Introduction
Methods
Study population
Ethical considerations
Measures
Psychosocial working conditions
Item | Participants reporting adverse working conditions | |
---|---|---|
n | %a | |
In my everyday work, I am able to avoid allergens or other triggers that are relevant to me | 163 | 74.1 |
Since my condition is invisible to others, I do not receive any support in managing my asthma in my everyday work | 148 | 67.6 |
In my everyday work, I can take a break anytime if necessary for my asthma management | 136 | 62.1 |
In my everyday work, I can go home early or stay home for one day without a sick note whenever I need to manage my asthma | 127 | 58.3 |
In my everyday work, I can manage my asthma the way I need to because I can withdraw from others for my asthma management | 125 | 57.3 |
In my everyday work, I am NOT able to manage my asthma as I need to, because there is nobody to take over my tasks | 106 | 48.2 |
I feel accepted by my line-manager concerning my asthma and the related limitations | 62 | 28.8 |
Asthma self-management
Asthma morbidity
Data analysis
Results
Sample description
Characteristic | |
---|---|
Age (years) | |
Mean (SD) | 50.6 (8.7) |
Missing values; n (%) | 2 (.9) |
Sex | |
Women; n (%) | 119 (53.8) |
Men; n (%) | 102 (46.2) |
Missing values; n (%) | – |
Highest school degree | |
Lower than secondary school degree; n (%) | 82 (37.1) |
Secondary school degree; n (%) | 74 (33.5) |
Higher than secondary school degree; n (%) | 62 (28.1) |
Missing values; n (%) | 3 (1.4) |
Body mass index (BMI) | |
Underweight, normal (BMI < 25); n (%) | 61 (27.6) |
Overweight (25 ≤ BMI < 30); n (%) | 81 (36.7) |
Obese (BMI ≥ 30); n (%) | 76 (34.4) |
Missing values; n (%) | 3 (1.4) |
Smoker | |
No, never; n (%) | 110 (49.8) |
No, not anymore; n (%) | 96 (43.4) |
Current; n (%) | 13 (5.9) |
Missing values; n (%) | 2 (.9) |
Job Decision Latitude (JDL)a | |
Mean (SD) | 45.61 (22.83) |
Missing values; n (%) | 2 (.9) |
Supporta | |
Mean (SD) | 53.65 (25.65) |
Missing values; n (%) | 12 (5.4) |
DReAM (working conditions)b | |
Mean (SD) | 18.50 (5.05) |
Missing values; n (%) | 1 (.5) |
Physical activity | |
More than once a week; n (%) | 144 (65.2) |
Once a week or less; n (%) | 75 (33.9) |
Missing values; n (%) | 2 (.9) |
Trigger avoidancec | |
Mean (SD) | .6 (.5) |
Missing values; n (%) | 1 (.5) |
Acute asthma symptom managementd | |
Mean (SD) | 2.3 (2.0) |
Missing values; n (%) | 5 (2.3) |
Communicatione | |
Mean (SD) | .3 (.6) |
Missing values; n (%) | 4 (1.8) |
Asthma controlf | |
Controlled | 76 (34.4) |
Uncontrolled | 145 (65.6) |
Missing values | – |
Asthma-specific quality of lifeg | |
Mean (SD) | 4.4 (1.8) |
Missing values; n (%) | 1 (.5) |
Psychosocial working conditions and asthma SMBS at work
Asthma symptom prevention | Acute asthma symptom management (unfulfilled needs) | Communication (unfulfilled needs) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Physical activity (once a week or less) | Trigger avoidance (unfulfilled need) | Unadjusted | Adjusted Model Aa | Unadjusted | Adjusted Model Aa | |||||||||||
Unadjusted | Adjusted Model Aa | Unadjusted | Adjusted Model Aa | |||||||||||||
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
JDL | ||||||||||||||||
High | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Low | 1.57 | .87, 2.84 | 1.60 | .84, 3.03 | 2.30 | 1.23, 4.31 | 2.05 | 1.07, 3.94 | 5.83 | 2.76, 12.31 | 6.32 | 2.83, 14.13 | 1.57 | .77, 3.18 | 1.63 | .79, 3.39 |
Support | ||||||||||||||||
High | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Low | 1.17 | .64, 2.13 | 1.42 | .74, 2.73 | 2.09 | 1.13, 3.84 | 2.25 | 1.18, 4.31 | 2.29 | 1.08, 4.83 | 1.87 | .85, 4.15 | 2.82 | 1.37, 5.84 | 2.95 | 1.38, 6.30 |
DReAM | ||||||||||||||||
Good | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Adverse | 1.91 | 1.05, 3.46 | 2.68 | 1.37, 5.23 | 5.25 | 2.56, 10.79 | 6.54 | 2.98, 14.37 | 5.55 | 2.64, 11.69 | 4.67 | 2.14, 10.21 | 2.79 | 1.38, 5.63 | 2.87 | 1.37, 6.02 |
Psychosocial working conditions and asthma morbidity
Poor asthma control | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Unadjusted model | Adjusted Model Aa | Adjusted Model Bb | Adjusted Model A and physical activity | Adjusted Model A and trigger avoidance | Adjusted Model A and acute asthma symptom management | Adjusted Model A and communication | ||||||||
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
JDL | ||||||||||||||
High | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Low | 2.14 | 1.12,4.10 | 2.21 | 1.12, 4.35 | 1.61 | .75, 3.44 | 2.21 | 1.12, 4.37 | 1.96 | .98, 3.89 | 1.68 | .79, 3.57 | 2.28 | 1.13, 4.59 |
− 27.15% change vs. adjusted Model A | 0% change vs. adjusted Model A | − 11.31% change vs. adjusted Model A | − 23.89% change vs. adjusted Model A | + 3.17% change vs. adjusted Model A | ||||||||||
Support | ||||||||||||||
High | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Low | 1.95 | 1.04, 3.68 | 1.94 | 1.00, 3.76 | 1.52 | .73, 3.18 | 1.94 | .999, 3.76 | 1.73 | .88, 3.39 | 1.74 | .87, 3.49 | 1.85 | .93, 3.68 |
− 21.65% change vs. adjusted Model A | 0% change vs. adjusted Model A | − 10.82% change vs. adjusted Model A | − 10.31% change vs. adjusted Model A | − 4.64% change vs. adjusted Model A | ||||||||||
DReAM | ||||||||||||||
Good | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Adverse | 1.90 | 1.01, 3.60 | 1.86 | .95, 3.66 | 1.16 | .53, 2.55 | 1.89 | .95, 3.75 | 1.49 | .72, 3.06 | 1.34 | .65, 2.78 | 1.79 | .89, 3.59 |
− 37.63% change vs. adjusted Model A | + 1.61% change vs. adjusted Model A | − 19.89% change vs. adjusted Model A | − 27.96% change vs. adjusted Model A | − 3.76% change vs. adjusted Model A |
Low asthma-specific quality of life | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Unadjusted model | Adjusted Model Aa | Adjusted Model Bb | Adjusted Model A and physical activity | Adjusted Model A and trigger avoidance | Adjusted Model A and acute asthma symptom management | Adjusted Model A and communication | ||||||||
OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | |
JDL | ||||||||||||||
High | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Low | 2.05 | 1.13, 3.72 | 1.77 | .95, 3.33 | 1.08 | .52, 2.22 | 1.70 | .90, 3.20 | 1.65 | .87, 3.13 | 1.15 | .57, 2.34 | 1.72 | .91, 3.26 |
− 38.98% change vs. adjusted Model A | − 3.95% change vs. adjusted Model A | − 6.78% change vs. adjusted Model A | − 35.03% change vs. adjusted Model A | − 2.82% change vs. adjusted Model A | ||||||||||
Support | ||||||||||||||
High | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Low | 2.56 | 1.40, 4.67 | 2.26 | 1.19, 4.29 | 1.90 | .93, 3.86 | 2.19 | 1.15, 4.18 | 2.12 | 1.10, 4.07 | 2.02 | 1.02, 4.01 | 2.09 | 1.08, 4.03 |
− 15.93% change vs. adjusted Model A | − 3.10% change vs. adjusted Model A | − 6.19% change vs. adjusted Model A | − 10.62% change vs. adjusted Model A | − 7.52% change vs. adjusted Model A | ||||||||||
DReAM | ||||||||||||||
Good | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – | Ref. | – |
Adverse | 2.33 | 1.28, 4.23 | 2.15 | 1.13, 4.11 | 1.35 | .64, 2.86 | 1.97 | 1.02, 3.82 | 2.00 | 1.01, 3.96 | 1.52 | .75, 3.07 | 1.98 | 1.03, 3.84 |
− 37.21% change vs. adjusted Model A | − 8.37% change vs. adjusted Model A | − 6.98% change vs. adjusted Model A | − 29.30% change vs. adjusted Model A | − 7.91% change vs. adjusted Model A |