Asthma and rhinitis in cleaning workers: a systematic review of epidemiological studies
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OBJECTIVE: This article presents a systematic review of epidemiological studies linking cleaning work and risk of asthma and rhinitis. METHODS: Published reports were identified from PubMed covering the years from 1976 through June 30, 2012. In total, we identified 24 papers for inclusion in the review. The quality of studies was evaluated using the Strengthening of the Reporting of Observational Studies in Epidemiology (STROBE) statement checklist of 22 items for cross-sectional, cohort and case-control studies. RESULTS: Increased risk of asthma or rhinitis has been shown in 79% of included epidemiological studies. In four studies the increased risk of asthma in cleaning workers was confirmed by objective tests, such as bronchial hyper-reactivity or airflow obstruction. Level of exposure to cleaning products, cleaning sprays, bleach, ammonia, mixing products and specific job tasks has been identified as specific causes of asthma and rhinitis. CONCLUSIONS: Possible preventive measures encompass the substitution of cleaning sprays, bleach and ammonia, avoidance of mixing products, the use of respiratory protective devices, worker education and medical surveillance.
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Sufficient reporting quality was assigned to studies meeting 12 specified STROBE items, corresponding to more than 50% of all 22 items.
“Fulfilment of these 12 STROBE items corresponds to more than 50% of all 22 STROBE items, a cutoff which has been used in several previous studies [9–11].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [9]
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Additional file 1 of Airway inflammatory profile among cleaning workers from different workplaces
da Paz, E. R., de Lima, C. M. F., Felix, S. N., Schaeffer, B., Galvão, C. E. S., Correia, A. T., Righetti, R. F., de Arruda Martins, M., de Fátima Lopes Calvo Tibério, I., & Saraiva-Romanholo, B. M. (2022) · Figshare · doi:10.6084/m9.figshare.19687093
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- Authors
- Folletti, I., Zock, J.-P., Moscato, G., & Siracusa, A.
- Affiliations
- University of Perugia (IT)
- Center for Research in Environmental Epidemiology (ES)
- Fondazione Salvatore Maugeri (IT)
- Corresponding author
- Folletti, Ilenia
- Venue
- Journal of Asthma
- Publisher
- Informa UK Limited
- Published
- 2013-09-18
- Volume
- 51
- Issue
- 1
- Pages
- 18-28
- ISSN
- 0277-0903 (ISSN-L)
- 1532-4303
- OpenAlex
- W1978779875
- Cited by
- 85
- References
- 65
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 6 · 2023: 9 · 2022: 12 · 2021: 7 · 2020: 11 · 2019: 5 · 2018: 7 · 2017: 8 · 2016: 6 · 2015: 4 · 2014: 4
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.nivel.nl
- Licence
- other-oa
- Locations
- Journal of Asthma (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- 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, rhinitis, cleaning workers, occupational asthma, occupational rhinitis, cleaning agents, bleach, ammonia, airway hyperresponsiveness, airflow obstruction, respiratory protective equipment, occupational exposure, medical surveillance
- MeSH terms
- Asthma, Detergents, Humans, Occupational Diseases, Rhinitis, Epidemiologic Studies, Occupational Exposure
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