Impact of asthma on working life: an analysis of the French CONSTANCES cohort

• Published in: Occupational and environmental medicine (London, England) Vol. 80; no. 7; pp. 392 - 398
• Main Authors: Provost, Dorothée, Delmas, Marie-Christine, Bénézet, Laetitia, Ribet, Céline, Chesneau, Julie, Raherison, Chantal, Goldberg, Marcel, Dumas, Orianne, Le Moual, Nicole, Iwatsubo, Yuriko
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd 01.07.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Adult; Age; Asthma; Asthma - epidemiology; Body mass index; Body size; Careers; Chronic obstructive pulmonary disease; Cross-Sectional Studies; Employment; epidemiology; Exercise; Female; Gender differences; Humans; Indicators; Life Sciences; Male; Men; occupational health; Physical fitness; Questionnaires; Regression analysis; Regression models; Unemployment; Women; Womens health; Workplace; France; epidemiology; occupational health; asthma
• ISSN: 1351-0711; 1470-7926
• DOI: 10.1136/oemed-2022-108671

ObjectivesAsthma 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.MethodsUsing 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.ResultsWhen 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.ConclusionThe 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.