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Occupation, socioec...
Occupation, socioeconomic status and chronic obstructive respiratory diseases – the EpiLung Study in Finland, Estonia and Sweden
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- Jalasto, Juuso (författare)
- Department of Clinical Physiology, HUS Medical Diagnostic Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
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- Lassmann-Klee, Paul (författare)
- Department of Clinical Physiology, HUS Medical Diagnostic Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
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- Schyllert, Christian, 1983- (författare)
- Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health, The OLIN Unit, Umeå University, Umeå, Sweden
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- Luukkonen, Ritva (författare)
- Finnish Institute of Occupational Health, Helsinki, Finland
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- Meren, Mari (författare)
- National Institute for Health Development, Tallinn, Estonia and North Estonia Medical Centre Foundation, Tallinn, Estonia
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- Larsson, Matz, 1955- (författare)
- Lund University,Lunds universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Clinical Health Promotion Centre, University of Lund, and Örebro University Hospital, Örebro, Sweden,Kliniskt Centrum för Hälsofrämjande Vård,Forskargrupper vid Lunds universitet,Lund University Research Groups
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- Polluste, Jaak (författare)
- National Institute for Health Development, Tallinn, Estonia; North Estonia Medical Centre Foundation, Tallinn, Estonia; Skin and Allergy Hospital, Helsinki, Finland
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- Sundblad, Britt-Marie (författare)
- Karolinska Institute
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- Lindqvist, Ari (författare)
- Department of Pulmonary Medicine, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland; Helsinki University, Helsinki, Finland,Helsinki University Central Hospital
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- Krokstad, Steinar (författare)
- HUNT Research Centre, Department of Public Health and Nursing, Norwegian University of Science and Technology, Norway
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- Kankaanranta, Hannu, 1967 (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,University of Tampere,South Ostrobothnia Central Hospital,Krefting Research Centre,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
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- Kauppi, Paula (författare)
- Department of Pulmonary Medicine, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland; Helsinki University, Helsinki, Finland,Helsinki University Central Hospital
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- Sovijärv, Anssi (författare)
- Department of Clinical Physiology, HUS Medical Diagnostic Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
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- Haahtela, Tari (författare)
- Skin and Allergy Hospital, Helsinki, Finland
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- Backman, Helena (författare)
- Umeå University,Luleå University of Technology,Umeå universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Department of Public Health and Clinical Medicine, Section of Sustainable Health, The OLIN Unit, Umeå University, Umeå, Sweden; Department of Health Sciences, Luleå University of Technology, Luleå, Sweden,Avdelningen för hållbar hälsa
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- Lundbäck, Bo, 1948 (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Krefting Research Centre,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
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- Piirilä, Päivi (författare)
- Department of Clinical Physiology, HUS Medical Diagnostic Center, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
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Ingår i: Respiratory Medicine. - : Elsevier. - 0954-6111 .- 1532-3064. ; 191
- Relaterad länk:
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https://doi.org/10.1...
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http://www.resmedjou...
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https://umu.diva-por... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Objective: To study occupational groups and occupational exposure in association with chronic obstructive respiratory diseases.Methods: In early 2000s, structured interviews on chronic respiratory diseases and measurements of lung function as well as fractional expiratory nitric oxide (FENO) were performed in adult random population samples of Finland, Sweden and Estonia. Occupations were categorized according to three classification systems. Occupational exposure to vapours, gases, dusts and fumes (VGDF) was assessed by a Job-Exposure Matrix (JEM). The data from the countries were combined.Results: COPD, smoking and occupational exposure were most common in Estonia, while asthma and occupations requiring higher educational levels in Sweden and Finland. In an adjusted regression model, non-manual workers had a three-fold risk for physician-diagnosed asthma (OR 3.18, 95%CI 1.07-9.47) compared to professionals and executives, and the risk was two-fold for healthcare & social workers (OR 2.28, 95%CI 1.14-4.59) compared to administration and sales. An increased risk for physician-diagnosed COPD was seen in manual workers, regardless of classification system, but in contrast to asthma, the risk was mostly explained by smoking and less by occupational exposure to VGDF. For FENO, no associations with occupation were observed.Conclusions: In this multicenter study from Finland, Sweden and Estonia, COPD was consistently associated with manual occupations with high smoking prevalence, highlighting the need to control for tobacco smoking in studies on occupational associations. In contrast, asthma tended to associate with non-manual occupations requiring higher educational levels. The occupational associations with asthma were not driven by eosinophilic inflammation presented by increased FENO.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Asthma
- COPD
- Fraction of exhaled nitric oxide (FENO)
- occupational exposure
- smoking
- socioeconomic status
- Nursing
- Omvårdnad
- Asthma
- COPD
- Fraction of exhaled nitric oxide (FENO)
- Occupational exposure
- Smoking
- Socioeconomic status
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Jalasto, Juuso
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Lassmann-Klee, P ...
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Schyllert, Chris ...
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Luukkonen, Ritva
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Meren, Mari
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Larsson, Matz, 1 ...
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visa fler...
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Polluste, Jaak
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Sundblad, Britt- ...
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Lindqvist, Ari
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Krokstad, Steina ...
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Kankaanranta, Ha ...
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Kauppi, Paula
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Sovijärv, Anssi
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Haahtela, Tari
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Backman, Helena
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Lundbäck, Bo, 19 ...
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Piirilä, Päivi
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Lungmedicin och ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Respiratory Medi ...
- Av lärosätet
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Luleå tekniska universitet
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Örebro universitet
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Umeå universitet
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Lunds universitet
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Karolinska Institutet
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Göteborgs universitet