Date of filling in this questionnaire or last update: 11/02/2025
1. IDENTIFICATION & BASIC DESCRIPTION
Cohort name
  FAIR
Country
 

  • Sweden

Please provide any other information on the cohort location/s if needed
  National cohort
Name
  Jenny Selander
Institution
  Karolinska Institutet
Email
  jenny.selander@ki.se
Phone
  +46852480029
Personal website
  https://ki.se/en/imm/research/units-at-imm/unit-of-occupational-medicine-0
Website
 

  • https://ki.se/en/imm/research/units-at-imm/unit-of-occupational-medicine-0

Contact Principal Investigator (name)
  Jenny Selander
Data access policy (briefly describe)
  Data is locked on secure servers, can be accessed by collaboration and/or research affiliation to KI
Is this cohort part of a consortium? (name consortium)
  No
Main aim of cohort, please briefly describe the main objectives of the cohort
  Birth cohort on the national population in Sweden
Study design (please select as many as appropriate)
 

  • Prospective cohort

Source population (please select as many as appropriate)
 

  • General population: National

Inclusion criteria
  All births between 1994 and 2014, (is being updated to 2024)
Exclusion criteria
  None for full cohort, but occupational analyses will usually only include the working population
Enrollment
  Ongoing
Age range at entry (main cohort)
 

Minimum Maximum Mean
0 30

Age range at entry (subcohort)
 

Minimum Maximum Mean Please describe
0 0

Men at enrollment
  50% (1 million)
Women at enrollment
  50% (1 million)
Children (<18 years) at enrollment
  all (2 million)
Men at last follow-up
  1 million
Women at last follow-up
  1 million
Children (<18 years) at last follow-up
  1,1 million
Participation rate at enrollment (if known)
  100
Comments
  Registry based cohort, where all births in Sweden are included, for now born between 1994 and 2014, addition up to 2024 will be added.
2. OUTCOME FOLLOW-UP
Type of data for outcome follow-up (please select as many as appropriate)
 

  • Hospital / physician diagnoses
  • Use of registers (specify)

Hospital / Physician diagnoses (specify)
 

  • Patient registry, medical birth registry, cause of death registry

Specify: Use of registers
 

  • Many registers attached.

First follow-up period (provide year)
  Followed up continously, every year from 1995
Last follow-up period (provide year)
  to 2024
Number of follow-ups after baseline (provide number)
  Every year 30 years in total
Participation at last follow-up (if known)
  98
Comments
  Complete follow up, but a few die or emigrate.
3. OCCUPATIONAL EXPOSURES
Source of exposure data collected (please select as many as appropriate)
 

  • Registry-based
  • Other (specify)

Specify: Other
  Occupational hygenist have manually coded free text into occupational codes
Occupational history/time frame
  Current, at enrollment
Occupational coding performed
  Yes
Occupation (specify coding system used)
 

  • AMSYK a 6-digit version of SSYK-96 (based on ISCO-88-COM)

Methods for exposure assessment (please select as many as appropriate)
 

  • Data modelling
  • GIS (other spatial methods)
  • Expert assessment
  • Job Exposure Matrix

 

  • Other

Specify: Job Exposure Matrix / Other
  SweJEM
Website
  https://ki.se/en/imm/swejem
Main categories
 

  • Dusts and fibres
  • Solvents
  • Pesticides
  • Metals and metal oxides
  • Other chemicals
  • Physical agents
  • Ergonomics, physical workload, and injury related
  • Psychosocial domains
  • Organisation of work including working time

Dusts and fibres | Fibres
 

  • Asbestos (any form of asbestos chrysotile, crocidolite, tremolite, anthophyllite, etc. or asbestos-containing material)
  • Fibres (not specified)
  • Glass wool

Dusts and fibres | Inorganic dusts
 

  • Carbon black
  • Inorganic dusts, not specified
  • Quartz (quartz or crystalline silica containing dusts)
  • Stone (Natural or Artificial)

Dusts and fibres | Organic dusts
 

  • Animal dust (from living animals or hairs of animals, e.g. raw wool, furs of minks, etc.)
  • Flour dust
  • Leather dust
  • Organic dusts (not specified)
  • Plant dust (includes plants, fruits, vegetables, plant-borne materials such as natural rubber)
  • Pulp or paper dust
  • Textile dust
  • Wood dust (hardwood)
  • Wood dust (softwood)
  • Wood dust (not specified)

Solvents | Aliphatic and alicyclic hydrocarbon solvents
 

  • Gasoline

Solvents | Aromatic hydrocarbon solvents
 

  • Benzene
  • Styrene and styrene oxide
  • Toluene
  • Xylene

Solvents | Chlorinated hydrocarbon solvents
 

  • Vinyl chloride

Solvents | Organic solvents, other than aliphatic, aromatic and chlorinated
 

  • Formaldehyde

Metals and metal oxides
 

  • Arsenic all types
  • Chromium (metallic chromium, Cr(iii), Cr(vi) and all compounds)
  • Iron (metallic iron and all compounds)
  • Lead and all compounds
  • Mercury, organic, inorganic
  • Nickel and all compounds

Other chemicals | Carbon monoxide
 

  • Carbon monoxide

Other chemicals | Engine exhaust
 

  • Diesel engine exhaust
  • Gasoline engine exhaust

Other chemicals | Polycyclic aromatic hydrocarbons (PAHs)
 

  • Asphalt/Bitumen fumes
  • Benzo(a)pyrene
  • Bitumen fumes

Other chemicals | Welding fumes
 

  • Welding fumes, not specified

Physical agents
 

  • Cold
  • Hand-arm vibration
  • Heat
  • Noise
  • Whole body vibration

Ergonomics, physical workload, and injury related
 

  • Awkward work postures (e.g. kneeling/squatting, elevated arms, neck flection, back bent forward without support)
  • Physical work load (e.g. heavy lifting of people or objects, pushing/pulling)
  • Repetitive work movements
  • Standing work

Psychosocial domains | Job task characteristics/organization of work
 

  • Job control, autonomy
  • Psychological job demands
  • Social support at work from supervisors
  • Other (specify)

Psychosocial domains | Job task characteristics/organization of work | Specify: Other
  Emotional demands
4. OUTCOMES EVALUATED
Baseline - type of outcome data collected (select more than one if applicable)
 

  • Registry-based

Registry-based
 

  • Birth register
  • Cancer incidence
  • Disease specific clinical database
  • Employment status
  • Hospital discharge
  • Medication usage
  • Mortality register
  • Migration
  • Other

Specify: Other
  Insurence etc.
Follow-up - type of outcome data collected (select more than one if applicable)
 

  • Registry-based

Registry-based
 

  • Cancer incidence
  • Disease specific clinical database
  • Employment status
  • Hospital discharge
  • Medication usage
  • Mortality register
  • Migration
  • Other

Outcome type (please select as many as appropriate)
 

  • Mortality
  • Morbidity
  • Disability

Diagnostic groups based on ICD10
 

  • C + D Neoplasms
  • E Endocrinological disease
  • E Metabolism disease
  • F Mental disorders
  • H Disorders of the ear
  • I Heart disease
  • J Respiratory disease
  • O+P Pregnancy and labour
  • Q After birth – child disorders

C + D Neoplasms
 

  • Benign neoplasm
  • Carcinoma in situ
  • Leukemia
  • Malignant neoplasms gastro intes. system including liver, gall bladder, pancreas
  • Malignant neoplasm lung
  • Mesothelioma
  • Other malignant neoplasm of respiratory and intrathoracic organs, heart, pleura
  • Malignant neoplasm of bone and articular cartilage
  • Melanoma and other malignant neoplasms of skin
  • Neoplasms connective and soft tissue including nerves
  • Malignant neoplasm of breast
  • Malignant neoplasms, females gynecological
  • Malignant neoplasms of male genital organs
  • Malignant neoplasm of urinary tract and kidney
  • Malignant neoplasms of eye, brain and other parts of central nervous system
  • Malignant neoplasms of thyroid and other endocrine glands
  • Malignant neoplasms of ill-defined, secondary and unspecified sites
  • Malignant neoplasm without specification of site including excl. leukemia
  • Other, please state

E Endocrinological disease
 

  • Diabetes mellitus

F Mental disorders
 

  • Mood [affective] disorders
  • Depression
  • Disorders of psychological development including autism and Aspergers syndrome

H Disorders of the ear
 

  • Diseases of middle ear and mastoid
  • Diseases of inner ear

O+P Pregnancy and labour
 

  • Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
  • Eclampsia in pregnancy, labour or puerperium
  • Diabetes mellitus in pregnancy
  • Complications of labour and delivery
  • Preterm delivery
  • Extremely low birth weight
  • Other low birth weight
  • Exceptionally large baby
  • Birth trauma

6. Other Information
 

  • Anthropometry
  • Demographics
  • Education
  • Environmental, air pollution
  • Environmental other (specify)
  • Medical history
  • Residential history
  • Socioeconomic status
  • Smoking
  • Other (specify)

Specify: Environmental other
  many variables
Specify: Other
  many varibles
Possibility for linkage to data registries/data enrichment via data linkage
 

  • Birth register
  • Cancer incidence
  • Disease specific clinical database
  • Employment status
  • Hospital discharge
  • Medication usage
  • Migration
  • Mortality register
  • Other (specify)

Specify: Other
  all Swedish
Please describe plans that are funded or most likely to be funded
  Have current funded project that uses this cohort, have active staff that can run analyses.