Table 4.
Prevalence ratios for occupational exposure from regression models of severe exacerbation of asthma
Occupational exposure assessed by the N-JEM | PR (95%CI) |
---|---|
Unexposed: reference category* | 1.00 |
HMW agents | 1.09 (0.74–1.60) |
Mite and insect antigens, enzymes, molds, bioaerosols | 1.27 (0.40–4.07) |
Flour and plant antigens, mixed agricultural agents (not animals) | 0.65 (0.1 1–3.82) |
Latex | 1.21 (0.81–1.82) |
Pharmaceutical products | 1.01 (0.48–2.13) |
LMW agents | 1.91 (1.19–3.09)† |
Highly reactive agents, acrylates | 1.14 (0.29–4.45) |
Highly reactive agents, epoxy | 2.50 (1.02–6.14)‡ |
Other highly reactive agents, e.g., amines, aldehydes, acids, anhydrides, chromates, curing agents, reactive gases, and dyes | 1.93 (1.09–3.43)‡ |
Highly reactive chemicals, isocyanates | 3.11 (1.56–6.20)† |
IRR agents | 1.61 (1.22–2.12)† |
Cleaning agents | 0.79 (0.24–2.69) |
Organic dust, wood or paper | 1.26 (0.42–3.79) |
Inorganic dusts and fumes, mining and building construction workers, and others exposed to inorganic dusts | 3.61 (2.18–5.97)† |
Metalworking fluids | 2.84 (1.38–5.84)† |
Combustion particles/fumes: vehicle/motor exhaust | 1.52 (0.96–2.39)§ |
High probability of exposure to ETS | 1.88 (1.36–2.59)† |
Accidental peak exposures to irritants | 3.26 (1.46–7.29)† |
Uncertain or low exposure | 1.06 (0.60–1.89) |
A separate regression model was fitted for each occupational exposure. The common reference category for occupational exposures comprised those who had jobs with no exposure to asthma-related agents. Each model also included three potential confounders: sex, the oldest of three age categories (39-44 years), and asthma severity (persistent vs. intermittent).
P < 0.01.
P ≤ 0.05.
0.05 < P < 0.10.
N-JEM = asthma-specific job-exposure matrix; PR = prevalence ratio; CI = confidence interval; HMW = high molecular weight; LMW = low molecular weight; IRR = irritant; ETS = environmental tobacco smoke.