Cardiovascular Disease Among Adults with Work-Related Asthma, 2012–2017

Details

• Personal Author:
  Blackley DJ ; Dodd KE ; Mazurek JM
• Description:
  Introduction: Asthma is associated with an increased risk for cardiovascular disease, and adults with persistent, severe asthma have a significantly higher risk of cardiovascular disease than adults with intermittent or no asthma. Methods: The objective of this cross-sectional study was to assess the association between work-related asthma status and cardiovascular disease among ever-employed adults (aged 18-64 years) with current asthma using data from the 2012-2017 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey from 37 states and the District of Columbia. Weighted prevalence ratios and 95% CIs, adjusted for age, sex, race/ethnicity, education, household income, smoking status, chronic obstructive pulmonary disease, diabetes, and BMI, were calculated. In addition, the associations of cardiovascular disease with adverse asthma outcomes and asthma control among adults with work-related asthma were examined. Analyses were conducted in 2021. Results: Among an estimated annualized 14.8 million ever-employed adults aged 18-64 years with current asthma, adults with work-related asthma (prevalence ratio=1.5; 95% CI=1.2, 1.8) and possible work-related asthma (prevalence ratio=1.2; 95% CI=1.0, 1.5) were significantly more likely to have cardiovascular disease than adults with non-work-related asthma. Among adults with work-related asthma, those with very poorly controlled asthma (prevalence ratio=1.8; 95% CI=1.3, 2.5) and an asthma-related emergency room visit (prevalence ratio=1.5; 95% CI=1.1, 2.0) were significantly more likely to have cardiovascular disease. Conclusions: Adults with work-related asthma were more likely to have cardiovascular disease than those with non-work-related asthma. Primary prevention, early diagnosis, and implementation of optimal work-related asthma management are essential for workers' health. Cardiovascular disease should be considered where appropriate when diagnosing and recommending treatment and interventions for adults with work-related asthma. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Cardiovascular Diseases Cardiovascular System Diagnosis Occupational Health Preventive Medicine Risk Assessment Risk Factors Safety
• Keywords:
  Cardiovascular Disease Diagnostic Tests Preventive Measures Risk Factors Statistical Analysis
• ISSN:
  0749-3797
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  194-203
• Volume:
  64
• Issue:
  2
• NIOSHTIC Number:
  nn:20066442
• Citation:
  Am J Prev Med 2023 Feb; 64(2):194-203
• Contact Point Address:
  Katelynn E. Dodd, MPH, Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1000 Frederick Lane, MS HG900, Morgantown WV 26508
• Email:
  kedodd@cdc.gov
• Federal Fiscal Year:
  2023
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Preventive Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c6498973992e65ef6d5155ed61cd8b37d92fe41979f06984b231ed735ddee634570c00dc2ba4cd6cd2125dc968c68954e70910c5580be758d0b1918e2bc52082
• Download URL:
  https://stacks.cdc.gov/view/cdc/212868/cdc_212868_DS1.pdf
• File Type:
  [PDF - 511.02 KB ]