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Job titles classified into socioeconomic and occupational groups identify subjects with increased risk for respiratory symptoms independent of occupational exposure to vapour, gas, dust, or fumes
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (The OLIN unit, Umeå University, Umeå, Sweden)ORCID iD: 0000-0003-1904-7514
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (The OLIN unit, Umeå University, Umeå, Sweden)ORCID iD: 0000-0001-7222-6402
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Department of Health Sciences, Division of Nursing, Luleå University of Technology, Luleå, Sweden. (The OLIN unit, Umeå University, Umeå, Sweden)ORCID iD: 0000-0002-1630-3167
Department of Respiratory Medicine and Allergology, Institution for Clinical Sciences, Lund University, Lund, Sweden.
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2018 (English)In: European Clinical Respiratory Journal, ISSN 2001-8525, Vol. 5, no 1, article id 1468715Article in journal (Refereed) Published
Abstract [en]

Objectives: To evaluate the ability of three different job title classification systems to identify subjects at risk for respiratory symptoms and asthma by also taking the effect of exposure to vapours, gas, dust, and fumes (VGDF) into account.

Background: Respiratory symptoms and asthma may be caused by occupational factors. There are different ways to classify occupational exposure. In this study, self-reported occupational exposure to vapours, gas, dust and fumes was used as well as job titles classifed into occupational and socioeconomic Groups according to three different systems.

Design: This was a large population-based study of adults aged 30–69 years in Northern Sweden (n = 9,992, 50% women). Information on job titles, VGDF-exposure, smoking habits, asthma and respiratory symptoms was collected by a postal survey. Job titles were used for classification into socioeconomic and occupational groups based on three classification systems; Socioeconomic classification (SEI), the Nordic Occupations Classification 1983 (NYK), and the Swedish Standard Classification of Occupations 2012 (SSYK). Associations were analysed by multivariable logistic regression.

Results: Occupational exposure to VGDF was a risk factor for all respiratory symptoms and asthma (odds ratios (ORs) 1.3–2.4). Productive cough was associated with the socioeconomic groups of manual workers (ORs 1.5–2.1) and non-manual employees (ORs 1.6–1.9). These groups include occupations such as construction and transportation workers, service workers, nurses, teachers and administration clerks which by the SSYK classification were associated with productive cough (ORs 2.4–3.7). Recurrent wheeze was significantly associated with the SEI group manual workers (ORs 1.5–1.7). After adjustment for also VGDF, productive cough remained significantly associated with the SEI groups manual workers in service and non-manual employees, and the SSYK-occupational groups administration, service, and elementary occupations.

Conclusions: In this cross-sectional study, two of the three different classification systems, SSYK and SEI gave similar results and identified groups with increased risk for respiratory symptoms while NYK did not give conclusive results. Furthermore, several associations were independent of exposure to VGDF indicating that also other job-related factors than VGDF are of importance.

Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 5, no 1, article id 1468715
Keywords [en]
asthma, occupational exposure, socioeconomic status
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:umu:diva-147961DOI: 10.1080/20018525.2018.1468715ISI: 000432538500001PubMedID: 29785256OAI: oai:DiVA.org:umu-147961DiVA, id: diva2:1209471
Available from: 2018-05-23 Created: 2018-05-23 Last updated: 2018-06-13Bibliographically approved

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Schyllert, ChristianAndersson, MartinHedman, LinneaBackman, HelenaLindberg, AnneRönmark, Eva

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