The work impact of asthma and rhinitis: Findings from a population-based survey
The work impact of asthma and rhinitis: Findings from a population-based survey
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DOI：
10.1016/s0895-4356(00)00349-8
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发表时间：
2001-06-01
影响因子：
7.2
通讯作者：
Yelin, EH
中科院分区：
文献类型：
--
作者：
Blanc, PD;Trupin, L;Yelin, EH
哮喘和鼻炎是影响工作年龄成年人的常见慢性疾病。关于它们对工作损失和生产力下降的相对影响，人们知之甚少。使用随机数字电话拨号，我们进行了人口调查的成年人在北方加州年龄在18-50岁。我们采访了125名哮喘患者（伴或不伴鼻炎）和175名单纯鼻炎患者。研究合格性基于医生诊断哮喘和/或鼻炎相关疾病的受试者报告。哮喘患者（88%）发病后的任何成年劳动力参与率低于单纯鼻炎患者（97%）（P = 0.002）。相比之下，在那些仍在工作的人中，鼻炎组（121人中的43人; 36%）比哮喘组（72人中的14人; 19%）更频繁地报告工作效率下降（P = 0.02）。条件归因的误工在两组中都很常见，超过20%的人报告在面试前4周内损失了一个或多个完整或部分工作日。考虑到年龄、性别、种族和吸烟状况，哮喘患者在诊断后更有可能没有劳动力参与（OR = 3.0; 95%CI 1.1-7.7），而在那些仍在工作的人中，工作效率下降的可能性更小（OR = 0.4; 95%CI 0.2-0.9）。根据既往用药情况，从鼻炎组中排除最有可能患有未报告哮喘的受试者对这些相关性影响不大。哮喘和鼻炎都会对工作效率产生负面影响。哮喘患者不太可能被雇用，而在那些仍然工作的人中，鼻炎是降低工作效率的一个更有力的原因。哮喘和鼻炎及相关疾病的经济影响可能被低估。(C)2001 Elsevier Science Inc. All rights reserved.
Asthma and rhinitis are common chronic conditions that affect adults of working age. Little is known about their relative impacts on work loss and decreased productivity. Using random digit telephone dialing, we carried out a population-survey of adults in Northern California aged 18-50 years. We interviewed 125 persons with asthma (with or without concomitant rhinitis) and 175 persons with rhinitis alone. Study eligibility was based on subject report of a physician's diagnosis of asthma and/or a rhinitis-related condition. Any adult labor force participation since condition onset was lower among those with asthma (88%) than among those with rhinitis alone (97%) (P = 0.002). In contrast, among those still employed, decreased job effectiveness was more frequently reported in the rhinitis group (43 of 121; 36%) compared to those with asthma (14 of 72; 19%) (P = 0.02). Condition-attributed lost work was common in both groups, with more than 20% reporting one or more complete or partial work days lost in the 4 weeks previous to interview. Taking into account age, gender, race, and smoking status, those with asthma were more likely to have no labor force participation after diagnosis (OR = 3.0; 95% CI 1.1-7.7) and less likely to report decreased job effectiveness among those remaining employed (OR = 0.4; 95% CI 0.2-0.9). Excluding subjects from the rhinitis group most likely to have unreported asthma based on past medication use had little impact on these associations. Both asthma and rhinitis negatively affect work productivity. Those with asthma are less likely to be employed at all, while among those remaining on the job, rhinitis is a more potent cause of decreased work effectiveness. The economic impact of asthma and rhinitis and related conditions may be under-appreciated. (C) 2001 Elsevier Science Inc. All rights reserved.