Work-Related Asthma: A Case-Based Approach to Management

Pacheco, Karin; Tarlo, Susan M.

doi:10.1016/j.iac.2011.07.006

Cited by 4 publications

(6 citation statements)

References 58 publications

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“…42–46 In addition, in workplaces with high prevalence and incidence of work-related asthma, implementation of medical surveillance (i.e., secondary prevention) may assist in measuring the impact of primary prevention and, in work environments with potential exposure to sensitizers, in early detection of sensitized workers. 5,47 …”

Section: Discussionmentioning

confidence: 99%

Farm Work-Related Asthma Among US Primary Farm Operators

Mazurek

White

Rodman

et al. 2015

Journal of Agromedicine

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The objective of this study was to estimate the prevalence of current asthma and the proportion of current asthma that is related to work on the farm among primary farm operators. The 2011 Farm and Ranch Safety Survey data were used to produce estimates and prevalence odds ratios. An estimated 5.1% of farm operators had asthma. Of these, 15.4% had farm work-related asthma. Among operators with farm work-related asthma, 54.8% (95% confidence interval [CI]: 41.8%–68.2%) had an asthma attack in the prior 12 months and 33.3% (95% CI: 21.2%–45.4%) had an asthma attack that occurred while doing farm work. Of those who had an asthma attack that occurred while doing farm work, 65.0% associated their asthma attack with plant/tree materials. This study provides updated information on asthma and the proportion of current asthma that is related to work on the farm and identifies certain groups of farm operators that might benefit from workplace asthma prevention intervention.

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Section: Discussionmentioning

confidence: 99%

Farm Work-Related Asthma Among US Primary Farm Operators

Mazurek

White

Rodman

et al. 2015

Journal of Agromedicine

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“…Obesity is associated with decreased sensitivity to glucocorticoids, a mainstay of asthma treatment (10,75,76). Occupational allergens such as chemicals, dusts, fumes, or other compounds can increase the risk of asthma onset or its exacerbation (77)(78)(79)(80)(81)(82)(83)).…”

Section: Example 13: Obesity Occupational Allergens and Asthmamentioning

confidence: 99%

Conceptual heuristic models of the interrelationships between obesity and the occupational environment

Pandalai¹,

Schulte²,

Miller³

2013

Scand J Work Environ Health

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Pandalai SP, Schulte PA, Miller DB. Conceptual heuristic models of the interrelationships between obesity and the occupational environment. Scand J Work Environ Health. 2013;39(3):221-232. doi:10.5271/sjweh.3363 Objective Research and interventions targeting the relationship between work, its attendant occupational hazards, and obesity are evolving but merit further consideration in the public health arena. In this discussion paper, conceptual heuristic models are described examining the role of obesity as both a risk factor and health outcome in the occupational setting.Methods PubMed was searched using specific criteria from 2000 and onwards for evidence to support conceptual models in which obesity serves as a risk factor for occupational disease or an outcome of occupational exposures. Nine models are presented: four where obesity is a risk factor and five where it is an adverse effect.Results A broad range of work-related health effects are associated with obesity including musculoskeletal disorders, asthma, liver disease, and cardiovascular disease, among others. Obesity can be associated with occupational hazards such as shift work, sedentary work, job stress, and exposure to some chemicals. Conclusion Identification of combinations of risk factors pertinent to obesity in the occupational environmentwill provide important guidance for research and prevention.Key terms cardiovascular disease; diet; endocrine disruptor; intervention study; metabolism; musculoskeletal disease; occupational health; physical activity; risk assessment.1 National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, USA.Correspondence to: Sudha P Pandalai, MD, PhD, National Institute for Occupational Safety and Health Centers for Disease Control and Prevention, 4676 Columbia Parkway, Cincinnati, OH 45226, Obesity is increasing worldwide with the 2009-2010 prevalence among US adults surpassing one-third (1, 2). Obesity is associated with genetic, behavioral, occupational, and environmental factors (3-5) and has significant economic impact (6). It is also associated with various health problems including musculoskeletal disorders (MSD), asthma, liver disease, and cardiovascular disease (CVD) (7-10). Moreover, neurohormonal and endocrine pathway disruption has been associated with obesity (11,12). Work factors, including sedentary work and taskrelated biomechanics, have been reported as risks for obesity (13)(14)(15). Variables such as irregular work hours/ sleep schedules, job stress, workplace absenteeism, and reduced productivity also contribute (16)(17)(18)(19).Although the related literature is growing, obesity in the occupational environment requires more study, for example, regarding low-wage workers and genes or other factors (20,21). Body mass index (BMI), a measure of obesity, varies by population, race, gender, and socioeconomic class (22)(23)(24). Genetics may account for ≥40% of the variation in BMI (25), but such estimates can depend on the variability of environ...

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“…These variations might reflect differences in survey participants’ age, race, sex, socioeconomic status (including education level attained and income level), state workers’ compensation systems, availability and access to health care services (including preventive health care services), and patterns of reimbursement for health care services. 48,49 …”

Section: Discussionmentioning

confidence: 99%

“…Health providers should take an occupational history in all patients with new-onset or worsening asthma to identify and appropriately manage patients with WRA. 15,49 …”

Section: Discussionmentioning

confidence: 99%

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

Mazurek¹,

White²,

Moorman³

et al. 2015

Annals of Allergy, Asthma & Immunology

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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.

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Work-Related Asthma: A Case-Based Approach to Management

Cited by 4 publications

References 58 publications

Farm Work-Related Asthma Among US Primary Farm Operators

Farm Work-Related Asthma Among US Primary Farm Operators

Conceptual heuristic models of the interrelationships between obesity and the occupational environment

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

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