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Do young adults with childhood asthma avoid occupational exposures at first hire?: Asthma related healthy worker hire effect
- Source :
- European Respiratory Journal, European Respiratory Journal, European Respiratory Society, 2011, 37 (5), pp.1043-9. ⟨10.1183/09031936.00057610⟩
- Publication Year :
- 2011
- Publisher :
- HAL CCSD, 2011.
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Abstract
- International audience; Information on the healthy worker hire effect in relation to asthma is scant. We aimed to assess whether and how childhood asthma-related characteristics (before hire) relate to occupational exposures at first hire. Analyses were conducted in 298 children examined at the first survey of the Epidemiological Study on the Genetics and Environment of Asthma (1991-1995), who reported a training period or a job at follow-up in 2003-2007 (aged 17-29 yrs; 53% males). Exposure likelihood to dust, gases and/or fumes in their first occupation was estimated by the ALOHA job exposure matrix. Asthma before the first occupation and two asthma classifications for severity (Global Initiative for Asthma 2002 guidelines) and symptoms were defined by questionnaire. In their first job, 47% of subjects were exposed. After adjustment (age, sex and education), pre-hire onset asthmatics (59%) were nonsignificantly less likely to be exposed (OR 0.67, 95% CI 0.41-1.11). Associations were stronger when considering those with severe asthma or high symptom score in childhood (OR 0.27 (95% CI 0.11-0.63) and OR 0.49 (95% CI 0.25-0.99), respectively). The association was observed in those who completed a university degree (OR 0.55, 95% CI 0.29-1.04) but not in the others (OR 0.98, 95% CI 0.44-2.22), with consistent results for all asthma characteristics. Results suggest a healthy worker hire effect in subjects with more severe or more symptomatic asthma in childhood. Education may modulate self-selection.
- Subjects :
- MESH: Adolescent
MESH: Gases
MESH: Healthy Worker Effect
MESH: Humans
MESH: Asthma
longitudinal study
MESH: Adult
occupational exposure
Asthma
MESH: Male
MESH: Occupational Exposure
respiratory tract diseases
MESH: France
MESH: Selection Bias
MESH: Particulate Matter
MESH: Young Adult
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
selection bias
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
healthy worker hire effect
MESH: Educational Status
MESH: Longitudinal Studies
MESH: Female
Subjects
Details
- Language :
- English
- ISSN :
- 09031936 and 13993003
- Database :
- OpenAIRE
- Journal :
- European Respiratory Journal, European Respiratory Journal, European Respiratory Society, 2011, 37 (5), pp.1043-9. ⟨10.1183/09031936.00057610⟩
- Accession number :
- edsair.od......1398..f651ec52e55aa7bd62d505d60993338e