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. 2003 Nov;58(11):950–954. doi: 10.1136/thorax.58.11.950

Asthma symptoms in women employed in domestic cleaning: a community based study

M Medina-Ramon 1, J Zock 1, M Kogevinas 1, J Sunyer 1, J Anto 1
PMCID: PMC1746523  PMID: 14586047

Abstract

Methods: A cross sectional study was conducted in 4521 women aged 30 to 65 years. Information on respiratory symptoms and cleaning work history was obtained using a postal questionnaire with telephone follow up. Asthma was defined as reported symptoms in the last year or current use of drugs to treat asthma. Odds ratios (OR) with 95% confidence intervals (CI) for asthma in different cleaning groups were estimated using adjusted unconditional logistic regression models.

Results: 593 women (13%) were currently employed in domestic cleaning work. Asthma was more prevalent in this group than in women who had never worked in cleaning (OR 1.46 (95% CI, 1.10 to 1.92)). Former domestic cleaning work was reported by 1170 women (26%), and was strongly associated with asthma (OR 2.09 (1.70 to 2.57)). Current and former non-domestic cleaning work was not significantly associated with asthma. Consistent results were obtained for other respiratory symptoms. Twenty five per cent of the asthma cases in the study population were attributable to domestic cleaning work.

Conclusions: Employment in domestic cleaning may induce or aggravate asthma. This study suggests that domestic cleaning work has an important public health impact, probably involving not only professional cleaners but also people undertaking cleaning tasks at home.

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Selected References

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  1. Bernstein J. A., Stauder T., Bernstein D. I., Bernstein I. L. A combined respiratory and cutaneous hypersensitivity syndrome induced by work exposure to quaternary amines. J Allergy Clin Immunol. 1994 Aug;94(2 Pt 1):257–259. doi: 10.1016/0091-6749(94)90048-5. [DOI] [PubMed] [Google Scholar]
  2. Blanc P. D., Toren K. How much adult asthma can be attributed to occupational factors? Am J Med. 1999 Dec;107(6):580–587. doi: 10.1016/s0002-9343(99)00307-1. [DOI] [PubMed] [Google Scholar]
  3. Burge P. S., Richardson M. N. Occupational asthma due to indirect exposure to lauryl dimethyl benzyl ammonium chloride used in a floor cleaner. Thorax. 1994 Aug;49(8):842–843. doi: 10.1136/thx.49.8.842. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Burney P. G., Luczynska C., Chinn S., Jarvis D. The European Community Respiratory Health Survey. Eur Respir J. 1994 May;7(5):954–960. doi: 10.1183/09031936.94.07050954. [DOI] [PubMed] [Google Scholar]
  5. Fishwick D., Bradshaw L. M., D'Souza W., Town I., Armstrong R., Pearce N., Crane J. Chronic bronchitis, shortness of breath, and airway obstruction by occupation in New Zealand. Am J Respir Crit Care Med. 1997 Nov;156(5):1440–1446. doi: 10.1164/ajrccm.156.5.97-03007. [DOI] [PubMed] [Google Scholar]
  6. Forastiere F., Balmes J., Scarinci M., Tager I. B. Occupation, asthma, and chronic respiratory symptoms in a community sample of older women. Am J Respir Crit Care Med. 1998 Jun;157(6 Pt 1):1864–1870. doi: 10.1164/ajrccm.157.6.9712081. [DOI] [PubMed] [Google Scholar]
  7. Galobardes B., Sunyer J., Antó J. M., Castellsagué J., Soriano J. B., Tobias A. Effect of the method of administration, mail or telephone, on the validity and reliability of a respiratory health questionnaire. The Spanish Centers of the European Asthma Study. J Clin Epidemiol. 1998 Oct;51(10):875–881. doi: 10.1016/s0895-4356(98)00063-8. [DOI] [PubMed] [Google Scholar]
  8. Jajosky R. A., Harrison R., Reinisch F., Flattery J., Chan J., Tumpowsky C., Davis L., Reilly M. J., Rosenman K. D., Kalinowski D. Surveillance of work-related asthma in selected U.S. states using surveillance guidelines for state health departments--California, Massachusetts, Michigan, and New Jersey, 1993-1995. MMWR CDC Surveill Summ. 1999 Jun 25;48(3):1–20. [PubMed] [Google Scholar]
  9. Karjalainen A., Kurppa K., Martikainen R., Klaukka T., Karjalainen J. Work is related to a substantial portion of adult-onset asthma incidence in the Finnish population. Am J Respir Crit Care Med. 2001 Aug 15;164(4):565–568. doi: 10.1164/ajrccm.164.4.2012146. [DOI] [PubMed] [Google Scholar]
  10. Karjalainen A., Martikainen R., Karjalainen J., Klaukka T., Kurppa K. Excess incidence of asthma among Finnish cleaners employed in different industries. Eur Respir J. 2002 Jan;19(1):90–95. doi: 10.1183/09031936.02.00201002. [DOI] [PubMed] [Google Scholar]
  11. Kogevinas M., Antó J. M., Sunyer J., Tobias A., Kromhout H., Burney P. Occupational asthma in Europe and other industrialised areas: a population-based study. European Community Respiratory Health Survey Study Group. Lancet. 1999 May 22;353(9166):1750–1754. doi: 10.1016/s0140-6736(98)07397-8. [DOI] [PubMed] [Google Scholar]
  12. Meredith S. Reported incidence of occupational asthma in the United Kingdom, 1989-90. J Epidemiol Community Health. 1993 Dec;47(6):459–463. doi: 10.1136/jech.47.6.459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Quirce S., Gala G., Pérez-Camo I., Sánchez-Fernández C., Pacheco A., Losada E. Irritant-induced asthma: clinical and functional aspects. J Asthma. 2000 May;37(3):267–274. doi: 10.3109/02770900009055449. [DOI] [PubMed] [Google Scholar]
  14. Reilly M. J., Rosenman K. D. Use of hospital discharge data for surveillance of chemical-related respiratory disease. Arch Environ Health. 1995 Jan-Feb;50(1):26–30. doi: 10.1080/00039896.1995.9955009. [DOI] [PubMed] [Google Scholar]
  15. Reinisch F., Harrison R. J., Cussler S., Athanasoulis M., Balmes J., Blanc P., Cone J. Physician reports of work-related asthma in California, 1993-1996. Am J Ind Med. 2001 Jan;39(1):72–83. doi: 10.1002/1097-0274(200101)39:1<72::aid-ajim7>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  16. Symanski E., Kupper L. L., Rappaport S. M. Comprehensive evaluation of long-term trends in occupational exposure: Part 1. Description of the database. Occup Environ Med. 1998 May;55(5):300–309. doi: 10.1136/oem.55.5.300. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Venables K. M., Chan-Yeung M. Occupational asthma. Lancet. 1997 May 17;349(9063):1465–1469. doi: 10.1016/S0140-6736(96)07219-4. [DOI] [PubMed] [Google Scholar]
  18. Wolkoff P., Schneider T., Kildesø J., Degerth R., Jaroszewski M., Schunk H. Risk in cleaning: chemical and physical exposure. Sci Total Environ. 1998 Apr 23;215(1-2):135–156. doi: 10.1016/s0048-9697(98)00110-7. [DOI] [PubMed] [Google Scholar]
  19. Zock J. P., Kogevinas M., Sunyer J., Almar E., Muniozguren N., Payo F., Sánchez J. L., Antó J. M., Spanish working group of the European Community Respiratory Health Survey Asthma risk, cleaning activities and use of specific cleaning products among Spanish indoor cleaners. Scand J Work Environ Health. 2001 Feb;27(1):76–81. doi: 10.5271/sjweh.590. [DOI] [PubMed] [Google Scholar]
  20. Zock J. P., Kogevinas M., Sunyer J., Jarvis D., Torén K., Antó J. M., European Community Respiratory Health Survey Asthma characteristics in cleaning workers, workers in other risk jobs and office workers. Eur Respir J. 2002 Sep;20(3):679–685. doi: 10.1183/09031936.02.00279702. [DOI] [PubMed] [Google Scholar]

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