Early incidence of occupational asthma is not accelerated by atopy in the bakery/pastry and hairdressing sectors
Autor: | Dovi-Stéphanie Acouetey, B. Hannhart, A. Barbaud, Christophe Paris, Mathias Poussel, Thomas Remen, Bruno Chenuel, Denis Zmirou-Navier |
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Přispěvatelé: | Nutrition-Génétique et Exposition aux Risques Environnementaux (NGERE), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Développement, Adaptation et Handicap. Régulations cardio-respiratoires et de la motricité (DevAH), Université de Lorraine (UL), Faculté de Médecine [Nancy] |
Rok vydání: | 2013 |
Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors diagnosis atopy Barbering Atopy Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Occupational Exposure Internal medicine Epidemiology Hypersensitivity medicine Humans Food-Processing Industry 030212 general & internal medicine Asthma Occupational Risk factor Retrospective Studies business.industry Incidence (epidemiology) Mean age Allergens medicine.disease 030210 environmental & occupational health 3. Good health Sample group Infectious Diseases Workforce incidence Female epidemiology [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ALLERGEN EXPOSURE occupational asthma business Occupational asthma Follow-Up Studies |
Zdroj: | International Journal of Tuberculosis and Lung Disease International Journal of Tuberculosis and Lung Disease, International Union Against Tuberculosis and Lung Disease, 2013, 17 (7), pp.973-81. ⟨10.5588/ijtld.12.0864⟩ |
ISSN: | 1027-3719 1815-7920 |
DOI: | 10.5588/ijtld.12.0864 |
Popis: | International audience; SETTING: Occupational asthma (OA) is most likely to develop in the very early years of exposure. OBJECTIVE: To describe the early incidence of OA among bakers/pastry-makers (BP) and hairdressers and to explore the role of atopy. DESIGN: Following a retrospective follow-up design, subjects were invited to undergo telephone interviews. Those who declared work-related respiratory or rhinitis symptoms and a sample group of others were offered a medical visit for OA investigations. Data from interviews and from medical visits were used to estimate the incidence of OA according to increasing durations of exposure. RESULTS: A total of 866 subjects were interviewed (mean age 25.3 years, 43.8% females), of whom 282 underwent a medical visit. Total estimated incidence rates of 'confirmed or probable' OA during the first 12 years of exposure were high in BP (2.63 per 100 person-years [py]) and in hairdressers (0.58/100 py), particularly in the first 4 years. Atopy is a strong risk factor for incidence among BP but, irrespective of the occupational sector, it does not influence the timing of OA symptoms. CONCLUSION: OA symptoms occur soon after the start of exposure. Our results suggest that atopy does not precipitate the occurrence of symptoms in two different allergen exposure settings. |
Databáze: | OpenAIRE |
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