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Predictors of respiratory sickness absence: An international population‐based study
Author(s) -
Kim JeongLim,
Blanc Paul D.,
Villani Simona,
Olivieri Mario,
Urrutia Isabel,
van Sprundel Marc,
Storaas Torgeir,
Le Moual Nicole,
Zock JanPaul,
Torén Kjell
Publication year - 2013
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.22178
Subject(s) - wheeze , medicine , odds ratio , asthma , respiratory system , confidence interval , logistic regression , population , respiratory tract , respiratory disease , odds , pediatrics , physical therapy , environmental health , lung
Background Respiratory tract‐related occupational disability is common among adults of working age. We examined occupational vapors, gas, dust, or fume (VGDF) exposure as a predictor of disability, based on respiratory sickness absence among the actively employed, at an early point at which prevention may be most relevant. Methods Currently employed European Community Respiratory Health Survey II participants (n = 6,988) were classified into three mutually exclusive, condition/symptom‐based categories: physician‐diagnosed asthma, self‐reported rhinitis, and wheeze/breathlessness (n = 4,772). Logistic regression analysis estimated the odds of respiratory sickness absence (past 12 months) by VGDF exposure. Results In the condition/symptom groups, 327 (6.9%) reported respiratory sickness absence. Exposure to VGDF was associated with increased odds of respiratory sickness absence: asthma odds ratio [OR] 2.0 (95% confidence interval [CI] 1.1–3.6), wheeze/breathlessness OR 2.2 (95% CI 1.01–4.8); rhinitis OR 1.9 (95% CI 1.02–3.4). Conclusion One in 15 currently employed with asthma, breathlessness, or rhinitis reported respiratory sickness absence. VGDF exposure doubled the odds of respiratory sickness absence, suggesting a focus for disability prevention. Am. J. Ind. Med. 56:541–549, 2013. © 2013 Wiley Periodicals, Inc.