Vandenplas Olivier, Suarthana Eva, Rifflart Catherine, Lemière Catherine, Le Moual Nicole, Bousquet Jean
Department of Chest Medicine, Centre Hospitalier Universitaire UCL Namur, Université Catholique de Louvain, Yvoir, Belgium.
Research Centre, Hôpital du Sacré-Coeur de Montréal, Montréal, QUE, Canada; Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, QUE, Canada.
J Allergy Clin Immunol Pract. 2020 May;8(5):1583-1591.e5. doi: 10.1016/j.jaip.2019.12.033. Epub 2020 Feb 13.
The specific burden of work-related rhinitis (WRR) on quality of life (QoL) and work productivity has received little attention.
The aim of this study was to investigate to what extent WRR affects QoL and work productivity as compared with subjects with rhinitis unrelated to work and those without rhinitis.
This cross-sectional survey was conducted among workers randomly recruited at the time of their periodic occupational health visit in the French-speaking part of Belgium. The survey instruments consisted of rhinitis-specific and generic questionnaires: Mini-Rhinitis QoL Questionnaire, Medical Outcome Study Short Form-8, and Work Productivity and Activity Impairment-General Health questionnaire. Eligible participants were categorized into 3 groups: non-WRR (current nasal symptoms not related to work, n = 329); WRR (current rhinitis with ≥2 nasal symptoms at work, n = 161); and controls (no nasal symptom; n = 1155).
WRR showed significantly lower scores in all domains of the Mini-Rhinitis QoL Questionnaire compared with non-WRR. Multivariate analysis confirmed that WRR exerted an independent adverse effect on rhinitis-specific QoL. Both WRR and non-WRR were associated with greater impairment in the physical and mental health components of the Medical Outcome Study Short Form-8 instrument and the overall work productivity compared with controls, whereas these outcomes were more impacted in WRR than non-WRR. Multivariate analyses demonstrated that both WRR and non-WRR had an independent adverse impact on the physical and mental health status and overall work productivity.
WRR has an incremental adverse impact on QoL and work productivity that should be addressed in order to reduce the global burden of rhinitis.
职业性鼻炎（WRR）对生活质量（QoL）和工作效率的具体负担鲜受关注。
本研究旨在调查与非职业性鼻炎患者及无鼻炎者相比，职业性鼻炎在多大程度上影响生活质量和工作效率。
这项横断面调查在比利时法语区定期进行职业健康检查时随机招募的工人中开展。调查工具包括鼻炎特异性问卷和通用问卷：迷你鼻炎生活质量问卷、医学结局研究简表8以及工作效率和活动障碍通用健康问卷。符合条件的参与者分为3组：非职业性鼻炎组（当前鼻部症状与工作无关，n = 329）；职业性鼻炎组（当前患有鼻炎且工作时出现≥2种鼻部症状，n = 161）；对照组（无鼻部症状；n = 1155）。
与非职业性鼻炎组相比，职业性鼻炎组在迷你鼻炎生活质量问卷所有领域的得分均显著较低。多变量分析证实，职业性鼻炎对鼻炎特异性生活质量有独立的不利影响。与对照组相比，职业性鼻炎组和非职业性鼻炎组在医学结局研究简表8工具的身心健康成分以及总体工作效率方面的损害更大，而职业性鼻炎组的这些结果比非职业性鼻炎组受到的影响更大。多变量分析表明，职业性鼻炎组和非职业性鼻炎组对身心健康状况和总体工作效率均有独立的不利影响。
职业性鼻炎对生活质量和工作效率有额外的不利影响，应加以解决以减轻鼻炎的全球负担。
