Abstract

Although adult asthma is attributable to occupational factors, few reports are available on asthma prevalence among health care workers in Japan. The objective of this study was to estimate the prevalence of asthma and wheeze among Japanese nursing professionals. A cross-sectional study was conducted by postal survey using a translated version of the European Community Respiratory Health Survey questionnaire from April to June 2013. The analysis included 4634 nursing professionals (257 men and 4377 women) and the overall response rate was 84.8%. The prevalence of current asthma and wheeze were 10.7% (95% confidence interval (CI), 9.9%–11.7%) and 15.6% (95% CI, 14.5%–16.6%), respectively. More than one year of work experience as a nursing professional and more than one year of experience with bed-making tasks were associated with odds ratios (ORs) of 1.95 (95% CI, 1.12–3.39) and 1.64 (95% CI, 1.15–2.23) for wheeze, respectively. Current smoking was significantly associated with the presence of wheeze, with ORs of 2.27 for men (95% CI, 1.11–4.64) and 2.01 for women (95% CI, 1.54–2.64). Among female nurses, latex allergy was associated with wheeze (OR, 1.87; 95% CI, 1.56–2.23), as was body mass index ≥30 (OR, 2.76; 95% CI, 1.65–4.62). This study has provided the prevalence of asthma and wheeze among Japanese nursing professionals. Employment period, bed-making tasks, latex allergy, obesity, and smoking may be risk factors for prevalent wheeze among nursing professionals.

Highlights

  • Occupational exposures account for a substantial proportion of adverse respiratory health effects

  • Data were missing on smoking history, presence of latex allergy, total duration of employment as a nursing professional, total duration of shift work, or duration of employment involving bed-making tasks in a medical setting; these participants were excluded from the analyses of associations with the prevalence of wheeze, total duration of employment, total duration of shift work, and duration of bed-making tasks in a medical setting

  • These participants were excluded from the estimates of odds ratios for wheeze associated with total duration of employment as a nursing professional, total duration of shift work, duration of employment involving bed-making tasks in a medical setting, latex allergy, smoking, and body mass index

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Summary

Objectives

The objective of this study was to estimate the prevalence of asthma and wheeze among Japanese nursing professionals

Methods
Results
Discussion
Conclusion
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