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工作青少年哮喘和过敏性疾病的患病率及危险因素。

The prevalence and risk factors of asthma and allergic diseases among working adolescents.

机构信息

Division of Pediatric Pulmonology, Marmara University, Istanbul, Turkey.

出版信息

Asian Pac J Allergy Immunol. 2010 Jun-Sep;28(2-3):122-9.

Abstract

Certain occupational groups are known to be at particularly high risk of developing allergic diseases. The objective of the present study was to evaluate the prevalence of allergic diseases among working adolescents. The International Study of Asthma and Allergies in Childhood questionnaire was used. Four hundred and thirty six adolescents working in motor, lathe-finish, coiffure and textile and 366 high school students as control group were enrolled to the study. Mean age was 16.8 +/- 1.2 years and 82.9% of them were male. There was no significant difference among groups for ever and current wheezing while doctor diagnosed asthma was higher in lathe- finish group (p = 0.036). Family history of allergy, history of allergic rhinitis, and active smoking were found to be risk factors for asthma and related symptoms. Working in coiffure (p = 0.054), and textile (p = 0.003) were significant risk factors for ever allergic rhinitis. Working in lathe finish (p = 0.023), coiffure (p = .002), and textile (p < 0.001) were associated with a higher risk for current allergic rhinitis. Working in coiffure was a risk factor for ever eczema (p = 0.008) and doctor diagnosed eczema (p = 0.014). It was concluded that working in lathe-finish was associated with doctor diagnosed asthma and active smoking was a risk factor for asthma and related symptoms. Working in coiffure, textile and lathe- finish were risk factors for rhinitis, and working in coiffure was a risk factor for eczema. Preventive measures should be taken at the onset of employment in order to prevent or reduce the detrimental effects of exposures in these occupational groups.

摘要

某些职业群体已知处于发生过敏性疾病的极高风险中。本研究的目的是评估工作青少年中过敏性疾病的流行情况。使用了国际儿童哮喘和过敏研究问卷。招募了 436 名在汽车、车床精加工、美发和纺织行业工作的青少年和 366 名高中生作为对照组。平均年龄为 16.8 +/- 1.2 岁,其中 82.9%为男性。各组间既往和当前喘息的发生率没有显著差异,而车床精加工组的医生诊断哮喘的发生率更高(p = 0.036)。过敏家族史、过敏性鼻炎史和主动吸烟被发现是哮喘和相关症状的危险因素。在美发(p = 0.054)和纺织(p = 0.003)工作是既往过敏性鼻炎的显著危险因素。在车床精加工(p = 0.023)、美发(p = 0.002)和纺织(p < 0.001)工作与当前过敏性鼻炎的风险增加相关。在美发工作是既往湿疹(p = 0.008)和医生诊断湿疹(p = 0.014)的危险因素。研究得出结论,在车床精加工工作与医生诊断哮喘相关,而主动吸烟是哮喘和相关症状的危险因素。在美发、纺织和车床精加工工作是鼻炎的危险因素,而在美发工作是湿疹的危险因素。在开始就业时应采取预防措施,以预防或减少这些职业群体中暴露的有害影响。

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