Lutzker Liza A, Rafferty Ann P, Brunner Wendy M, Walters Jaime K, Wasilevich Elizabeth A, Green Mandy K, Rosenman Kenneth D
Massachusetts Department of Public Health, Occupational Health Surveillance Program, Boston, Massachusetts, USA.
J Asthma. 2010 Mar;47(2):156-61. doi: 10.3109/02770900903509073.
Adults who have asthma that is caused or aggravated by triggers at work experience a reduced quality of life. In this study, the authors sought to estimate the proportion of asthma that is associated with work using a state-based survey of adults with asthma.
In 2005, Michigan, Minnesota, and Oregon piloted the Behavioral Risk Factor Surveillance System Adult Asthma Call-Back Survey, with sample sizes of 867, 469, and 1072, respectively. Six questions addressing work-related asthma (WRA) were analyzed to generate estimates of the proportion of adult asthma that is work-related and compare those with and without WRA.
Over half of all adults with asthma (53%) reported that their asthma was caused or made worse by any job they ever had, and among these respondents reporting WRA, only 21.5% to 25.1% reported ever telling or being told by a health professional that their asthma was work-related. Additionally, adults with WRA consistently reported poorer asthma control and higher health care utilization than adults with non-WRA.
WRA is a common but frequently unrecognized health problem, and this lack of recognition might contribute to poorer asthma control among adults with WRA. Because early recognition, treatment, and management of WRA are crucial for improving long-term prognosis, clinicians need to include assessment of workplace triggers in both their diagnostic and treatment plans for adult patients with asthma.
因工作中的触发因素而引发或加重哮喘的成年人生活质量会下降。在本研究中，作者试图通过一项针对成年哮喘患者的全州调查来估计与工作相关的哮喘比例。
2005年，密歇根州、明尼苏达州和俄勒冈州对行为危险因素监测系统成人哮喘回访调查进行了试点，样本量分别为867、469和1072。对六个与工作相关哮喘（WRA）的问题进行了分析，以得出与工作相关的成年哮喘比例的估计值，并比较有和没有WRA的情况。
超过一半的成年哮喘患者（53%）报告称，他们的哮喘是由他们曾经从事的任何工作引起或加重的，在这些报告有WRA的受访者中，只有21.5%至25.1%报告曾被告知或被健康专业人员告知他们的哮喘与工作有关。此外，与没有WRA的成年人相比，有WRA的成年人一直报告哮喘控制较差且医疗保健利用率较高。
WRA是一个常见但经常未被认识到的健康问题，这种认识不足可能导致有WRA的成年人哮喘控制较差。由于对WRA的早期识别、治疗和管理对于改善长期预后至关重要，临床医生在对成年哮喘患者的诊断和治疗计划中需要包括对工作场所触发因素的评估。
