Asthma symptoms in women employed in domestic cleaning: a community based study
Open accessAbstract
BACKGROUND: Epidemiological studies have shown an association between cleaning work and asthma, but the risk factors are uncertain. The aim of this study was to assess the risk of asthma in women employed in domestic cleaning. METHODS: A cross sectional study was conducted in 4521 women aged 30 to 65 years. Information on respiratory symptoms and cleaning work history was obtained using a postal questionnaire with telephone follow up. Asthma was defined as reported symptoms in the last year or current use of drugs to treat asthma. Odds ratios (OR) with 95% confidence intervals (CI) for asthma in different cleaning groups were estimated using adjusted unconditional logistic regression models. RESULTS: 593 women (13%) were currently employed in domestic cleaning work. Asthma was more prevalent in this group than in women who had never worked in cleaning (OR 1.46 (95% CI, 1.10 to 1.92)). Former domestic cleaning work was reported by 1170 women (26%), and was strongly associated with asthma (OR 2.09 (1.70 to 2.57)). Current and former non-domestic cleaning work was not significantly associated with asthma. Consistent results were obtained for other respiratory symptoms. Twenty five per cent of the asthma cases in the study population were attributable to domestic cleaning work. CONCLUSIONS: Employment in domestic cleaning may induce or aggravate asthma. This study suggests that domestic cleaning work has an important public health impact, probably involving not only professional cleaners but also people undertaking cleaning tasks at home.
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Exposure to certain chlorine-related agents and possibly also to other cleaning agents aggravates asthma symptoms in domestic cleaners.
“Exposure to certain chlorine-related agents and possibly also to other cleaning agents aggravates asthma symptoms in domestic cleaners 18–20.”
From Exposure to trichloramine and respiratory symptoms in indoor swimming pool workers (2007) · cites this paper as [19]
The Discussion (page not specified in our copy) hypothesises that exposure to cleaning products could contribute to the onset or aggravation of asthma in domestic cleaners. It does not identify chlorine-related agents as responsible, and it presents aggravation as a hypothesis rather than an established effect. (LLM, conf=0.84)
Experimental — accuracy not yet measuredOther studies have reported that exposure to irritants can cause irritation and inflammatory effects on the airways.
“Other studies have reported that exposure to irritants can cause irritation and inflammatory effects on the airways 7, 18–20.”
From Exposure to trichloramine and respiratory symptoms in indoor swimming pool workers (2007) · cites this paper as [19]
The Discussion (page unavailable) says domestic cleaners encounter products containing irritants and hypothesises that an irritant-induced mechanism could cause or aggravate asthma. It does not report airway irritation or inflammatory effects specifically, and presents the mechanism as a hypothesis rather than an established effect. (LLM, conf=0.82)
Experimental — accuracy not yet measured
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- Authors
- Medina-Ramon, M.
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2003-11-01
- Volume
- 58
- Issue
- 11
- Pages
- 950-954
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC1746523
- OpenAlex
- W2160231509
- Cited by
- 144
- References
- 28
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 5 · 2021: 3 · 2020: 4 · 2019: 8 · 2018: 4 · 2017: 3 · 2015: 3 · 2014: 7 · 2013: 12 · 2012: 8
- FWCI
- 7.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerio de Ciencia y Tecnología
- Instituto de Salud Carlos III (C03/09)
- Departament d'Universitats, Recerca i Societat de la Informació
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
- Keywords
- asthma, occupational asthma, women, respiratory symptoms, attributable risk, household cleaning
- MeSH terms
- Adult, Aged, Asthma, Cross-Sectional Studies, Female, Household Work, Humans, Hygiene, Middle Aged, Occupational Diseases, Regression Analysis, Risk Factors, Spain, Prevalence, Odds Ratio
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