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Am J Ind Med. 2009 Nov;52(11):831-40. doi: 10.1002/ajim.20753.

Data linkage to estimate the extent and distribution of occupational disease: new onset adult asthma in Alberta, Canada.

Author information

1
Department of Medicine, University of Alberta, Alberta, Canada. ncherry@ualberta.ca

Abstract

BACKGROUND:

Although occupational asthma is a well recognized and preventable disease, the numbers of cases presenting for compensation may be far lower than the true incidence.

METHODS:

Workers' Compensation Board (WCB) claims for any reason 1995-2004 were linked to physician billing data. New onset adult asthma (NOAA) was defined as a billing for asthma (ICD-9 code of 493) in the 12 months prior to a WCB claim without asthma in the previous 3 years. Incidence was calculated by occupation, industry and, in a case-referent analysis, exposures estimated from an asthma specific job exposure matrix.

RESULTS:

There were 782,908 WCB eligible claims, with an incidence rate for NOAA of 1.6%: 23 occupations and 21 industries had a significantly increased risk. Isocyanates (OR 1.54: 95% CI 1.01-2.36) and exposure to mixed agricultural allergens (OR = 1.59: 95% CI 1.17-2.18) were related to NOAA overall, as were exposures to cleaning chemicals in men (OR = 1.91:95% CI 1.34-2.73). Estimates of the number of cases of occupational asthma suggested a range of 4% to about half for the proportion compensated.

CONCLUSIONS:

Data linkage of administrative records can demonstrate under-reporting of occupational asthma and indicate areas for prevention.

PMID:
19753592
DOI:
10.1002/ajim.20753
[Indexed for MEDLINE]

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