哮喘联盟

   摘要
   背景：有效的医患沟通是医患关系的关键组成部分。
   目的：本研究旨在评估曾就业成人现患哮喘并与医生或其他健康专业人士谈论过工作相关哮喘的患者比例，以及确定与这种沟通相关的因素。
   方法：研究对2006年至2010年来自40个州和哥伦比亚特区的18岁以上曾就业的成人现患哮喘患者（N =50433）的行为危险因素监测系统哮喘回顾调查数据进行审查。应用多元回归模型分析确定与健康专业人士讨论的哮喘与工作相关的影响因素。
   结果：在曾就业的成人现患哮喘患者中，9.1%的患者曾经被医生告知其哮喘与他们曾经从事的工作相关，11.7%的患者曾告诉医生或其他健康专业人士哮喘与他们曾经从事的工作相关。以上两个问题结合后，曾经与健康专业人士讨论哮喘与工作的患者比例为14.7%。与健康专业人士沟通哮喘与工作的相关因素有：年龄、种族、就业情况、教育状况、收入、保险以及哮喘加重的紧急治疗措施。
   结论：小部分哮喘患者可能会与健康专业人士沟通哮喘与工作的关系。将来的研究应验证哮喘患者与健康专业人士讨论哮喘与工作的可能相关性是否会对工作相关哮喘的医患沟通频率提供信息。

 

（林江涛 审校）
AnnAllergyAsthmaImmunol.2014Dec6.pii:S1081-1206(14)00758-3.doi:10.1016/j.anai.2014.10.022. [Epub ahead of print]

 

Patient-physician communication about work-related asthma: what we do and do not know.
 

Mazurek JM1, White GE2, Moorman JE3, Storey E2.
 

ABSTRACT
BACKGROUND: Effective patient-physician communication is the key component of the patient-physician relationship.
OBJECTIVE: To assess the proportion of ever-employed adults with current asthma who talked about asthma associated with work with their physician or other health professional and to identify factors associated with this communication.
METHODS: The 2006 to 2010 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey data from 40 states and the District of Columbia for ever-employed adults (≥18 years old) with current asthma (N = 50,433) were examined. Multivariable logistic regression analyses were conducted to identify factors associated with communication with a health professional about asthma and work.
RESULTS: Among ever-employed adults with current asthma, 9.1% were ever told by a physician that their asthma was related to any job they ever had and 11.7% ever told a physician or other health professional that this was the case. When responses to the 2 questions were combined, the proportion of those who communicated with a health professional about asthma and work was 14.7%. Communication with a health professional about asthma and work was associated with age, race or ethnicity, employment, education, income, insurance, and urgent treatment for worsening asthma.
CONCLUSION: A small proportion of patients with asthma might communicate with a health professional about asthma associated with work. Future studies should examine whether patients with asthma ever discussed with a health professional the possibility that their asthma might be related to work to provide information on the frequency of patient-clinician communication about asthma related to work.
 

AnnAllergyAsthmaImmunol.2014Dec6.pii:S1081-1206(14)00758-3.doi:10.1016/j.anai.2014.10.022. [Epub ahead of print]