title: Healthy hire effect, job selection and inhalation exposure among young adults with asthma.
abstract: The aim of the present study was to assess whether asthma onset prior to entering the workforce influences whether a person holds a subsequent job with asthma-related inhalation exposures. The data of 19,784 adults from the European Community Respiratory Health Survey were analysed. For each respondent, a current or previously held job was linked to a job exposure matrix assigning high, low or no exposure to dust, gases or fumes. Jobs were also categorised according to the risk of exposures related to occupational asthma. Associations between asthma and subsequent occupational exposures were assessed using logistic regression models, with a random intercept for study centre and fixed adjustment for age, sex, type of study sample and smoking status. Of the respondents, 8% (n = 1,619) reported asthma with onset before completion of full-time education. This population was at decreased risk of having a job with high (odds ratio 0.79; 95% confidence interval 0.68-0.92) or low (0.91; 0.80-1.03) exposure to dust, gases or fumes. The associations were consistent across exposure types (dusts, gases or fumes) and for jobs with a high risk of occupational asthma. Adults with asthma onset prior to entering the workforce may be less likely to hold jobs involving inhalation exposures.
authors.affiliation: Dept of Medicine and Public Health, Unit of Occupational Medicine, University Hospital of Verona, University of Verona, 37129 Verona, Italy. mario.olivieri@univr.it
authors.forename: M
authors.initials: M
authors.lastname: Olivieri
authors.forename: M C
authors.initials: MC
authors.lastname: Mirabelli
authors.forename: E
authors.initials: E
authors.lastname: Plana
authors.forename: K
authors.initials: K
authors.lastname: Radon
authors.forename: J M
authors.initials: JM
authors.lastname: Antó
authors.forename: P
authors.initials: P
authors.lastname: Bakke
authors.forename: G
authors.initials: G
authors.lastname: Benke
authors.forename: A
authors.initials: A
authors.lastname: D'Errico
authors.forename: P
authors.initials: P
authors.lastname: Henneberger
authors.forename: H
authors.initials: H
authors.lastname: Kromhout
authors.forename: D
authors.initials: D
authors.lastname: Norbäck
authors.forename: K
authors.initials: K
authors.lastname: Torén
authors.forename: M
authors.initials: M
authors.lastname: van Sprundel
authors.forename: S
authors.initials: S
authors.lastname: Villani
authors.forename: G
authors.initials: G
authors.lastname: Wieslander
authors.forename: J-P
authors.initials: JP
authors.lastname: Zock
authors.forename: M
authors.initials: M
authors.lastname: Kogevinas
mesh_terms: D000328:Adult; D001249:Asthma / Q000209:etiology* / Q000235:genetics*; D002321:Career Choice; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D016273:Occupational Exposure; D016272:Occupational Health; D016017:Odds Ratio; D012044:Regression Analysis; D011795:Surveys and Questionnaires