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. 2022 Oct;95(8):1719-1729.
doi: 10.1007/s00420-022-01860-w. Epub 2022 Apr 14.

Association between household cleaning product profiles evaluated by the Ménag'Score® index and asthma symptoms among women from the SEPAGES cohort

Pierre Lemire  1 , Emmanuel Chevallier  2 , Sarah Lyon-Caen  3 , Etienne Sévin  4 , Anne Boudier  3 , Emilie Pacheco Da Silva  1 , Christian De Thuin  2 , Rémy Slama  3 , Orianne Dumas  1 , Valérie Siroux  5 , Nicole Le Moual  1 ; SEPAGES Study Group
Collaborators, Affiliations

Association between household cleaning product profiles evaluated by the Ménag'Score® index and asthma symptoms among women from the SEPAGES cohort

Pierre Lemire et al. Int Arch Occup Environ Health. 2022 Oct.

Abstract

Objective: Considering household disinfectants and cleaning products (HDCP) as mixture of ingredients, rather than each ingredient individually, might help in characterizing their role in asthma. We investigated the association between HDCP and asthma, using the recently developed Ménag'Score®, a health risk assessment score based on exhaustive ingredient lists of HDCP.

Methods: The study is based on 103 female volunteers of the SEPAGES cohort (2014-2019), with repeated data (up to 3 collection times, 200 observations). HDCP use was assessed from a barcode-based smartphone application linked with an ingredient database. The Ménag'score® risks for health and environment were computed for each weekly used HDCP from their exhaustive ingredient data (from A: no known risk to E: highest risk). The association between the use of HDCP with a poor Ménag'score® (D or E; overall, health, environment scores) and asthma symptoms, was estimated by generalized estimating equations models adjusted for age, BMI and smoking status.

Results: Participants were on average 33 years old, 11% smoked and 20% had at least one asthma symptom. The Ménag'score® was computed for 540 HDCP scanned by participants. Weekly use of HDCP with a poor Ménag'score®-health (around 60% of the participants) was associated with a higher risk of asthma symptoms (OR 3.13, 95% CI [1.32-7.43]). No association was observed for the Ménag'score®-environment.

Conclusion: The use of HDCP with a poor Ménag'score®-health was associated with asthma symptoms. The results support the use of the Ménag'score®-health to further evaluate the health risks of HDCP in observational studies and as a potential public health tool.

Keywords: Asthma; Epidemiology; Household cleaning products; Ménag’score; Public health.

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