Predictors of respiratory sickness absence: an international population-based study

Am J Ind Med. 2013 May;56(5):541-9. doi: 10.1002/ajim.22178. Epub 2013 Feb 28.

Abstract

Background: Respiratory tract-related occupational disability is common among adults of working age. We examined occupational vapors, gas, dust, or fume (VGDF) exposure as a predictor of disability, based on respiratory sickness absence among the actively employed, at an early point at which prevention may be most relevant.

Methods: Currently employed European Community Respiratory Health Survey II participants (n = 6,988) were classified into three mutually exclusive, condition/symptom-based categories: physician-diagnosed asthma, self-reported rhinitis, and wheeze/breathlessness (n = 4,772). Logistic regression analysis estimated the odds of respiratory sickness absence (past 12 months) by VGDF exposure.

Results: In the condition/symptom groups, 327 (6.9%) reported respiratory sickness absence. Exposure to VGDF was associated with increased odds of respiratory sickness absence: asthma odds ratio [OR] 2.0 (95% confidence interval [CI] 1.1-3.6), wheeze/breathlessness OR 2.2 (95% CI 1.01-4.8); rhinitis OR 1.9 (95% CI 1.02-3.4).

Conclusion: One in 15 currently employed with asthma, breathlessness, or rhinitis reported respiratory sickness absence. VGDF exposure doubled the odds of respiratory sickness absence, suggesting a focus for disability prevention.

Publication types

  • Letter
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absenteeism*
  • Adult
  • Female
  • Global Health
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Occupational Diseases / epidemiology*
  • Occupational Exposure*
  • Respiratory Tract Diseases / epidemiology*
  • Rhinitis / epidemiology
  • Risk Factors
  • Surveys and Questionnaires
  • Young Adult