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Occupational determinants for rheumatoid arthritis.

A R Olsson1, T Skogh, G Wingren

  • 1Department of Health and Environment, Faculty of Health Science, Linköping University, Sweden. asa.reckner-olsson@ymk.liu.se

Scandinavian Journal of Work, Environment & Health
|July 20, 2000
PubMed
Summary

This study investigated occupational risks for rheumatoid arthritis, finding potential links for asphalters, service station employees, hairdressers, and those exposed to specific chemicals or meat products. Some associations, like for asphalters, are newly identified.

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Area of Science:

  • Rheumatology
  • Occupational Health
  • Epidemiology

Background:

  • Rheumatoid arthritis (RA) is a chronic autoimmune disease with multifactorial etiology.
  • Understanding occupational exposures as potential determinants of RA is crucial for prevention.
  • Previous studies have suggested links between certain occupations and RA risk.

Purpose of the Study:

  • To evaluate potential occupational determinants for rheumatoid arthritis (RA).
  • To assess the association between lifetime occupational history and RA risk.
  • To identify specific job roles and exposures linked to increased RA incidence.

Main Methods:

  • Retrospective case-control study conducted at the University Hospital in Linköping, Sweden (1980-1995).
  • Inclusion of 422 RA cases and 859 randomly selected referents.

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  • Data collection via postal questionnaires to ascertain lifetime occupational history and exposures.

    • Main Results:

    • For men, elevated odds ratios (OR) for RA were observed in farmers/farm workers (OR 1.8), textile workers (OR 2.0), asphalters (OR 14.0), and service station employees (OR 2.2).
    • For women, increased RA risk was associated with hairdressers/beauticians (OR 2.7), exposure to hairdressing chemicals (OR 3.0), and meat products (OR 2.0).
    • The association between asphalters and RA risk was particularly strong (OR 14.0).

    Conclusions:

    • Several findings align with previous research on occupational RA risk factors.
    • New associations between RA and occupations such as asphalters and service station employees were identified.
    • These findings highlight specific occupational groups that may warrant further investigation and targeted preventive measures.