C Verdun-Esquer | PubMed Health

PubMed2000

[Asthma and professional activity].

Occupational asthma is largely documented in the recent medical literature but proposed criteria for its definition remain somewhat ambiguous. The main objective of this discussion is to point out the difficulties raised by individual diagnosis and collective actions related to occupational asthma. The main problems are: 1. Ambiguous definitions of occupational asthma; 2. Insufficient understanding of the different circumstances of diagnosis; 3. Difficulty in objective characterization of etiological agents due to the limitations of diagnostic procedures and interactions between agents; 4. Impact of the social consequences of diagnosis for the patient; 5. Limitations of prevention in the workplace. The coordinated efforts of the French Society of Pneumology and the French Society of Occupational Medicine should help provide answers to these problems.

Asthma↗

PubMed1999

Prevalence and occupational covariates of mood, anxiety disorders, and alcohol dependence in a French ancillary staff population.

The aim of this study was to confirm the high prevalence of three frequent psychiatric disorders : anxiety, depressive illnesses, and alcohol dependence among ancillary staff, and to examine for occupational risk factors. Two hundred and forty-six women were randomly selected from the ancillary staff of the regional hospital centre of Bordeaux, and 186 subjects were interviewed between June 1996 and October 1997. First, a self-administrated questionnaire was completed concerning socio-economic status, lifestyle, health, and working conditions. Second, the two sections of the composite international diagnosis interview (CIDI), devoted to explore anxiety and depression, and the short Michigan alcoholism screening test (S-MAST) were used. Mean age of the subjects was 40.8 years (SD = 8.3 years). During the year preceding the interview, 77 (42.5%) subjects had stopped their job because of illness. Prevalence of the psychiatric disorders studied was 33.9% (95% confidence interval, 27.1-40.7%). These disorders were related to sickness absence. This is why the use of drugs raises questions for work physicians. Two protective factors associated against depression in logistic regression analysis were found : training at the time of employment, and the task 'cleaning sickroom'. A high prevalence of psychiatric disorders was confirmed and occupational risk factors for the prevalence of increased psychiatric disorders were isolated that could have practical consequences, such as for the training at time of employment.

Adult↗