ArticleInternational journal of hygiene and environmental health2019
Occupation and task as risk factors for asthma-related outcomes among healthcare workers in New York City.
Article in International journal of hygiene and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Occupational Health Effects of Chlorine Spraying in Healthcare Workers: A Systematic Review and Meta-Analysis of Alternative Disinfectants and Application Methods.International journal of environmental research and public health · 2025Pooled it
- 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
- The Association of Current Asthma With and Without Exacerbation With Products Used and Tasks Performed by Healthcare Workers.American journal of industrial medicine · 2026Article
- Chlorine gas and ultrafine particle emissions from bleach disinfection: exposure risk characterization.Journal of occupational medicine and toxicology (London, England) · 2025Article
- A risk-risk tradeoff approach for incorporating the public's risk perceptions into quantitative microbial risk assessment.Journal of occupational and environmental hygiene · 2025Article
- Prevalence and burden of asthma among US working adults by industry and occupation-United States, 2020-2021.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025Article
- Exposure frequency, intensity, and duration: What we know about work-related asthma risks for healthcare workers from cleaning and disinfection.Journal of occupational and environmental hygiene · 2023Review
- Construction and Validation of an Occupational Risks Scale for Intra-hospital Nursing Staff.Investigacion y educacion en enfermeria · 2023Review
- Characterization of Cleaning and Disinfection Product Use, Glove Use, and Skin Disorders by Healthcare Occupations in a Midwestern Healthcare Facility.Buildings (Basel, Switzerland) · 2022Article
- A Novel Application of Risk-Risk Tradeoffs in Occupational Health: Nurses' Occupational Asthma and Infection Risk Perceptions Related to Cleaning and Disinfection during COVID-19.International journal of environmental research and public health · 2022Article
- Patterns of Systemic Disease Diagnoses among Medical Professionals in Taiwan: Statistical Analysis and Data Mining.International journal of environmental research and public health · 2022Article
- Do hospital workers experience a higher risk of respiratory symptoms and loss of lung function?BMC pulmonary medicine · 2022Article
- 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
- Occupational Exposures to Organic Solvents and Asthma Symptoms in the CONSTANCES Cohort.International journal of environmental research and public health · 2021Article
- Work-Related Asthma Among Certified Nurse Aides in Texas.Workplace health & safety · 2020Article
- Workplace indoor environmental quality and asthma-related outcomes in healthcare workers.American journal of industrial medicine · 2020Article
- Occupational exposure to disinfectants and asthma incidence in U.S. nurses: A prospective cohort study.American journal of industrial medicine · 2020Article
- Peaks, Means, and Determinants of Real-Time TVOC Exposures Associated with Cleaning and Disinfecting Tasks in Healthcare Settings.Annals of work exposures and health · 2019Article
- Clustering asthma symptoms and cleaning and disinfecting activities and evaluating their associations among healthcare workers.International journal of hygiene and environmental health · 2019Article
- Methodological evaluation of human research on asthmagenicity and occupational cleaning: a case study of quaternary ammonium compounds ("quats").Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2019Review
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPrevious studies have suggested an association of asthma onset and exacerbation with cleaning and disinfecting activities in a number of industries, including healthcare. The objective of the current study was to investigate the association of asthma and related outcomes with occupations and tasks in urban healthcare workers in the United States.
methodsA questionnaire was implemented in a sample of workers from nine healthcare occupations in New York City. We used regression models to examine the association of post-hire asthma, current asthma, exacerbation of asthma, a symptom algorithm for bronchial hyper-responsiveness (BHR-related symptoms), a symptom-based asthma score, and the symptom wheeze with occupation and four healthcare tasks, while adjusting for other risk factors and potential confounders.
resultsA total of 2030 participants completed the questionnaire. The task of cleaning fixed surfaces was significantly associated with most outcome variables, including current asthma (odds ratio (OR) = 1.84, 95% confidence interval (CI) 1.26-2.68), moderate exacerbation (OR = 3.10, 95% CI 1.25-7.67), and BHR-related symptoms (OR = 1.38, 95% CI 1.08-1.77). In comparison to nursing assistants, the occupations environmental service workers and registered nurses were at higher risk for current asthma, and licensed practical nurses were at higher risk for moderate exacerbation. Other tasks associated with outcomes were administering aerosolized medications with current asthma and moderate exacerbation, and sterilizing medical equipment with BHR-related symptoms.
conclusionsThese findings add to the growing body of evidence for the association of asthma with cleaning and other activities in healthcare. Further research is especially needed to investigate the association of asthma-related outcomes with exposure metrics based on tasks, products, and chemical exposures in healthcare.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.