Akpinar-Elci Muge, Cimrin Arif Hikmet, Elci Omur Cinar
Department of Respiratory Medicine, Izmir Chest Diseases and Surgery Training Hospital, Turkey.
J Occup Environ Med. 2002 Jun;44(6):585-90. doi: 10.1097/00043764-200206000-00023.
This study was designed to evaluate the questionnaire-based prevalence and possible risk factors of occupational asthma among hairdressers in Turkey. We investigated occupational history and respiratory, ocular, dermal, and nasal symptoms using a standardized questionnaire, evaluated worksite pulmonary function tests, and performed allergen skin testing. We then determined asthma risk factors using age- and gender-adjusted logistic regression models. The prevalence of occupational asthma in hairdressers was 14.6%. The odds ratio for hairdressers in a high work intensity group was 3.6 (95% confidence interval, 1.2 to 10.9) with a significant dose-response trend (chi 2 trend = 4.875; P = 0.027). The odds ratio for occupational asthma among workers with atopy was 4.5 (95% confidence interval, 1.2 to 17.2). We also observed an excess risk of occupational asthma with allergic rhinitis and conjunctivitis. Occupational asthma did not differ among subgroups of hairdressers. We observed an important risk of occupational asthma among hairdressers. The most prominent risk factors were work intensity and atopy.
本研究旨在评估土耳其美发师中基于问卷的职业性哮喘患病率及可能的危险因素。我们使用标准化问卷调查职业史以及呼吸、眼部、皮肤和鼻部症状，评估工作场所肺功能测试，并进行过敏原皮肤试验。然后，我们使用年龄和性别调整的逻辑回归模型确定哮喘危险因素。美发师中职业性哮喘的患病率为14.6%。高工作强度组美发师的比值比为3.6（95%置信区间，1.2至10.9），具有显著的剂量反应趋势（卡方趋势=4.875；P=0.027）。特应性工人中职业性哮喘的比值比为4.5（95%置信区间，1.2至17.2）。我们还观察到过敏性鼻炎和结膜炎患者患职业性哮喘的风险增加。职业性哮喘在美发师亚组之间没有差异。我们观察到美发师中存在职业性哮喘的重要风险。最突出的危险因素是工作强度和特应性。
