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首页> 外文期刊>American Journal of Epidemiology >Occupational Exposures and Asthma in Health-Care Workers: Comparison of Self-Reports With a Workplace-Specific Job Exposure Matrix
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Occupational Exposures and Asthma in Health-Care Workers: Comparison of Self-Reports With a Workplace-Specific Job Exposure Matrix

机译：卫生保健工作者的职业暴露与哮喘：自我报告与特定于工作场所的职业暴露矩阵的比较

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摘要

The authors compared self-reported occupational exposures with a workplace-specific job exposure matrixn(JEM) in a 2004 survey of Texas health-care professionals (n ¼ 3,650), by asthma status. Sensitivity, specificity,nchance-corrected (j) and chance-independent (u) agreement, and associations of self-reported exposures withnasthma were compared with those for the JEM. Among asthmatics, the median sensitivity of self-reported expo-nsures was 74% (range, 53–90); specificity was 64% (range, 27–74). For nonasthmatics, median sensitivity wasn67% (range, 40–88) and specificity was 70% (range, 33–82). Sensitivity was higher among asthmatics for ex-nposures involving perceptible odors. Specificity was higher among nonasthmatics for instrument cleaning andnexposure to adhesives/solvents. Asthmatics showed better agreement with the JEM for patient-care-related clean-ning (u ¼ 0.51 vs. 0.40); there was little difference for other exposures. In all cases, confidence intervals overlapped.nPrevalence ratios were higher with self-reported exposures than with the JEM; differences were greatest forncleaning products, adhesives/solvents, and gases/vapors. However, confidence intervals overlapped with thosenobtained using the JEM. In asthma studies, differential reporting bias by health status should be taken intonconsideration. Findings favor using externally developed methods of exposure classification, although informationngleaned from examining distributions of exposure self-reports, particularly among nondiseased persons, can pro-nvide useful information for improving the reliability of exposure ascertainment.
机译：作者在2004年对德克萨斯州医疗专业人员的调查中（n¼3,650），根据哮喘状况将自我报告的职业暴露与工作场所特定的职业暴露矩阵（JEM）进行了比较。将敏感性，专一性，矫正矫正性（j）和机会独立性（u）一致性以及自我报告的暴露与哮喘的关联与JEM的关联进行了比较。在哮喘患者中，自我报告的接触的中位敏感性为74％（范围53-90）。特异性为64％（范围27-74）。对于非哮喘患者，中位敏感性为67％（范围40-88），特异性为70％（范围33-82）。在哮喘患者中，对涉及可闻气味的暴露部位的敏感性较高。在非哮喘患者中，仪器清洁和不暴露于粘合剂/溶剂的特异性更高。哮喘患者与JEM在患者护理相关的清洁方面表现出更好的一致性（u¼0.51 vs. 0.40）；其他曝光几乎没有差异。在所有情况下，置信区间都是重叠的。n自我报告暴露的患病率高于JEM；区别最大的是福特清洁产品，粘合剂/溶剂和气体/蒸汽。但是，置信区间与使用JEM获得的置信区间重叠。在哮喘研究中，应考虑不同健康状况引起的报告差异。尽管通过检查暴露自我报告的分布（尤其是未患病者之间的信息）收集的信息可以提供有用的信息，以提高暴露确定性的可靠性，但发现仍倾向于使用外部开发的暴露分类方法。

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  • 来源
    《American Journal of Epidemiology》 |2009年第5期|p.581-587|共7页
  • 作者

    George L. Delclos David Gimeno Ahmed A. Arif Fernando G. Benavides and Jan-Paul Zock;

  • 作者单位

    School of Public Health, University ofTexas, Houston, Texas (George L. Delclos, David Gimeno),Occupational Health Research Unit, Department of Exper-imental and Health Sciences, Faculty of Health and LifeSciences, Universitat Pompeu Fabra, Barcelona, Spain(George L. Delclos, Fernando G. Benavides), CIBER Epi-demiologı ´a y Salud Pu ´blica, Barcelona, Spain (GeorgeL. Delclos, David Gimeno, Fernando G. Benavides, Jan-Paul Zock), Department of Epidemiology and Public Healthand International Institute for Society and Health, Divisionof Population Health, University College London, London,United Kingdom (David Gimeno), Department of PublicHealth Sciences, College of Health and Human Services,University of North Carolina at Charlotte, Charlotte, NorthCarolina (Ahmed A. Arif), Centre for Research in Environ-mental Epidemiology, Barcelona, Spain (Jan-Paul Zock),and Municipal Institute of Medical Research (IMIM-Hospital del Mar), Barcelona, Spain (Jan-Paul Zock).,;

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  • 正文语种 eng
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  • 关键词

    asthma; bias (epidemiology); epidemiologic methods; occupational exposure;

    机译：哮喘;偏见（流行病学）;流行病学方法;职业接触;

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