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Related Experiment Videos

Occupational asthma: a community based study.

J de Bono1, L Hudsmith

  • 1Oxford University Medical School, John Radcliffe Hospital, Headington, Oxford UK. msof0008@sable.ox.ac.uk

Occupational Medicine (Oxford, England)
|September 4, 1999
PubMed
Summary
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Occupational asthma is underdiagnosed in the community. Many adult asthma patients work in high-risk jobs, but their condition is rarely linked to their occupation in general practice records.

Area of Science:

  • Occupational Medicine
  • Respiratory Medicine
  • Public Health

Background:

  • Occupational asthma (OA) is well-documented in industrial and clinical settings.
  • Community-based studies on OA prevalence and incidence are less common.
  • General practice records offer a potential, yet underutilized, data source for community OA assessment.

Purpose of the Study:

  • To evaluate the prevalence of occupational asthma within a general community population.
  • To assess the recording of occupational information and OA diagnosis in adult-onset asthma patients' general practice records.

Main Methods:

  • Retrospective analysis of general practice records for patients with adult-onset asthma.
  • Review of recorded occupations and documented diagnoses of occupational asthma.

Related Experiment Videos

  • Calculation of the proportion of patients in high-risk occupations and those with a recorded OA diagnosis.

    • Main Results:

    • 86% of adult-onset asthma patients had recorded occupations.
    • 32% of these patients were in jobs known to cause occupational asthma.
    • Only 18% of patients in high-risk jobs had a documented occupational link to their symptoms.
    • Overall, 4% of adult-onset asthma patients received an OA diagnosis, often by general practitioners.

    Conclusions:

    • Occupational asthma is likely under-recognized and underdiagnosed in the community.
    • General practitioners play a key role in OA diagnosis, but documentation of occupational links is poor.
    • Improved recording of occupational history and OA diagnosis in primary care is needed.