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Work aggravated asthma in Great Britain: a cross-sectional postal survey

  • Lisa Bradshaw (a1), Jade Sumner (a1), Julian Delic (a2), Paul Henneberger (a3) and David Fishwick (a1)...
Abstract
Objective

Work aggravated asthma (WAA), asthma made worse by but not caused by workplace exposures, can have a negative impact on personal, social, financial and societal costs. There is limited data on prevalence levels of WAA in Great Britain (GB). The objective of this study was to estimate the prevalence of WAA in GB, and to assess its potential causes.

Materials and methods

A cross-sectional postal questionnaire study was carried out. A total of 1620 questionnaires were sent to three populations of adults with asthma. The questionnaire recorded; demographic details, current job, self-reported health status, presence of asthma and respiratory symptoms, duration and severity of symptoms and medication requirements. Questions relating to work environment and employers’ actions were included, and each participant completed an assessment of health-related quality of life using the EuroQol Research Foundation EQ-5D.

Results

There were 207 completed questionnaires; response rates were 6% primary care, 45% secondary care and 71% Asthma UK. This represented a 13% overall response rate. Self-reported prevalence of WAA was 33% (95% CI 24.4–41.6%). In all, 19% of workers had changed their job because of breathing problems. Workers with WAA reported higher levels of work-related stress. Quality of life using the EQ-5D utility index was lower in those with WAA.

Conclusion

WAA is a common problem in asthmatics in GB. This result is in keeping with international prevalence rates. Further research could assist the understanding of the most significant aggravants to asthma at work and help define appropriate interventions by workplaces.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to: Dr L Bradshaw, Centre for Workplace Health, Health and Safety Executive, Buxton, Derbyshire, SK17 9JN, UK. Email: l.bradshaw@sheffield.ac.uk
References
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Bradburn, N.M. 1992: Presidential address: a response to the nonresponse problem. Public Opinion Quarterly 56, 391397.
British Occupational Health Research Foundation. 2010: Occupational asthma – identification, management and prevention: evidence based review and guidelines. London: British Occupational Health Research Foundation. ISBN 978-0-9564979-1-8.
British Thoracic Society, Scottish Intercollegiate Guidelines Network. 2003: British guideline on the management of asthma. Thorax 58 (Suppl 1), 11–94.
Cannon, J., Cullinan, P. and Newman-Taylor, A. 1995: Consequences of occupational asthma. British Medical Journal 311, 602603.
Curtin, R., Presser, S. and Singer, E. 2005: Changes in telephone survey nonresponse over the past quarter century. Public Opinion Quarterly 69, 8798.
Fishwick, D., Barber, C.M., Bradshaw, L.M., Harris-Roberts, J., Francis, M., Naylor, S., Ayres, J., Burge, P.S., Corne, J.M., Cullinan, P., Frank, T.L., Hendrick, D., Hoyle, J., Jaakkola, M., Newman-Taylor, A., Nicholson, P., Niven, R., Pickering, A., Rawbone, R., Stenton, C., Warburton, C.J. and Curran, A.D. 2008: British Thoracic Society Standards of Care Subcommittee Guidelines on Occupational Asthma. Standards of care for occupational asthma. Thorax 63, 240250.
Fishwick, D. 2014: Work aggravated asthma: a review of the recent evidence. British Medical Bulletin 110, 7788.
Fishwick, D., Barber, C., Walker, S. and Scott, A. 2013: Asthma in the workplace: a case-based discussion and review of current evidence. Primary Care Respiratory Journal 22, 244248.
Fishwick, D., Sen, D., Barker, P., Codling, A., Fox, D. and Naylor, S. 2016: Health surveillance for occupational asthma in the UK. Occupational Medicine 66, 365370.
Forthofer, R.N. 1983: Investigation of nonresponse bias in NHANES II. American Journal of Epidemiology 117, 507515.
Groves, R.M. 2004: Survey errors and survey costs. Hoboken, NJ: John Wiley & Sons.
Henneberger, P.K., Redlich, C.A., Callahan, D.B., Harber, P., Lemière, C., Martin, J., Tarlo, S.M., Vandenplas, O. and Torén, K.; ATS Ad Hoc Committee on Work-Exacerbated Asthma. 2011: An official American Thoracic Society Statement: work exacerbated asthma. American Journal of Respiratory and Critical Care Medicine 184, 368378.
Knoeller, G.E., Mazurek, J.M. and Moorman, J.E. 2012: 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. Occupational and Environmental Medicine 54, 485490.
Knoeller, G.E., Mazurek, J.M. and Moorman, J.E. 2013: Health-related quality of life among adults with work-related asthma in the United States. Quality of Life Research 22, 771780.
Larbanois, A., Jamart, J., Delwiche, J.P. and Vandenplas, O. 2002: Socioeconomic outcome of subjects experiencing asthma symptoms at work. European Respiratory Journal 19, 11071113.
Lemiere, C., Forget, A., Dufour, M.H., Boulet, L.P. and Blais, L. 2007: Characteristics and medical resource use of asthmatic subjects with and without work-related asthma. Journal of Allergy and Clinical Immunology 120, 13541359.
Lowery, E.P., Henneberger, P.K., Rosiello, R., Sama, S.R., Preusse, P. and Milton, D.K. 2007: Quality of life of adults with workplace exacerbation of asthma. Quality of Life Research 10, 16051613.
Mazurek, J.M., Knoeller, G.E. and Moorman, J.E. 2011: 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. Journal of Affective Disorders 136, 1351142.
Neville, R.G., McCowan, C., Hoskins, G. and Thomas, G. 2001: Cross-sectional observations on the natural history of asthma. British Journal of General Practice 51, 361365.
Nohr, E.A., Frydenberg, M., Henriksen, T.B. and Olsen, J. 2006: Does low participation in cohort studies induce bias? Epidemiology 17, 413418.
Siegrist, J., Siegrist, K. and Weber, I. 1986: Sociological concepts in the etiology of chronic diseases: the case of ischemic heart disease. Social Science & Medicine 22, 247253.
Tarlo, S.M., Liss, G.M. and Blanc, P.D. 2009: How to diagnose and treat work-related asthma. Polskie Archiwum Medȩtrznej 119, 660666.
Tortora, R.D. 2004: Response trends in a national random digit dial survey. Metodoloski Zvezki 1, 2132.
van Vegchel, N., de Jonge, J., Bosma, H. and Schaufeli, W. 2005: Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies. Social Science & Medicine 60, 11171131.
Whitehead, S.J. and Ali, S. 2010: Health outcomes in economic evaluation: the QALY and utilities. British Medical Bulletin 96, 521.
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Primary Health Care Research & Development
  • ISSN: 1463-4236
  • EISSN: 1477-1128
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