Maternal life and work stressors during pregnancy and asthma in offspring

Author:

Pape Kathrine12ORCID,Liu Xiaoqin3,Sejbæk Camilla Sandal2,Andersson Niklas Worm145,Larsen Ann Dyreborg2,Bay Hans2,Kolstad Henrik Albert67,Bonde Jens Peter Ellekilde89,Olsen Jørn1011,Svanes Cecilie1213,Hansen Kirsten Skamstrup14,Rugulies Reiner2915,Hougaard Karin Sørig29,Schlünssen Vivi12

Affiliation:

1. Department of Public Health, Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark

2. National Research Centre for the Working Environment, Copenhagen, Denmark

3. NCRR-National Centre for Register-based Research, Department of Economics and Business Economics, Aarhus University, Denmark

4. Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark

5. Department of Clinical Pharmacology, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark

6. Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Denmark

7. Department of Clinical Medicine, Aarhus University, Denmark

8. Department of Occupational and Environmental Medicine, Bispebjerg and Frederiksberg Hospitals, Copenhagen, Denmark

9. Institute of Public Health, University of Copenhagen, Copenhagen, Denmark

10. Department of Clinical Medicine, Department of Clinical Epidemiology, Aarhus University, Denmark

11. Section of Epidemiology, Department of Public Health, Aarhus University, Denmark

12. University of Bergen, Department of Global Public Health and Primary Care, Bergen, Norway

13. Department of Occupational Medicine, Haukeland Hospital, Bergen, Norway

14. Department of Paediatrics, Herlev and Gentofte Hospital, Hellerup, Denmark

15. Department of Psychology, University of Copenhagen, Copenhagen, Denmark

Abstract

Abstract Background Maternal stressors during pregnancy are potential risk factors for asthma in offspring. However, previous studies have been limited by the use of self-reported data focusing on stressors either in private life or at work. This study examined the association between maternal stressors both in private life and at work during pregnancy and asthma in offspring. Methods In the Danish National Birth Cohort, 75 156 live-born singletons born during 1996–2002 were identified. Maternal information on job title were available around weeks 12–16 of gestation. Data on maternal bereavement, life-threatening illness, suicide attempt and alcohol or drug abuse of a close relative and offspring childhood asthma (3–10 years of age) were obtained from Danish nationwide registers. Maternal psychosocial work stressors (job control, psychological job demands, emotional job demands, work-related violence and threats of work-related violence) were estimated by the use of job-exposure matrices. The association between maternal stress and childhood asthma was analysed in Cox models adjusted for maternal age, comorbidity and parity. Results Neither private-life nor work stressors were related to onset of asthma in offspring. Separate analyses by parental atopy or onset of asthma in offspring supported the main findings. Conclusions This study does not support an elevated risk of childhood asthma related to exposure to stress during pregnancy.

Funder

Danish Working Environment Research Fund

Danish National Research Foundation

Pharmacy Foundation

Egmont Foundation

March of Dimes Birth Defects Foundation

Health Foundation

Novo Nordisk Foundation

Lundbeck Foundation

Danish Medical Research Council

The Innovation Fund Denmark

Nordea Foundation

Aarhus Ideas

University of Copenhagen Strategic Grant

Danish Council for Independent Research

Publisher

Oxford University Press (OUP)

Subject

General Medicine,Epidemiology

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