CESP ), Université de Versailles Saint-Quentin-en-Yvelines ( UVSQ ) -Université Paris-Sud - Paris 11 ( UP11 ) -Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Institut d'oncologie/développement Albert Bonniot de Grenoble ( INSERM U823 ), Université Joseph Fourier - Grenoble 1 ( UJF ) -CHU Grenoble-EFS-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-EFS-Institut National de la Santé et de la Recherche Médicale (INSERM), and Nadif, Rachel
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exposure assessment ,MESH: Asthma ,MESH : Aged ,MESH: Self Disclosure ,MESH: Occupational Exposure ,0302 clinical medicine ,Epidemiology ,MESH : Personnel, Hospital ,Medicine ,030212 general & internal medicine ,MESH : Environmental Monitoring ,MESH: Aged ,MESH: Middle Aged ,Age Factors ,[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie ,MESH : Occupational Diseases ,Middle Aged ,MESH : Adult ,030210 environmental & occupational health ,MESH: Case-Control Studies ,3. Good health ,Occupational Diseases ,MESH : Occupational Exposure ,MESH: Young Adult ,Health education ,epidemiology ,MESH : Self Disclosure ,MESH: Environmental Monitoring ,Environmental Monitoring ,Adult ,MESH: Occupational Diseases ,medicine.medical_specialty ,MESH : Case-Control Studies ,Self Disclosure ,Detergents ,MESH : Young Adult ,MESH : Asthma ,MESH: Personnel, Hospital ,Occupational medicine ,03 medical and health sciences ,Young Adult ,McNemar's test ,Environmental health ,Occupational Exposure ,Humans ,MESH : Middle Aged ,Asthma ,Exposure assessment ,Aged ,Estimation ,MESH: Age Factors ,MESH: Humans ,business.industry ,Gold standard ,MESH : Humans ,MESH: Disinfectants ,Public Health, Environmental and Occupational Health ,MESH: Adult ,MESH : Detergents ,medicine.disease ,Personnel, Hospital ,MESH : Disinfectants ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Case-Control Studies ,Healthcare worker ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,MESH : Age Factors ,business ,disinfectant ,Disinfectants ,MESH: Detergents - Abstract
International audience; OBJECTIVES: The aim of the study was to determine whether self-reported occupational exposure to cleaning/disinfecting agents in hospital workers is accurate, in comparison to expert assessment, taken to be the gold standard. METHODS: In the Epidemiological Study of the Genetics and Environment of Asthma (EGEA), participants were interviewed on occupation with a specific questionnaire for hospital workers regarding tasks and cleaning/disinfecting agents. Two estimates of exposure were available: self-report and expert assessment. The expert assessment involved a standardised procedure to estimate intensity, frequency and probability of exposure for each job. The present analysis focused on eight exposures: formaldehyde, glutaraldehyde, bleach/chlorine, alcohol, quaternary ammonium components, ammonia, sprays and latex gloves. Agreement and differences between self-reported and expert estimates were studied by kappa and phi coefficients and McNemar tests, respectively. RESULTS: In the survey of 1571 adults, 176 ever hospital workers (327 occupations) with both self-reported and expert exposure assessments were studied. An underestimation of self-reported exposure was observed especially for formaldehyde (26.5% vs 32.7%, p=0.01), ammonia (7.4% vs 18.8%, p
- Published
- 2011