Household cleaning and poor asthma control among elderly women - Cohorte E3N Accéder directement au contenu
Article Dans Une Revue Journal of Allergy and Clinical Immunology: In Practice Année : 2021

Household cleaning and poor asthma control among elderly women

Résumé

Background: Asthma control is suboptimal in nearly half of adults with asthma. Household exposure to disinfectants and cleaning products (DCP) has been associated with adverse respiratory effects, but data on their association with asthma control are scant. Objectives: To investigate the association between household use of DCP and asthma control in a large cohort of French elderly women. Methods: We used data from a case-control study on asthma (2011-2013) nested in the E3N cohort. Among 3,023 women with current asthma, asthma control was defined by the Asthma Control Test (ACT). We used a standardized questionnaire to assess the frequency of cleaning tasks and DCP use. We also identified household cleaning patterns using a clustering approach. Associations between DCP and ACT were adjusted for age, smoking status, body mass index and education. Results: Data on ACT and DCP use were available for 2,223 women (70±6 years old). Asthma was controlled (ACT=25), partly controlled (ACT=20-24) and poorly controlled (ACT≤19) in 29%, 46% and 25% of the participants, respectively. Weekly use of sprays and chemicals were associated with poorly controlled asthma (odds ratio [95%CI]: 1 spray: 1.31 [0.94-1.84], ≥2 sprays: 1.65 [1.07-2.53], P-trend: 0.01; 1 chemical: 1.24 [0.94-1.64], ≥2 chemicals: 1.47 [1.03-2.09], P-trend: 0.02). Risk for poor asthma control increased with the patterns "very frequent use of products" (1.74 [1.13-2.70]) and "infrequent cleaning tasks and intermediate use of products" (1.62 [1.05-2.51]). Conclusion: Regular use of DCP may contribute to poor asthma control in elderly women. Limiting their use may help improve asthma management.
Fichier principal
Vignette du fichier
HouseholdCleaning_AsthmaControl_E3N_acceptéHALInserm.pdf (521.66 Ko) Télécharger le fichier
HouseholdCleaning_AsthmaControl_E3N_online_acceptéHALInserm.pdf (319.06 Ko) Télécharger le fichier
Origine : Fichiers produits par l'(les) auteur(s)

Dates et versions

inserm-03166894 , version 1 (11-03-2021)

Identifiants

Citer

Orianne Dumas, Annabelle Bédard, Matthieu Marbac, Mohammed Sedki, Sofia Temam, et al.. Household cleaning and poor asthma control among elderly women. Journal of Allergy and Clinical Immunology: In Practice, 2021, pp.S2213-2198(21)00202-6. ⟨10.1016/j.jaip.2021.02.022⟩. ⟨inserm-03166894⟩
175 Consultations
243 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More