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Respiratory symptoms and occupation: a cross-sectional study of the general population

  • Vermeulen, Roel1
  • Heederik, Dick1
  • Kromhout, Hans1
  • Smit, Henriëtte A2
  • 1 Institute for Risk Assessment Sciences, University Utrecht, Environmental and Occupational Health Division, Utrecht, 3503 TD Utrecht, The Netherlands , Utrecht (Netherlands)
  • 2 National Institute Public Health and the Environment, Centre of Chronic Disease and Environmental Epidemiology, Bilthoven, 3720 BA, The Netherlands , Bilthoven (Netherlands)
Published Article
Environmental Health
BioMed Central
Publication Date
Dec 09, 2002
DOI: 10.1186/1476-069X-1-5
Springer Nature


BackgroundThis study focused on respiratory symptoms due to occupational exposures in a contemporary general population cohort. Subjects were from the Dutch Monitoring Project on Risk Factors for Chronic Diseases (MORGEN). The composition of this population enabled estimation of respiratory risks due to occupation from the recent past for both men and women.MethodsThe study subjects (aged 20–59) were all inhabitants of Doetinchem, a small industrial town, and came from a survey of a random sample of 1104 persons conducted in 1993. A total of 274 cases with respiratory symptoms (subdivided in asthma and bronchitis symptoms) and 274 controls without symptoms were matched for age and sex. Relations between industry and occupation and respiratory symptoms were explored and adjusted for smoking habits and social economic status.ResultsEmployment in the 'construction' (OR = 3.38; 95%CI 1.02 – 11.27), 'metal' (OR = 3.17; 95%CI 0. 98 – 10.28), 'rubber, plastics and synthetics' (OR = 6.52; 95%CI 1.26 – 53.80), and 'printing' industry (OR = 3.96; 95%CI 0.85 – 18.48) were positively associated with chronic bronchitis symptoms. In addition, the 'metal' industry was found to be weakly associated with asthma symptoms (OR = 2.59; 95%CI 0.87 – 7.69). Duration of employment within these industries was also positively associated with respiratory symptoms.ConclusionRespiratory symptoms in the general population are traceable to employment in particular industries even in a contemporary cohort with relatively young individuals.

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