Abstract

In 2010, an estimated 8.2% of U.S. adults had current asthma, and among these persons, 49.1% had had an asthma attack during the past year (1). Workplace exposures can cause asthma in a previously healthy worker or can trigger asthma exacerbations in workers with current asthma* (2). To assess the industry- and occupation-specific prevalence of current asthma, asthma attacks, and asthma-related emergency department (ED) visits among working adults, CDC analyzed 2011-2016 National Health Interview Survey (NHIS) data for participants aged ≥18 years who, at the time of the survey, were employed at some time during the 12 months preceding the interview. During 2011-2016, 6.8% of adults (11 million) employed at any time in the past 12 months had current asthma; among those, 44.7% experienced an asthma attack, and 9.9% had an asthma-related ED visit in the previous year. Current asthma prevalence was highest among workers in the health care and social assistance industry (8.8%) and in health care support occupations (8.8%). The increased prevalence of current asthma, asthma attacks, and asthma-related ED visits in certain industries and occupations might indicate increased risks for these health outcomes associated with workplace exposures. These findings might assist health care and public health professionals in identifying workers in industries and occupations with a high prevalence of current asthma, asthma attacks, and asthma-related ED visits who should be evaluated for possible work-related asthma. Guidelines intended to promote effective management of work-related asthma are available (2,3).

Highlights

  • Based on the estimate that approximately 51% of adult asthma might be caused or made worse by work [9], as many as 5.6 million workers might have asthma or asthma outcomes related to work that could be prevented

  • Workplace conditions and exposures associated with asthma include irritant chemicals, dusts, secondhand tobacco smoke, allergens and sensitizers, emotional stress, worksite temperature, and physical exertion [3]

  • Up to 51% of adult asthma might be related to work and could potentially be prevented

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Summary

Introduction

NHIS did not collect data on severity of asthma exacerbations and asthma work-relatedness. The subset of patients who experience severe asthma exacerbations have an accelerated decline in lung function, greater health care utilization, and a lower quality of life [3,8]. Based on the estimate that approximately 51% of adult asthma might be caused or made worse by work [9], as many as 5.6 million workers might have asthma or asthma outcomes related to work that could be prevented.

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