哮喘联盟

   摘要
   目的：调查华盛顿州不同职业人群的哮喘患病率。
   方法：分析数据来自华盛顿州行为危险因素监控系统数据(BRFSS)及BRFSS哮喘电话调查（ACBS）结果。通过国家补充及加密的行业职业询问，统计19类职业人群的患病率（PR）。
   结果：在2006年-2009年被招募的41,935名受访者中，哮喘的患病率为8.1%[95%置信区间(CI)7.8-8.5%]。当与作为参照群体的执行、行政及管理职业相比时，以下三个职业群体哮喘患病率明显更高：各级教师及辅导员(PR 1.3, 95% CI 1.1-1. 6%)、包括文员在内的行政助理（PR 1.5, 95% CI 1.2-1.9%）以及其他卫生服务人员(PR 1.5, 95% CI 1.2-1.9)。接受ACBS调查的2511名受访者中有一半（55.1%）认为他们的职业暴露因素使他们罹患或加重了哮喘，不过只有10.7%的受访者曾对健康保健从业人员提到过他们的哮喘发病与职业相关。
   结论：相比于其他职业，某些职业的哮喘患病率更高。系统收集行业及职业相关数据可帮助鉴别受哮喘影响较严重的职业人群，并对该类人群给予针对性的预防措施、临床鉴别及治疗。职业相关哮喘患者并未有意识的与其医生讨论其哮喘职业暴露因素，这一沟通不足可能对哮喘的管理和治疗产生影响。
 

（刘国梁 审校）
J Asthma. 2014 Jul 4:1-27. [Epub ahead of print]

 

Distribution of Asthma by Occupation: Washington State Behavioral Risk Factor Surveillance System Data, 2006-2009.
 

Anderson NJ1, Fan JZ, Reeb-Whitaker C, Bonauto DK, Rauser E.
 

ABSTRACT
OBJECTIVE:To estimate the prevalence of asthma in workers by occupation in Washington State.
METHODS:Data from the 2006-2009 Behavioral Risk Factor Surveillance System (BRFSS) and the BRFSS Asthma Call-Back Survey (ACBS) in Washington State (WA) were analyzed. Using state-added and coded Industry and Occupation questions, we calculated prevalence ratios (PR) for 19 occupational groups.
RESULTS:Of the 41,935 respondents who were currently employed during 2006-2009, the prevalence of current asthma was 8.1% (95% Confidence Interval (CI) 7.8-8.5%). When compared to the reference group of Executive, Administration, and Managerial occupations, three occupational groups had significantly (p<0.05) higher PRs of current asthma: 'Teachers, all levels, and Counselors' (PR 1.3, 95% CI 1.1-1. 6%); 'Administrative Support, including Clerical' (PR 1. 5, 95% CI 1.2-1.9%); and 'Other Health Services' (PR 1.5, 95% CI 1.2-1.9). Half of the 2511 ACBS respondent workers (55.1%) indicated that they believed exposure at work had caused or worsened their asthma, but only 10.7% had ever spoken with a health-care professional about their asthma being work-related.
CONCLUSIONS:Some occupations have a higher prevalence of current asthma than other occupations. The systematic collection of industry and occupation data can help identify worker populations with a high burden of asthma and can be used to target disease prevention efforts as well as to aid clinician recognition and treatment. Workers indicated that work-related asthma exposures are not discussed with their health-care provider and this communication gap has implications for asthma management.
 

J Asthma. 2014 Jul 4:1-27. [Epub ahead of print]