RT Journal Article
SR Electronic
T1 Impact of asthma on working life: an analysis of the French CONSTANCES cohort
JF Occupational and Environmental Medicine
JO Occup Environ Med
FD BMJ Publishing Group Ltd
SP oemed-2022-108671
DO 10.1136/oemed-2022-108671
A1 Dorothée Provost
A1 Marie-Christine Delmas
A1 Laetitia Bénézet
A1 Céline Ribet
A1 Julie Chesneau
A1 Chantal Raherison
A1 Marcel Goldberg
A1 Orianne Dumas
A1 Nicole Le Moual
A1 Yuriko Iwatsubo
YR 2023
UL http://oem.bmj.com/content/early/2023/05/24/oemed-2022-108671.abstract
AB Objectives Asthma has significant occupational consequences. The objective of our study was to investigate the links between asthma and the career path, taking into account gender and age at asthma onset.Methods Using cross-sectional data collected at inclusion in the French CONSTANCES cohort in 2013–2014, we studied the links between each career path indicator (number of job periods, total duration of employment, numbers of part-time jobs and work interruptions due to unemployment or health issues, employment status at inclusion) on the one hand, and current asthma and asthma symptom score in the last 12 months on the other hand, as reported by the participants. Multivariate analyses were performed separately for men and women using logistic and negative binomial regression models adjusted for age, smoking status, body mass index and educational level.Results When the asthma symptom score was used, significant associations were observed with all of the career path indicators studied: a high symptom score was associated with a shorter total duration of employment as well as a greater number of job periods, part-time jobs and work interruptions due to unemployment or health issues. These associations were of similar magnitude in men and women. When current asthma was used, the associations were more pronounced in women for some career path indicators.Conclusion The career path of asthmatic adults is more often unfavourable than that of those without asthma. Efforts should be made to support people with asthma in the workplace, in order to maintain employment and facilitate the return to work.Data are available on reasonable request. Anonymised data will be shared by request to the CONSTANCES scientific committee.