states, 2012–2013

Details

• Alternative Title:
  J Asthma
• Personal Author:
  Dodd, Katelynn E. ; Mazurek, Jacek M.
• Description:
  Objective
  
  Asthma severity is defined as the intensity of treatment required to achieve good control of asthma symptoms. Studies have shown that work-related asthma (WRA) can be associated with poorer asthma control and more severe symptoms than non-WRA. Associations between asthma medications and WRA status were assessed using data from the 2012–2013 Asthma Call-back Survey among ever-employed adults (≥18 years) with current asthma from 29 states.
  
  Methods
  
  Persons with WRA had been told by a physician that their asthma was work-related. Persons with possible WRA had asthma caused or made worse by their current or previous job, but did not have physician-diagnosed WRA. Asthma medications were classified as controller (i.e., long-acting β-agonist, inhaled corticosteroid, oral corticosteroid, cromolyn/nedocromil, leukotriene pathway inhibitor, methylxanthine, anticholinergics) and rescue (i.e., short-acting β-agonist). Demographic and clinical characteristics were examined. Associations between asthma medications and WRA status were assessed using a multivariate logistic regression to calculate adjusted prevalence ratios (PRs).
  
  Results
  
  Among an estimated 15 million ever-employed adults with current asthma, 14.7% had WRA and an additional 40.4% had possible WRA. Compared with adults with non-WRA, those with WRA were more likely to have taken anti-cholinergics (PR=1.80), leukotriene pathway inhibitor (PR=1.59), and methylxanthine (PR=4.76), and those with possible WRA were more likely to have taken methylxanthine (PR = 2.85).
  
  Conclusions
  
  Results provide additional evidence of a higher proportion of severe asthma among adults with WRA compared to non-WRA. To achieve optimal asthma control, adults with WRA may require additional intervention, such as environmental controls or removal from the workplace exposure.
  
  
• Subjects:
  ACBS Adolescent Adult Aged Anti-Asthmatic Agents Article Asthma BRFSS Drug Utilization Female Humans Male Middle Aged Occupational Diseases Surveys And Questionnaires United States WRA Young Adult

  More +
• Source:
  J Asthma. 55(4):364-372
• Pubmed ID:
  28704107
• Pubmed Central ID:
  PMC6059356
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States ; U36 OE000002/OE/OSELS CDC HHS/United States
• Volume:
  55
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:58723aadfb76aeaa0dc23c16faa4b6a2b23cfee24b3ae6d8cc3bb9eae2d86cfa
• Download URL:
  https://stacks.cdc.gov/view/cdc/57630/cdc_57630_DS1.pdf
• File Type:
  [PDF - 351.70 KB ]