Mazurek Jacek M, Henneberger Paul K
Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Mailstop HG 900.2, 1095 Willowdale Road, Morgantown, WV, 26505, USA.
Int Arch Occup Environ Health. 2017 Aug;90(6):507-515. doi: 10.1007/s00420-017-1217-z. Epub 2017 Mar 24.
Allergic rhinitis is associated with decreased quality of life, and reduced workplace performance and productivity. This study investigated the prevalence of lifetime allergic rhinitis and factors associated with allergic rhinitis among US primary farm operators.
The 2011 Farm and Ranch Safety Survey data collected from 11,210 active farm operators were analyzed. Survey respondents were determined to have lifetime allergic rhinitis based on a "yes" response to the question: "Have you ever been told by a doctor, nurse, or other health professional that you had hay fever, seasonal allergies, or allergic rhinitis?" Data were weighted to produce nationally representative estimates.
An estimated 30.8% of the 2.1 million active farm operators had lifetime allergic rhinitis in 2011. The allergic rhinitis prevalence varied by demographic and farm characteristics. Farm operators with allergic rhinitis were 1.38 (95% CI 1.22-1.56) times more likely to be exposed to pesticides compared with operators with no allergic rhinitis. The association with pesticide exposure for allergic rhinitis and current asthma, and allergic rhinitis alone was statistically significant and greater than that for current asthma alone.
Certain groups of farm operators may be at increased risk of allergic rhinitis. Studies should further investigate the association of allergic rhinitis with specific pesticide exposure.
过敏性鼻炎与生活质量下降、工作场所表现和生产力降低有关。本研究调查了美国主要农场经营者中终生过敏性鼻炎的患病率以及与过敏性鼻炎相关的因素。
对从11210名活跃农场经营者收集的2011年农场和牧场安全调查数据进行了分析。根据对以下问题的“是”回答,确定调查对象患有终生过敏性鼻炎:“您是否曾被医生、护士或其他健康专业人员告知您患有花粉热、季节性过敏或过敏性鼻炎?”数据经过加权处理以得出具有全国代表性的估计值。
2011年,估计210万活跃农场经营者中有30.8%患有终生过敏性鼻炎。过敏性鼻炎患病率因人口统计学和农场特征而异。与没有过敏性鼻炎的经营者相比,患有过敏性鼻炎的农场经营者接触农药的可能性高1.38倍(95%可信区间1.22 - 1.56)。过敏性鼻炎与农药接触以及当前哮喘之间的关联,以及单独的过敏性鼻炎与农药接触之间的关联在统计学上具有显著性,且大于单独的当前哮喘与农药接触之间的关联。
某些群体的农场经营者可能患过敏性鼻炎的风险增加。研究应进一步调查过敏性鼻炎与特定农药接触之间的关联。