Mazurek Jacek M, Schleiff Patricia L
Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA.
Fam Med. 2010 Jun;42(6):408-13.
The occupational history of every adult patient with asthma provides information critical to the proper diagnosis and effective prevention of work-related asthma. This study determined the proportion of farm operators that reported an asthma attack while doing farm work that required the use of an inhaler or other medical treatment but who had not been told by a doctor, nurse, or other health professional that their asthma was related to work on the farm.
Asthma and asthma attack prevalences were estimated using data on a nationally representative sample of 12,278 active farm operators who participated in the 2006 Farm and Ranch Safety Survey.
An estimated 4.9% of operators reported current asthma. Of these, an estimated 24.8% had been told that their asthma was related to work on the farm. Of those not so informed, 21.6% reported an asthma attack at work in the 12 months prior to the interview.
A large proportion of farm operators who had not been told that their asthma was related to work on the farm experienced an asthma attack that occurred while doing farm work. These results suggest the need for improving clinicians' occupational health practices and clinician-patient communication.
每位成年哮喘患者的职业史对于正确诊断和有效预防与工作相关的哮喘至关重要。本研究确定了在从事需要使用吸入器或其他药物治疗的农活时报告有哮喘发作，但未被医生、护士或其他健康专业人员告知其哮喘与农场工作有关的农场经营者的比例。
使用来自参与2006年农场和牧场安全调查的12278名在职农场经营者的具有全国代表性样本的数据，估计哮喘和哮喘发作的患病率。
估计有4.9%的经营者报告目前患有哮喘。其中，估计有24.8%的人被告知他们的哮喘与农场工作有关。在未被告知的人中，21.6%的人在访谈前12个月内报告在工作时哮喘发作。
很大一部分未被告知其哮喘与农场工作有关的农场经营者在从事农活时经历了哮喘发作。这些结果表明需要改善临床医生的职业健康实践和医患沟通。
