Respirator Use Among US Farm Operators With Asthma: Results From the 2011 Farm and Ranch Safety Survey.
Respirator Use Among US Farm Operators With Asthma: Results From the 2011 Farm and Ranch Safety Survey.
复制标题
美国患有哮喘的农场经营者使用呼吸器的情况：2011 年农场和牧场安全调查结果。
DOI：
10.1080/1059924x.2017.1282904
复制
发表时间：
2017
影响因子：
2.4
通讯作者：
Mazurek,JacekM
中科院分区：
文献类型：
--
作者：
Casey,MeganL;Mazurek,JacekM
目的本研究的目的是估计全国农场经营者中与农场工作有关的哮喘患者使用呼吸器的患病率以及与呼吸器使用相关的因素。方法：作者研究了2011年农场和牧场安全调查，这是一项从美国11,210名活跃的农场经营者中收集的全国性调查。根据人口统计学特征、农场特征、哮喘特征和选择的暴露和危害计算呼吸器使用的调整患病率（aPORs）。结果在2011年估计的220万农场经营者中，35.7%的人报告在过去12个月中使用过呼吸机。口罩使用与年龄、婚姻状况、性别、吸烟状况、农场销售额、农场类型、农场面积和地理区域显著相关（P< 0.05）。接触农药的操作人员使用呼吸器的可能性是不接触农药的操作人员的3.5倍（P< 0.0001）。在目前患有哮喘的人群中，与农场工作相关哮喘的操作人员使用呼吸器的比例为60.8%，而与非农场工作相关哮喘的操作人员使用呼吸器的比例为44.4% （P= .03）。患有与农场工作相关哮喘的农场经营者在工作中哮喘发作的可能性是工作中没有哮喘发作的人的11.3倍（P= .03）。结论个人防护装备，包括呼吸器，是减少农业环境中呼吸暴露的一种方法，特别是对于那些与农场工作相关的哮喘患者。应考虑呼吸器使用教育和呼吸器耐受性评估。
ObjectiveThe purpose of this study was to estimate the national prevalence of respirator use among farm operators with farm work–related asthma and factors associated with respirator use.MethodsThe authors examined the 2011 Farm and Ranch Safety Survey, a national survey collected from 11,210 actively farming farm operators in the United States. Adjusted prevalence ratios (aPORs) of respirator use were calculated by demographic characteristics, farm characteristics, asthma characteristics, and selected exposures and hazards.ResultsAmong the estimated 2.2 million farm operators in 2011, 35.7% reported using a respirator in the past 12 months. Respirator use was significantly (P< .05) associated with age, marital status, sex, smoking status, farm value of sales, farm type, farm acreage, and geographic region. Operators who work with pesticides were 3.5 times more likely to use respirator than those who did not work with pesticides (P< .0001). Among those with current asthma, 60.8% of operators with farm work–related asthma used respirators compared with 44.4% of operators with non–farm work–related asthma (P= .03). Farm operators with farm work–related asthma who had an asthma attack at work were 11.3 times more likely to report respirator use than those who did not have an asthma attack at work (P= .03).ConclusionsPersonal protective equipment, including respirators, is an approach to reducing respiratory exposures in agricultural settings, in particular among those with farm work–related asthma. Education for respirator use and evaluation for respirator tolerance should be considered.