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Cleaning Tasks and Products and Asthma Among Health Care Professionals
Jenil Patel1, David Gimeno Ruiz de Porras, Laura E Mitchell
1Southwest Center for Occupational and Environmental Health, Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health, Houston, Texas (J.P., A.C., L.W.W., G.L.D.); Center for Pediatric Population Health, Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth Houston), Dallas, Texas (J.P.); Southwest Center for Occupational and Environmental Health, Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health in San Antonio, The University of Texas Health Science Center at Houston (UTHealth Houston), San Antonio, Texas (D.G.R.d.P.); Center for Research in Occupational Health, Universitat Pompeu Fabra, Barcelona, Spain (D.G.R.d.P., G.L.D.); CIBER Epidemiología y Salud Pública, Madrid, Spain (D.G.R.d.P., G.L.D.); Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health, Houston, Texas (L.E.M., R.P.); Department of Epidemiology and Biostatistics, Temple University College of Public Health, Philadelphia, Pennsylvania (I.H.); Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (L.P.); Smith Scientific LLC, Houston, Texas (S.C.); Center for Research in Environmental Epidemiology (CREAL), Barcelona, Spain ( J.-P.Z.); Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia (P.K.H.); and Department of Biostatistics and Data Science, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health, Houston, Texas (J.D.L.R.).
Objective:
Health care workers are at risk for work-related asthma, which may be affected by changes in cleaning practices. We examined associations of cleaning tasks and products with work-related asthma in health care workers in 2016, comparing them with prior results from 2003.
Methods:
We estimated asthma prevalence by professional group and explored associations of self-reported asthma with job-exposure matrix-based cleaning tasks/products in a representative Texas sample of 9914 physicians, nurses, respiratory/occupational therapists, and nurse aides.
Results:
Response rate was 34.8% (n = 2421). The weighted prevalence rates of physician-diagnosed (15.3%), work-exacerbated (4.1%), and new-onset asthma (6.7%) and bronchial hyperresponsiveness symptoms (31.1%) were similar to 2003. New-onset asthma was associated with building surface cleaning (odds ratio [OR], 1.91; 95% confidence interval [CI], 1.10-3.33), use of ortho-phthalaldehyde (OR, 1.77; 95% CI, 1.15-2.72), bleach/quaternary compounds (OR, 1.91; 95% CI, 1.10-3.33), and sprays (OR, 1.97; 95% CI, 1.12-3.47).
Conclusion:
Prevalence of asthma/bronchial hyperresponsiveness seems unchanged, whereas associations of new-onset asthma with exposures to surface cleaning remained, and decreased for instrument cleaning.
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