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Risk factor pattern for asthma in 1996, 2006 and 2016 in Sweden – the OLIN and Nordic EpiLung studies
Umeå University, Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN unit, Luleå, Sweden.
Umeå University, Department of Public Health and Clinical Medicine, Section of Medicine/the OLIN unit, Luleå, Sweden.
Luleå University of Technology, Department of Health Sciences, Nursing and Medical technology. Umeå University, Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN unit.ORCID iD: 0000-0002-1630-3167
Umeå University, Department of Public Health and Clinical Medicine, Section of Medicine/the OLIN unit, Luleå, Sweden.
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2020 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 56, no Suppl 64, article id 425Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: During the second half of the 20th century the prevalence of asthma has increased and smoking habits and socioeconomy has changed in Sweden.

Aim: To analyze risk factor patterns for current asthma in 1996, 2006 and 2016.

Methods: Three cross-sectional random samples from the same area of Sweden, 20-69 years, participated in population surveys with the same validated questionnaire in 1996 (n=7104 participants, 85% response rate), 2006 (n=6165, 77%) and 2016 (n=5466, 53%). Current asthma was defined as physician-diagnosed asthma with symptoms common in asthma and/or asthma medication use during the last 12 months. Socioeconomic classification was based on occupation. Risk factors for current asthma were analyzed by multivariable logistic regression.

Results: A family history of asthma yielded the highest odds ratios (OR) all three years with ORs 3.19-3.66. Data on occupational exposure to gas, dust or fumes (GDF) was not available in 1996, but associated with current asthma in both 2006 (1.86, 1.51-2.30) and 2016 (1.70, 1.37-2.10). Ex-smoking was a risk factor in 1996 (1.39, 1-12-1.73) and 2006 (1.38, 1.11-1.71) but not in 2016 (1.15, 0.92-1.44). Manual workers in service and industry, non-manual employees and self-employed had increased risk for current asthma in 2016, but not in 1996 or 2006, compared to professionals and executives.

Conclusion: The risk factor pattern for asthma among adults has changed in Sweden from 1996 to 2016. While occupational exposure to GDF was a prominent and constant risk factor for asthma, ex-smoking lost significance in 2016, and socioeconomic differences with regard to occupation emerged.

Place, publisher, year, edition, pages
European Respiratory Society (ERS) , 2020. Vol. 56, no Suppl 64, article id 425
Keywords [en]
Asthma, Adults, Occupation
National Category
Nursing
Research subject
Nursing
Identifiers
URN: urn:nbn:se:ltu:diva-82905DOI: 10.1183/13993003.congress-2020.425ISI: 000606501400361OAI: oai:DiVA.org:ltu-82905DiVA, id: diva2:1527692
Conference
ERS International Congress, 6-9 September, 2020, Virtual
Note

Godkänd;2021;Nivå 0;2021-02-11 (alebob)

Available from: 2021-02-11 Created: 2021-02-11 Last updated: 2021-06-09Bibliographically approved

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Hedman, LinneaBackman, Helena

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