ArticleOccupational and environmental medicine2015
Asthma history, job type and job changes among US nurses.
Article in Occupational and environmental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Are Healthcare Workers at an Increased Risk for Obstructive Respiratory Diseases Due to Cleaning and Disinfection Agents? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Occupational Exposure Patterns to Disinfectants and Cleaning Products and Its Association With Asthma Among French Healthcare Workers.American journal of industrial medicine · 2025Article
- Application of a Non-targeted Biomonitoring Method to Characterize Occupational Chemical Exposures of Women Nurses Relative to Office Workers.Environmental science & technology · 2025Article
- Occupational Exposure to Disinfectants and Risk of Incident Cardiovascular Disease among US Nurses: The Nurses' Health Study II.Environmental health perspectives · 2025Article
- Impact of asthma on working life: an analysis of the French CONSTANCES cohort.Occupational and environmental medicine · 2023Article
- Association of Childhood Respiratory Status with Adult Occupational Exposures in a Birth Cohort.Annals of the American Thoracic Society · 2023Article
- The relationship between cleaning product exposure and respiratory and skin symptoms among healthcare workers in a hospital setting: A systematic review and meta-analysis.Health science reports · 2022Article
- Association of Occupational Exposure to Inhaled Agents in Operating Rooms With Incidence of Chronic Obstructive Pulmonary Disease Among US Female Nurses.JAMA network open · 2021Article
- Occupation and subcategories of asthma: a population-based incident case-control study.Occupational and environmental medicine · 2021Article
- Occupational use of high-level disinfectants and asthma incidence in early- to mid-career female nurses: a prospective cohort study.Occupational and environmental medicine · 2021Article
- Clinical Importance of Work-Exacerbated Asthma: Findings From a Prospective Asthma Cohort in a Highly Industrialized City in Korea.Allergy, asthma & immunology research · 2021Article
- Occupational exposure to disinfectants and asthma incidence in U.S. nurses: A prospective cohort study.American journal of industrial medicine · 2020Article
- Association of Occupational Exposure to Disinfectants With Incidence of Chronic Obstructive Pulmonary Disease Among US Female Nurses.JAMA network open · 2019Article
- Opportunities and obstacles in translating evidence to policy in occupational asthma.Annals of epidemiology · 2018Article
- Employment status and changes in working career in relation to asthma: a cross-sectional survey.Journal of occupational medicine and toxicology (London, England) · 2018Article
- Occupational exposure to disinfectants and asthma control in US nurses.The European respiratory journal · 2017Article
- Article
- Development of a job-task-exposure matrix to assess occupational exposure to disinfectants among US nurses.Occupational and environmental medicine · 2017Article
- CONSTANCES: a general prospective population-based cohort for occupational and environmental epidemiology: cohort profile.Occupational and environmental medicine · 2017Article
- Determinants of disinfectant use among nurses in U.S. healthcare facilities.American journal of industrial medicine · 2017Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
Abstract
objectivesNurses are at increased risk of occupational asthma, an observation that may be related to disinfectants exposure. Whether asthma history influences job type or job changes among nurses is unknown. We investigated this issue in a large cohort of nurses.
methodsThe Nurses' Health Study II is a prospective study of US female nurses enrolled in 1989 (ages 24-44 years). Job status and asthma were assessed in biennial (1989-2011) and asthma-specific questionnaires (1998, 2003). Associations between asthma history at baseline (diagnosis before 1989, n=5311) and job type at baseline were evaluated by multinomial logistic regression. The relations of asthma history and severity during follow-up to subsequent job changes were evaluated by Cox models.
resultsThe analytic cohort included 98 048 nurses. Compared with nurses in education/administration (likely low disinfectant exposure jobs), women with asthma history at baseline were less often employed in jobs with likely high disinfectant exposure, such as operating rooms (odds ratio 0.73 (95% CI 0.63 to 0.86)) and emergency room/inpatient units (0.89 (0.82 to 0.97)). During a 22-year follow-up, nurses with a baseline history of asthma were more likely to move to jobs with lower exposure to disinfectants (HR 1.13 (1.07 to 1.18)), especially among those with more severe asthma (HR for mild persistent: 1.13; moderate persistent 1.26; severe persistent: 1.50, compared with intermittent asthma, p trend: 0.004).
conclusionsAsthma history was associated with baseline job type and subsequent job changes among nurses. This may partly reflect avoidance of tasks involving disinfectant use, and may introduce bias in cross-sectional studies on disinfectant exposure and asthma in nurses.
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