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青少年就业的最初几个月与鼻炎的新发情况。

First months of employment and new onset of rhinitis in adolescents.

作者信息

Riu E, Dressel H, Windstetter D, Weinmayr G, Weiland S, Vogelberg C, Leupold W, von Mutius E, Nowak D, Radon K

机构信息

Unit for Occupational and Environmental Epidemiology and Net Teaching, Institute for Occupational and Environmental Medicine, Ludwig-Maximilians-University Munich, Ziemssenstrasse 1, D-80336 Munich, Germany.

出版信息

Eur Respir J. 2007 Sep;30(3):549-55. doi: 10.1183/09031936.00149206. Epub 2007 May 30.

Abstract

The aim of the present study was to investigate the incidence of rhinitis in adolescents, taking into account the duration and type of employment in holiday and vocational jobs, and to study latency until development of symptoms. Participants of the International Study of Asthma and Allergies in Childhood (ISAAC)-II study in Munich and Dresden (Germany), who were enrolled in 1995, were re-contacted by a postal questionnaire in 2002 (aged 16-18 yrs). The questionnaire focused on allergic rhinitis, type and duration of all jobs, and potential confounders. All jobs held for >/=8 h.week(-1) and >/=1 month were coded and occupational exposure was assigned by a job-exposure matrix. Out of the 3,785 participants, 964 reported an employment history. The median (25th-75th percentile) duration of employment was 10 (1-16) months. After adjusting for potential confounders, those working in high-risk occupations (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.0-2.1) had an increased risk for new onset of rhinitis, especially those exposed to low molecular weight agents (OR 1.8, 95% CI 1.1-2.8). The incidence of rhinitis was highest among those currently employed in a high-risk job for <10 months. Teenagers who start working in high-risk occupations have a higher incidence of rhinitis compared with those not working. This increased risk might occur early on during employment.

摘要

本研究的目的是调查青少年鼻炎的发病率,同时考虑假期和职业工作的就业时长及类型,并研究症状出现前的潜伏期。1995年参与德国慕尼黑和德累斯顿儿童哮喘与过敏国际研究(ISAAC)-II研究的参与者,于2002年(年龄16 - 18岁)通过邮政问卷再次进行联系。问卷聚焦于过敏性鼻炎、所有工作的类型和时长以及潜在混杂因素。所有每周工作≥8小时且持续≥1个月的工作进行编码,并通过工作暴露矩阵确定职业暴露情况。在3785名参与者中,964人报告有工作经历。就业时长的中位数(第25 - 75百分位数)为10(1 - 16)个月。在对潜在混杂因素进行调整后,从事高风险职业的人(优势比(OR)1.4,95%置信区间(CI)1.0 - 2.1)患鼻炎新发的风险增加,尤其是那些接触低分子量物质的人(OR 1.8,95% CI 1.1 - 2.8)。鼻炎发病率在目前从事高风险工作不到10个月的人群中最高。与未工作的青少年相比,开始从事高风险职业的青少年患鼻炎的发病率更高。这种风险增加可能在就业早期就会出现。

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