Cited by 81Occupational exposure and asthmaAsthma and respiratory diseasesOccupational Health and Safety in Workplaces

Excess incidence of asthma among Finnish cleaners employed in different industries

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Karjalainen, A., Martikainen, R., Karjalainen, J., Klaukka, T., Kurppa, K.·2002·European Respiratory Journal

Abstract

The incidence and risk of asthma among female cleaners employed in different industries was explored. An increased risk of asthma has been associated with the cleaning profession, in some but not all studies. All Finnish females employed as cleaners and all those employed in administrative work were followed for asthma incidence through a record linkage in 1986–1998. An individual was defined as an “incident case of asthma” if they received rights for special reimbursement of asthma medication from the national health insurance or were recognized as having occupational asthma. Age-adjusted relative risks (RR) were estimated for cleaners in comparison with those employed in administrative work. There were 2,414 and 5,235 cases of asthma among the cleaners and administrative workers, respectively. The RR was 1.50 (95% confidence interval (CI) 1.43–1.57) in cleaners. The risk was increased in cleaners working in nearly all major sectors of economic activity, but cleaners employed by companies concerned with the manufacture of basic metals (RR 2.47; 95% CI 1.68–3.64) and food products (RR 2.19; 95% CI 1.69–2.85) had the highest risk. Only 25 of the “cases of asthma” among cleaners had been recognized as being occupational asthma. It could be concluded that cleaners have an increased risk of persistent adult-onset asthma. Factors inherent to the environment where cleaning is performed or differences in the cleaning agents used may explain the observed differences between industries.

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Crossref · 10.1183/09031936.02.00201002

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  • Epidemiological studies suggest that cleaning product exposure may be linked to the onset or worsening of respiratory symptoms and asthma.

    “Epidemiological studies suggest that exposure to cleaning products can be associated with the development and/or exacerbation of respiratory symptoms and asthma [15–18].”

    From Occupational exposure and health risks of volatile organic compounds of hotel housekeepers: Field measurements of exposure and health risks (2021) · cites this paper as [16]

    The Abstract reports increased incidence of adult-onset asthma among Finnish female cleaners, and the Discussion suggests that differences in cleaning agents may partly explain the risk. The study did not establish an association with exposure to specific cleaning products or examine exacerbation of existing asthma or respiratory symptoms. Page numbers are unavailable in our copy. (LLM, conf=0.86)

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  1. [12]12. Rothman KJ, Greenland S. Modern Epidemiology. 2nd Edn. New York, Lippincott Raven, l997.
  2. [19]19. Gautrin D, Bernstein IL, Brooks S. Reactive airways dysfunction syndrome, or irritant-induced asthma. In: Bernstein IL, Chan-Yeung M, Malo JL, Bernstein D, eds. Asthma in the Workplace, 2nd Edn. New York, Marcel Dekker, 1999; pp. 565-593.

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Authors
Karjalainen, A., Martikainen, R., Karjalainen, J., Klaukka, T., & Kurppa, K.
Affiliations
Finnish Institute of Occupational Health (FI)
Venue
European Respiratory Journal
Published
2002-01
Volume
19
Issue
1
Pages
90-95
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W2170529025
Cited by
81
References
18
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 3
FWCI
4.90
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords
asthma incidence, cleaning workers, occupational asthma, female workers, basic metals industry, food industry, cleaning agents, adult-onset asthma, administrative workers, industry differences
MeSH terms
Adult, Asthma, Female, Finland, Humans, Industry, Middle Aged, Occupational Diseases

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