Asthma bronchiale – ein Karrierekiller?

M. Velasco Garrido, Alexandra M. Preisser
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Abstract

Objectives: Asthma has significant occupational consequences. The objective of our study was to investigate the links between asthma and the career path, taking into account gender and age at asthma onset. Methods: Using cross-sectional data collected at inclusion in the French CONSTANCES cohort in 2013-2014, we studied the links between each career path indicator (number of job periods, total duration of employment, numbers of part-time jobs and work interruptions due to unemployment or health issues, employment status at inclusion) on the one hand, and current asthma and asthma symptom score in the last 12 months on the other hand, as reported by the participants. Multivariate analyses were performed separately for men and women using logistic and negative binomial regression models adjusted for age, smoking status, body mass index and educational level. Results: When the asthma symptom score was used, significant associations were observed with all of the career path indicators studied: a high symptom score was associated with a shorter total duration of employment as well as a greater number of job periods, part-time jobs and work interruptions due to unemployment or health issues. These associations were of similar magnitude in men and women. When current asthma was used, the associations were more pronounced in women for some career path indicators.
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气喘病?
目的:哮喘具有显著的职业后果。我们研究的目的是在考虑性别和哮喘发病年龄的情况下,调查哮喘和职业道路之间的联系。方法:利用2013-2014年法国constes队列纳入时收集的横断面数据,我们研究了每个职业路径指标(工作周期数、总就业时间、兼职工作数量、因失业或健康问题而中断工作的数量、纳入时的就业状况)与参与者报告的最近12个月哮喘和哮喘症状评分之间的联系。对男性和女性分别进行多变量分析,采用logistic和负二项回归模型,调整年龄、吸烟状况、体重指数和教育水平。结果:当使用哮喘症状评分时,所有研究的职业道路指标都观察到显著的关联:高症状评分与较短的总就业时间、更多的工作时间、兼职工作和因失业或健康问题而中断工作有关。这些关联在男性和女性中具有相似的程度。当使用当前哮喘时,在某些职业道路指标中,女性的关联更为明显。
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