FreeTextSearch
 
search Change language (Se den danske version af denne side)
 
 
 

Update of an occupational asthma-specific job exposure matrix to assess exposure to 30 specific agents [Epub ahead of print]

Le Moual N, Zock JP, Dumas O, et al. Update of an occupational asthma-specific job exposure matrix to assess exposure to 30 specific agents [Epub ahead of print]. Occupational and Environmental Medicine 2018;
Date: 2018
Scientific Article
OBJECTIVES: We aimed to update an asthmagen job exposure matrix (JEM) developed in the late 1990s. Main reasons were: the number of suspected and recognised asthmagens has since tripled; understanding of the aetiological role of irritants in asthma and methodological insights in application of JEMs have emerged in the period. METHODS: For each agent of the new occupational asthma-specific JEM (OAsJEM), a working group of three experts out of eight evaluated exposure for each International Standard Classification of Occupations, 1988 (ISCO-88) job code into three categories: 'high' (high probability of exposure and moderate-to-high intensity), 'medium' (low-to-moderate probability or low intensity) and 'unexposed'. Within a working group, experts evaluated exposures independently from each other. If expert assessments were inconsistent the final decision was taken by consensus. Specificity was favoured over sensitivity, that is, jobs were classified with high exposure only if the probability of exposure was high and the intensity moderate-to-high. In the final review, all experts checked assigned exposures and proposed/improved recommendations for expert re-evaluation after default application of the JEM. RESULTS: The OAsJEM covers exposures to 30 sensitisers/irritants, including 12 newly recognised, classified into seven broad groups. Initial agreement between the three experts was mostly fair to moderate (kappa values 0.2-0.5). Out of 506 ISCO-88 codes, the majority was classified as unexposed (from 82.6% (organic solvents) to 99.8% (persulfates)) and a minority as 'high-exposed' (0.2% (persulfates) to 2.6% (organic solvents)). CONCLUSIONS: The OAsJEM developed to improve occupational exposure assessment may improve evaluations of associations with asthma in epidemiological studies and contribute to assessment of the burden of work-related asthma
Link: http://dx.doi.org/10.1136/oemed-2017-104866
Orders:
17.04.2018
 
Updated  17.04.2018
Contact: NRCWE web editors
 
Social media buzz on this scientific article

Click the badge for more information on mentions and sharings

The Altmetric service registers social media mentions and sharings of references to scholarly papers, provided the references point to the paper in a recognizable form (publisher's abstract page, DOI-links etc.). The service displays results from selected social media platforms.

If a "?" is displayed within the badge, no mentions or shares have been registered so far.

 
 
 

National Research Centre for the Working Environment | Lersø Parkallé 105 | DK-2100 Copenhagen O | Denmark |

Phone +45 3916 5200 | fax +45 3916 5201 | e-mail: nfa@arbejdsmiljoforskning.dk | CVR: 15413700 | EAN: 5798000399518

Vis desktop version
|WEBSITET ANVENDER COOKIES TIL AT HUSKE DIG OG DINE INDSTILLINGER.| Læs mere her