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Respiratory Symptoms and Respiratory-Related Absence from Work among Health Care Workers in Sweden

Artikel i vetenskaplig tidskrift
Författare Jeong-Lim Kim
Kjell Torén
Susanna Lohman
Linda Ekerljung
Jan Lötvall
Bo Lundbäck
Eva Andersson
Publicerad i Journal of Asthma
Volym 50
Nummer/häfte 2
Sidor 174-179
ISSN 0277-0903
Publiceringsår 2013
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Krefting Research Centre
Sidor 174-179
Språk en
Länkar dx.doi.org/10.3109/02770903.2012.76...
Ämnesord asthmatic symptom, cleaning task, nurse, respiratory work disability, sick-listing, sickness absence, work exposure
Ämneskategorier Invärtesmedicin

Sammanfattning

Objective. To investigate respiratory symptoms and respiratory-related absence from work among Swedish health care workers (HCWs). Methods. From a postal questionnaire study among a general Swedish working population ( n ¼ 12,186), we identified 2156 HCW (555 assistant nurses, 377 nurses, 109 physicians, and 1115 others), including 429 with mainly cleaning tasks (HCW-cleaning). The remaining respondents were classified as non-HCW. Multiple logistic regressions with 95% confidence intervals (CIs) were used to compare respiratory symptoms and respiratory-related absence from work between HCW and non-HCW, adjusting for potential confounders. Results. The prevalence of adult onset asthma was 4.3% in HCW and 3.0% in non-HCW ( p ¼ .003). Asthmatic symptoms during the past year were reported mainly by HCW-cleaning, 14.7%, in comparison to 8.3% among non-HCW ( p < .0001). HCW had an increased odds ratio (OR) for asthmatic symptoms during the past year (OR 1.3, 95% CI (1.1 – 1.5)) and more prominent among assistant nurses (OR 1.5, 95% CI (1.1 – 2.0)) and HCW-cleaning (OR 1.9, 95% CI (1.4 – 2.5)). Respiratory-related absence from work in the past year was reported by 1.4% of non-HCW, 3.0% of HCW-cleaning, 2.9% of nurses, and 1.6% of assistant nurses. Taking smoking and age into account, there was still significantly increased respiratory-related absence from work in nurses (OR 2.0, 95% CI (1.1 – 3.8)) and in HCW-cleaning (OR 2.1, 95% CI (1.2 – 3.7)). Conclusions . HCW in Sweden, especially those with cleaning tasks, reported more respiratory symptoms and respiratory-related absence from work than the general working population. There is a need for longitudinal studies with detailed information on both occupational exposures and socioeconomic factors to explore what influences respiratory-related absence from work among HCW.

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