Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, CDC, Morgantown, West Virginia 26505, USA.
Am J Prev Med. 2012 Jul;43(1):72-5. doi: 10.1016/j.amepre.2012.03.021.
Healthy People 2020-specific respiratory diseases objectives seek to increase the proportion of people with current asthma who receive appropriate asthma care. For adults, this includes a discussion of whether asthma is work-related.
To establish a baseline measure of physician-patient communication regarding asthma and work.
This study used data from 27,157 non-institutionalized U.S. adult respondents of the 2010 National Health Interview Survey (analyzed in 2011). Adults employed at any time in the 12 months prior to the interview with a health-professional diagnosis of current asthma who have been told by a health professional that their asthma was probably work-related or ever discussed the relatedness of asthma and work were identified. Weighted proportions and, using logistic regression analysis, prevalence ORs for factors that may have predicted communication with a health professional regarding an asthma-work relationship were calculated.
An estimated 6.6% (95% CI=5.1%, 8.2%) of employed adults with current asthma have been told that their asthma is work-related. Among those not so informed, 7.4% (95% CI=5.6%, 9.2%) ever discussed the topic. When responses to both questions were considered, the proportion was 13.5% (95% CI=11.3%, 15.8%). Employed adults aged ≥30 years, those reporting adverse asthma outcomes, and those of Hispanic ethnicity had higher odds of having communication with a health professional about the relation between their asthma and their work.
One in seven employed adults with asthma report communicating with their health professional about the role of workplace exposures in their asthma. Opportunities to increase this dialogue should be examined.
《2020 年健康人》中特定的呼吸系统疾病目标旨在提高当前哮喘患者接受适当哮喘护理的比例。对于成年人来说，这包括讨论哮喘是否与工作有关。
建立一个评估医患之间关于哮喘和工作问题沟通的基线标准。
本研究使用了 2010 年全国健康访谈调查（2011 年分析）中 27157 名非机构化的美国成年受访者的数据。在调查前 12 个月内，任何时候受雇于有健康专业人员诊断为当前哮喘的成年人，如果健康专业人员告知他们的哮喘可能与工作有关，或者曾经讨论过哮喘与工作的关系，那么他们就被认定为符合条件。计算了可能预测与健康专业人员就哮喘与工作关系进行沟通的因素的加权比例和使用逻辑回归分析的患病率比值比（OR）。
据估计，6.6%（95%置信区间=5.1%，8.2%）有当前哮喘的就业成年人被告知他们的哮喘与工作有关。在没有被告知的人群中，7.4%（95%置信区间=5.6%，9.2%）曾经讨论过这个话题。当同时考虑到两个问题的回答时，比例为 13.5%（95%置信区间=11.3%，15.8%）。年龄≥30 岁的就业成年人、报告有不良哮喘结果的成年人以及西班牙裔成年人与健康专业人员就其哮喘与工作之间的关系进行沟通的可能性更高。
每七个患有哮喘的就业成年人中就有一个人报告与他们的健康专业人员就工作场所暴露对他们哮喘的影响进行了沟通。应该审查增加这种对话的机会。
