Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-9 (of 9 Records) |
Query Trace: Knoeller GE[original query] |
---|
Occupation held at the time of asthma symptom development
Knoeller GE , Mazurek JM , Storey E . Am J Ind Med 2013 56 (10) 1165-73 BACKGROUND: Examining occupations other than those held when asthma symptoms first developed may not correctly identify occupations with higher risk of asthma onset. METHODS: To determine the occupation held when individuals first developed asthma symptoms, we examined 2010 National Health Interview Survey data for working adults with current asthma. RESULTS: Overall 37.1% of working adults with current asthma developed asthma while employed. Of these, the highest proportions of individuals identified office and administrative support (13.3%), sales and related (9.4%), and management (8.5%) as the occupation held when asthma first developed; 37.8% had a different current occupation than at asthma onset, and estimates of a change in occupation were highest for those who developed asthma while working in business and financial operations (49.3%), sales and related (48.6%), and healthcare support (43.8%) occupations. CONCLUSION: Future population-based studies should further examine associations between asthma and occupation held at time of asthma onset. |
Asthma symptoms among adults with work-related asthma
Knoeller GE , Mazurek JM , Moorman JE . J Asthma 2013 50 (2) 166-173 OBJECTIVE: To examine the number of days with asthma symptoms among individuals with work-related asthma (WRA) and non-WRA. METHODS: We calculated adjusted prevalence ratios and compared mean number of days with asthma symptoms using 2006-2009 Behavioral Risk Factor Surveillance System Asthma Call-back Survey data for ever-employed adults with current asthma from 38 states and District of Columbia. RESULTS: Compared with persons with non-WRA, those with WRA had higher mean number of days with asthma symptoms. Regardless of WRA status, individuals with higher number of days with asthma symptoms were more likely to be unable to work or carry out their usual activities due to asthma. Associations between frequency of asthma symptoms and activity limitation due to asthma were weaker among currently employed adults and stronger among adults not currently employed than the observed associations for all ever-employed adults. CONCLUSIONS: These results suggest higher frequency of asthma symptoms among adults with WRA and underscore the need for optimal asthma management in individuals with WRA. |
Occupational asthma incidence: findings from the Behavioral Risk Factor Surveillance System Asthma Call-back Survey - United States, 2006-2009
Mazurek JM , Knoeller GE , Moorman JE , Storey E . J Asthma 2013 50 (4) 390-4 BACKGROUND: Occupational asthma (OA) is new-onset asthma or the recurrence of previously quiescent asthma caused by workplace exposures. OBJECTIVE: To estimate population-based new-onset OA incidence and the proportion of incident asthma that is work-related. METHODS: Behavioral Risk Factor Surveillance System and Asthma Call-back Survey data collected from persons aged ≥18 years during 2006-2009 in 38 states and the District of Columbia were analyzed. Incident health professional-diagnosed new-onset OA cases were persons with asthma diagnosed within the past 12 months who had health professional-diagnosed work-related asthma. Incident potential new-onset OA cases were persons with asthma diagnosed within the past 12 months who did not have health professional-diagnosed work-related asthma but described their asthma as caused by workplace exposures. The proportion of incident asthma that is work-related was calculated using the 2006-2008 estimate of adult asthma incidence (3800 per million). RESULTS: The estimated annual incidence of health professional-diagnosed new-onset OA was 179 (95% CI: 113-245) per million population. For combined health professional-diagnosed and potential new-onset OA the incidence was 692 (95% CI: 532-853) per million population. The proportion of incident asthma among adults that is work-related was 4.7% for health professional-diagnosed new-onset OA and 18.2% for combined health professional-diagnosed and potential new-onset OA. CONCLUSIONS: New-onset asthma in as many as one of six adult patients might be associated with work. Clinicians should consider the role of occupational exposures when evaluating adults with incident asthma which may uncover opportunities for early intervention and reversal of an otherwise chronic disease. |
Health-related quality of life among adults with work-related asthma in the United States
Knoeller GE , Mazurek JM , Moorman JE . Qual Life Res 2012 22 (4) 771-80 PURPOSE: The objective of this study was to examine health-related quality of life among adults with work-related asthma. METHODS: We analyzed 2006-2009 Behavioral Risk Factor Surveillance System Asthma Call-back Survey data for ever-employed adults with current asthma from 38 states and District of Columbia. Individuals with work-related asthma had been told by a doctor or other health professional that their asthma was related to any job they ever had. Health-related quality of life indicators included poor self-rated health, impaired physical health, impaired mental health, and activity limitation. We calculated prevalence ratios (PRs) adjusted for age, sex, race/ethnicity, education, income, employment, and health insurance. RESULTS: Of ever-employed adults with current asthma, an estimated 9.0 % had work-related asthma, 26.9 % had poor self-rated health, 20.6 % had impaired physical health, 18.2 % had impaired mental health, and 10.2 % had activity limitation. Individuals with work-related asthma were significantly more likely than those with non-work-related asthma to have poor self-rated health [PR, 1.45; 95 % confidence interval (CI), 1.31-1.60], impaired physical health (PR, 1.60; 95 % CI, 1.42-1.80), impaired mental health (PR, 1.55; 95 % CI, 1.34-1.80), and activity limitation (PR, 2.16; 95 % CI, 1.81-2.56). CONCLUSIONS: Future research should examine opportunities to improve health-related quality of life among individuals with work-related asthma. |
Characteristics associated with health care professional diagnosis of work-related asthma among individuals who describe their asthma as being caused or made worse by workplace exposures
Knoeller GE , Mazurek JM , Moorman JE . J Occup Environ Med 2012 54 (4) 485-90 OBJECTIVE: To identify factors associated with health care professional-diagnosed work-related asthma (WRA) among adults who describe their asthma as being caused or made worse by workplace exposures (possible WRA). METHODS: We calculated prevalence ratios adjusted for age and sex using data from the 2006 to 2008 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey from 37 states and the District of Columbia for ever-employed adults with current asthma and possible WRA. RESULTS: An estimated 17.6% of ever-employed adults with current asthma and possible WRA had health care professional-diagnosed WRA. Health care professional-diagnosed WRA was associated with age, income, employment status, asthma control level, asthma attack, emergency department visit, hospitalization, urgent treatment, and changing/quitting a job due to asthma. CONCLUSIONS: Among ever-employed adults with possible WRA, health care professional-diagnosed WRA is associated with poorer asthma control and frequent unscheduled health care visits. |
Complementary and alternative medicine use among adults with work-related and non-work-related asthma
Knoeller GE , Mazurek JM , Moorman JE . J Asthma 2011 49 (1) 107-13 BACKGROUND: The prevalence of complementary and alternative medicine (CAM) use among adults with current asthma has been estimated to be 40%. To our knowledge, there is no information on the prevalence of CAM use among individuals with work-related asthma (WRA). OBJECTIVES: To examine the associations between WRA, CAM use, and adverse asthma events. METHODS: We analyzed data from the 2006-2008 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey from 37 states and the District of Columbia for ever-employed adults with current asthma. We defined WRA as health-professional-diagnosed WRA. We calculated prevalence ratios (PRs) adjusted for age, sex, race/ethnicity, education, income, health insurance, and geographic region of residence. RESULTS: Of ever-employed adults with current asthma, an estimated 38.1% used CAM and 8.6% had WRA. An estimated 56.6% of individuals with WRA reported using CAM compared with 27.9% of those with non-WRA (PR = 2.0). People with WRA were more likely than those with non-WRA to have adverse asthma events including an asthma attack in the past month (PR = 1.43), urgent treatment for worsening asthma (PR = 1.74), emergency room visit (PR = 1.95), overnight hospital stay (PR = 2.49), and poorly controlled asthma (PR = 1.27). The associations of WRA with adverse asthma events remained after stratifying for CAM use. CONCLUSIONS: Compared with non-WRA, individuals with WRA were more likely to use CAM to control their asthma. However, there was no evidence that the use of CAM modified the association of WRA with adverse asthma events. |
Effect of current depression on the association of work-related asthma with adverse asthma outcomes: a cross-sectional study using the Behavioral Risk Factor Surveillance System
Mazurek JM , Knoeller GE , Moorman JE . J Affect Disord 2011 136 (3) 1135-42 BACKGROUND: Depression has been associated with a decreased level of asthma control. The aim of our study was to examine associations between health-professional diagnosed work-related asthma (WRA) and current depression and the effect of current depression on the associations of WRA with adverse asthma outcomes. METHOD: We analyzed data from the 2006 and 2008 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey and the Anxiety and Depression Module conducted in 25 states and District of Columbia for ever-employed adults with current asthma. We computed weighted proportions and prevalence ratios adjusted for age, sex, race/ethnicity, education, current employment status, and smoking status. Survey participants who were ever told by a doctor or other health professional that their asthma was related to any job they ever had were determined to have WRA. Participants with current depression were identified using self-report of depressive symptoms. RESULTS: Of ever-employed adults with current asthma, an estimated 9.1% had WRA and 17.0% had current depression. Persons with WRA were significantly more likely than those with non-WRA to have current depression. Persons with either WRA, current depression, or both WRA and current depression were significantly more likely to have adverse asthma outcomes than persons with asthma and neither condition. The associations with adverse asthma outcomes were stronger when both current depression and WRA were present. LIMITATIONS: This is a cross-sectional and hypothesis-generating study. CONCLUSIONS: Depression may play an important role in asthma management and should be considered when assessing patients with asthma and, in particular, those with WRA. |
Work-related asthma, financial barriers to asthma care, and adverse asthma outcomes: Asthma Call-back Survey, 37 states and District of Columbia, 2006 to 2008
Knoeller GE , Mazurek JM , Moorman JE . Med Care 2011 49 (12) 1097-104 BACKGROUND: Proper asthma management and control depend on patients having affordable access to healthcare yet financial barriers to asthma care are common. OBJECTIVE: To examine associations of work-related asthma (WRA) with financial barriers to asthma care and adverse asthma outcomes. RESEARCH DESIGN: Cross-sectional, random-digit-dial survey conducted in 37 states and District of Columbia. SUBJECTS: A total of 27,927 ever-employed adults aged ≥18 years with current asthma. MEASURES: Prevalence ratios (PR) for the associations of WRA with financial barriers to asthma care and of WRA with adverse asthma outcomes stratified by financial barriers. RESULTS: Persons with WRA were significantly more likely than those with non-WRA to have at least 1 financial barrier to asthma care [PR, 1.66; 95% confidence interval (CI), 1.43-1.92]. Individuals with WRA were more likely to experience adverse asthma outcomes such as asthma attack (PR, 1.31; 95% CI, 1.22-1.40), urgent treatment for worsening asthma (PR, 1.57; 95% CI, 1.39-1.78), asthma-related emergency room visit (PR, 1.69; 95% CI, 1.41-2.03), and very poorly controlled asthma (PR, 1.54; 95% CI: 1.36-1.75). After stratifying for financial barriers to asthma care, the associations did not change. CONCLUSIONS: Financial barriers to asthma care should be considered in asthma management, and individuals with WRA are more likely to experience financial barriers. However, individuals with WRA are more likely to experience adverse asthma outcomes than individuals with non-WRA, regardless of financial barriers. Additional studies are needed to identify medical, behavioral, occupational, or environmental factors associated with adverse asthma outcomes among individuals with WRA. |
Work-related asthma among adults with current asthma in 33 states and DC: evidence from the Asthma Call-Back Survey, 2006–2007
Knoeller GE , Mazurek JM , Moorman JE . Public Health Rep 2011 126 (4) 603-611 Asthma is associated with a variety of physical, chemical, and biological stimuli1–4 including those found in the workplace.5 The term “work-related asthma” (WRA), representing a subset of all asthma, encompasses both occupational asthma (OA), which is asthma that is caused by workplace exposure to a sensitizing or irritant substance, and work-exacerbated asthma (WEA), which is asthma that is worsened by work-related factors.6 | WRA is a preventable7–9 and underdiagnosed10 occupational lung disease associated with adverse social and economic outcomes, disability, and mortality.11–16 Workers who leave their jobs due to WRA often experience loss in income and/or unemployment.11,17 A French study followed workers with WRA for an average of 3.1 years after diagnosis. At follow-up, 44% had left their jobs, 25% were unemployed, and 46% had experienced loss in income.18 Among adults with asthma, those with WRA have a lower quality of life11,15,19,20 and more frequent emergency department and doctors' visits for worsening asthma.21 WRA caused by a number of workplace agents may also lead to death.22 |
- Page last reviewed:Feb 1, 2024
- Page last updated:May 13, 2024
- Content source:
- Powered by CDC PHGKB Infrastructure