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Physician-patient communication regarding asthma and work
Jacek M Mazurek1, Eileen Storey
1Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, CDC, Morgantown, West Virginia 26505, USA. JMazurek1@cdc.gov
American Journal of Preventive Medicine
|June 19, 2012
Summary
A small proportion of employed adults with asthma discuss work-related triggers with their doctors. This highlights a need to improve communication about occupational asthma to ensure appropriate care.
Area of Science:
- Occupational health
- Respiratory medicine
- Health communication
Background:
- Healthy People 2020 aims to improve respiratory disease care, including asthma management.
- Appropriate asthma care for adults involves assessing potential work-related causes.
- Physician-patient communication is crucial for identifying and managing occupational asthma.
Purpose of the Study:
- To establish a baseline of physician-patient communication regarding asthma and its relationship to work.
- To understand the extent to which employed adults discuss work-related asthma with healthcare providers.
Main Methods:
- Analysis of data from 27,157 U.S. adult respondents of the 2010 National Health Interview Survey.
- Identification of employed adults with current asthma who were informed about or discussed work-relatedness.
- Logistic regression analysis to identify predictors of communication about asthma and work.
Main Results:
- Approximately 6.6% of employed adults with asthma were told their condition might be work-related.
- An additional 7.4% discussed the possibility of work-related asthma with their doctor, totaling 13.5%.
- Older adults (≥30 years), those with adverse asthma outcomes, and Hispanic individuals showed higher odds of discussing work-related asthma.
Conclusions:
- Only about one in seven employed adults with asthma report discussing workplace exposures with their healthcare provider.
- There are significant opportunities to enhance dialogue about occupational asthma between patients and physicians.
- Improving communication can lead to better identification and management of work-exacerbated asthma.
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