Evidence map›Paper›PMID 39723603›Full record

ArticleAllergy2025

Exposure Profiles for the Long-Term Use of Disinfectants and Cleaning Products and Asthma.

Emilie Pacheco Da Silva, Tobias Weinmann, Jessica Gerlich, Gudrun Weinmayr, Jon Genuneit, Dennis Nowak, Erika von Mutius, Christian Vogelberg, Katja Radon, Felix Forster

Abstract read
In one paragraph

Article in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Cleaning products and classes associated with poor respiratory health.Environmental science and pollution research international · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emilie Pacheco Da SilvaInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-6711-6062
Tobias WeinmannInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-4582-5191
Jessica GerlichInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Gudrun WeinmayrInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.
Jon GenuneitInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.ORCID https://orcid.org/0000-0001-5764-1528
Dennis NowakInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-7871-8686
Erika von MutiusInstitute for Asthma and Allergy Prevention, Helmholtz Center Munich, German Research Center for Environmental Health, Munich, Germany.
Christian VogelbergDepartment of Pediatrics, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Katja RadonInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Felix ForsterInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-3670-9244

Funding

Deutsche ForschungsgemeinschaftEuropean Respiratory SocietyGerman Federal Institute for Occupational Safety and HealthGerman Ministry for Economy and LabourGerman Ministry of Education and Research 01 EE 9411-3German Ministry of Labour and Social AffairsSociété de Pneumologie de Langue Française
6 · The paper itself

Abstract

backgroundUsing disinfectants and cleaning products (DCPs) at home and work is known to influence both the onset and course of asthma, but most epidemiological studies did not consider the multiplicity and correlations of exposures to DCPs. We aimed to identify exposure profiles for the long-term weekly use of DCPs by latent class analysis (LCA) and assess their associations with asthma.

methodsLCA was conducted on data from 1143 young adults initially recruited in the German centers of Phase II of the International Study of Asthma and Allergies in Childhood (ISAAC) and followed up three times. In our LCA model, we included the use of cleaning sprays, disinfectant sprays, and nonspray disinfection methods, measured at ages 19-24 (first assessment) and 29-34 years (second assessment). Associations between identified exposure profiles and current as well as incident asthma/wheeze were evaluated by logistic regression.

resultsWe identified five long-term exposure profiles to DCPs (latent classes): no weekly use of DCPs (55% of participants), use in first assessment (7%), use in second assessment (18%), persistent use (8%), and persistent cleaning sprays use (12%). Compared to "no weekly use," being in the "persistent use" profile was associated with both current asthma (OR = 1.68, 95% CI = [0.48-5.88]) and current wheeze (OR = 1.71, 95% CI = [0.75-3.90]). For incident asthma/wheeze, interval estimates were very wide.

conclusionsOur study identified five distinct long-term exposure profiles to DCPs. Among those, only a persistent weekly use of multiple DCPs over time seemed to have an adverse effect on asthma. However, large confidence intervals indicate considerable uncertainty.

Indexed as

AsthmaDetergentsDisinfectantsEnvironmental ExposureHousehold ProductsAdultAerosolsFemaleGermanyHumansIncidenceLatent Class AnalysisLogistic ModelsLongitudinal StudiesMaleRespiratory SoundsAerosolsDetergentsDisinfectantsasthmadisinfectants and cleaning productsexposure profileslatent class analysissprays

Identifiers

PMID39723603
PMCPMC11969305

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.