Long-term occupational consequences of asthma in a large French cohort of male workers followed up for 5 years

Autor: Christophe Paris, Annie Touranchet, Isabelle Thaon, Lory Mouchot, Gérard Kreutz, Christine Monfort, F. Derriennic, Pascal Wild
Přispěvatelé: Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Evaluations et prévention des risques professionnels et environnementaux, Cancéropôle du Grand Est-Université Henri Poincaré - Nancy 1 ( UHP ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ), Direction régionale du travail de l'emploi et de la formation professionnelle, DRTEFP, Inspection médicale du travail des Pays de la Loire, Recherches épidémiologiques et statistiques sur l'environnement et la santé., Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ), Service de santé au travail et pathologie professionnelle [Rouen], CHU Rouen-Université de Rouen Normandie ( UNIROUEN ), Normandie Université ( NU ) -Normandie Université ( NU ), Faculté de Médecine [Nancy], Université de Lorraine ( UL ), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre National de la Recherche Scientifique (CNRS), Cancéropôle du Grand Est-Université Henri Poincaré - Nancy 1 (UHP)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), Université de Lorraine (UL)
Rok vydání: 2008
Předmět:
Male
Pediatrics
Time Factors
MESH: Asthma
Health Status
MESH: Occupational Health
MESH: Pain Measurement
0302 clinical medicine
MESH: Health Surveys
MESH: Risk Factors
Risk Factors
Surveys and Questionnaires
MESH : Pain Measurement
030212 general & internal medicine
Longitudinal Studies
Longitudinal cohort
10. No inequality
MESH: Longitudinal Studies
MESH: Health Status
media_common
Pain Measurement
MESH : Longitudinal Studies
Working life
MESH: Middle Aged
MESH : Questionnaires
[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie
MESH : Occupational Diseases
MESH : Adult
Middle Aged
MESH : Risk Factors
MESH : Occupational Health
Male workers
Occupational Diseases
8. Economic growth
Cohort
Sick leave
France
MESH: Occupational Medicine
MESH : Time Factors
MESH: Occupational Diseases
Adult
medicine.medical_specialty
Occupational Medicine
media_common.quotation_subject
MESH : Male
MESH : Health Surveys
Social class
MESH : Asthma
MESH: Social Class
03 medical and health sciences
MESH : Social Class
medicine
Humans
MESH : Middle Aged
MESH : Health Status
MESH : France
Occupational Health
Asthma
MESH: Humans
business.industry
MESH: Questionnaires
MESH: Time Factors
MESH : Humans
Public Health
Environmental and Occupational Health
MESH: Adult
medicine.disease
Health Surveys
MESH: Male
MESH: France
030228 respiratory system
Social Class
Unemployment
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
MESH : Occupational Medicine
business
Demography
Zdroj: American Journal of Industrial Medicine
American Journal of Industrial Medicine, Wiley, 2008, 51 (5), pp.317-23. 〈10.1002/ajim.20570〉
American Journal of Industrial Medicine, Wiley, 2008, 51 (5), pp.317-23. ⟨10.1002/ajim.20570⟩
ISSN: 1097-0274
0271-3586
DOI: 10.1002/ajim.20570〉
Popis: International audience; OBJECTIVES: The aim of this study was to describe the long-term occupational consequences of asthma in males of the ESTEV study, a French longitudinal cohort of working subjects aged 37-52 at inclusion. METHODS: Medical data, self-perceived health status, sick leave, occupational social class and employment characteristics were recorded twice by occupational physicians in 1990 (12,233 subjects) and 1995 (10,608 subjects). Asthma was characterized as to its onset (childhood, i.e., before age 20 vs. adult) and to its past versus current status by the physician. RESULTS: Of the 398 asthmatics, the onset was before age 20 for 226 and the asthma status was classified as current for 159 subjects. Unemployment was not higher before baseline or during follow-up, in asthmatics as compared to non-asthmatics, despite a significantly higher prevalence of sick leave in the previous year among current asthmatics (38.4% vs. 27.0%, P = 0.005). Being a blue collar worker in 1990 is negatively related to childhood asthma but not to the current asthma status. In 1995, current adult-onset asthmatics had stopped working due to disability more frequently than never-asthmatics. CONCLUSION: Our findings suggest that the major consequence of asthma on employment status is a selective exclusion, observed in childhood asthmatics at the beginning of their working life and in current adult-onset asthmatics at the end of their working life. Past unemployment was shown not to be higher in working asthmatics.
Databáze: OpenAIRE
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