Sánchez Jorge, Estarita Javier, Salemi Carolina
Grupo de Alergología Clínica y Experimental, IPS Universitaria, Universidad de Antioquia, Medellín, Colombia.
Rev Alerg Mex. 2016 Jan-Mar;63(1):32-40. doi: 10.29262/ram.v63i1.132.
Asthma and rhinitis are the most frequent chronic respiratory diseases. Their high impact is associated with the loss of working days, as well as a decrease in academic performance.
To assess and compare the impact of rhinitis and asthma as causes of absenteeism and low work performance in a population of children and adults.
A cross sectional study was performed in 10 schools of two cities in Colombia. The student population between 6 to 17 years, as well as the faculty staff over 18 were invited to participate. All of the participants filled a questionnaire assessing parameters related to clinical background, and a review of scores in Math and Spanish, curriculum vitae and number of missed day during the last academic period completed was performed.
A total of 1,413 participants were enrolled. The frequency of asthma and/or rhinitis was 36%, there was a greater frequency of absenteeism in the population of children with respiratory symptoms (2.8 vs 1.2 days/year/patient, p<0.01) and there was both a lower academic (failure in 17% vs 9%, p<0.05) and work performance (0.43 vs 0.27, p<0.05) in the symptomatic population. We observed that those patients with good adherence to pharmacologic treatment displayed lower absenteeism and an improved performance.
Both rhinitis and asthma are associated with lower performance in children and adults and absenteeism in the school; however, adequate treatment may improve clinical control and reduce backlash against job performance.
哮喘和鼻炎是最常见的慢性呼吸道疾病。它们造成的严重影响与工作日损失以及学业成绩下降有关。
评估和比较鼻炎和哮喘作为儿童及成人群体缺勤和工作表现不佳原因的影响。
在哥伦比亚两个城市的10所学校进行了一项横断面研究。邀请了6至17岁的学生群体以及18岁以上的教职员工参与。所有参与者填写了一份评估与临床背景相关参数的问卷,并对数学和西班牙语成绩、简历以及上一学年完成期间的缺勤天数进行了审查。
共招募了1413名参与者。哮喘和/或鼻炎的发生率为36%,有呼吸道症状的儿童群体缺勤频率更高(2.8天/年/患者对1.2天/年/患者,p<0.01),有症状群体的学业成绩(不及格率17%对9%,p<0.05)和工作表现(0.43对0.27,p<0.05)均较低。我们观察到,那些对药物治疗依从性良好的患者缺勤率较低且表现有所改善。
鼻炎和哮喘均与儿童及成人的表现较差以及学校缺勤有关;然而,适当的治疗可能改善临床控制并减少对工作表现的不利影响。