Table 2– Associations between lifetime# specific occupational exposures and physician-diagnosed asthma
Subjects nPhysician-diagnosed asthma n (%)ORAdjusted OR(95% CI)
Unexposed+17 503255 (1.5)11
Known asthmagens
 HMW agents344273 (2.1)1.471.40 (1.07–1.82)
  Animals69919 (2.7)1.891.62 (1.00–2.60)
  Flour35112 (3.4)2.392.36 (1.31–4.27)
  Enzymes2879 (3.1)2.192.14 (1.08–4.22)
  Latex179130 (1.7)1.151.15 (0.78–1.69)
  Bioaerosols104226 (2.5)1.731.51 (1.00–2.28)
  Drugs§7419 (1.2)0.830.85 (0.43–1.66)
 LMW agents212526 (1.2)0.840.84 (0.56–1.26)
  Highly reactive chemicals141720 (1.4)0.970.97 (0.61–1.53)
  Cleaning/disinfecting products5599 (1.6)1.111.02 (0.52–2.01)
  Metals8016 (0.7)0.510.51 (0.22–1.16)
 Mixed environments276764 (2.3)1.601.48 (1.12–1.96)
  Textile production138830 (2.2)1.491.47 (1.00–2.17)
  Agriculture125934 (2.7)1.881.63 (1.13–2.35)
 High irritant peaks8378 (1.0)0.650.72 (0.34–1.50)
Low levels of exposure to irritants or to chemicals/allergens only
 Low level of exposure to chemicals/allergens5454132 (2.4)1.681.72 (1.392.14)
 Combustion particles/fumes237162 (2.6)1.821.77 (1.262.48)
 Environmental tobacco smoke5145 (1.0)0.660.94 (0.38–2.31)
 Irritant gases/fumes309681 (2.6)1.822.04 (1.552.68)
 Low level of exposure to irritants onlyƒ365191 (2.5)1.731.82 (1.342.45)
  • Total n=33 414. Bold font indicates statistical significance. HMW: high molecular weight; LMW: low molecular weight. #: exposure during the longest-held job or current job. : evaluated by logistic regressions adjusted for age, sex and smoking habits. +: reference group who were not exposed to any of the 22 agents of the job–exposure matrix (JEM) during the longest held job and current job. §: pharmaceutical products may include both HMW and LMW antigens. ƒ: those exposed to irritants (combustion particles/fumes, irritant gases/fumes or environmental tobacco smoke), after excluding those who were further exposed to low levels of chemicals/allergens; analyses were performed for specific agents for which at least five subjects with asthma were exposed, i.e. 15 out of the 22 agents of the asthma JEM.