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Updated: Jan 9, 2026

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
Association between allergic rhinitis and work productivity in a nonclinical setting: a cross-sectional study
Yasuhiro Sekine1, Kazuhiro Watanabe1,2, Hyogo Horiguchi3
1Department of Public Health, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara 252-0374, Japan.
Allergic rhinitis (AR) impacts Japanese workers, with severity linked to presenteeism. Depressive symptoms mediate this effect, but overall AR impact on work productivity appears limited in nonclinical settings.
Area of Science:
- Occupational Health
- Epidemiology
- Psychology
Background:
- Allergic rhinitis (AR) is common in Japan, affecting worker productivity.
- Previous research focused on severe AR cases, neglecting milder forms.
- This study investigates AR, including mild cases, and its impact on general working populations.
Purpose of the Study:
- To examine the association between allergic rhinitis (AR) and reduced work productivity.
- To compare absenteeism and presenteeism in AR vs. non-AR groups.
- To explore indirect effects of psychological factors and sleep quality on AR and presenteeism.
Main Methods:
- A questionnaire survey of 555 adult workers in Japan's Kanto region.
- Comparison of absenteeism and presenteeism between AR and non-AR groups.
- Multiple regression and causal mediation analyses to assess AR severity and influencing factors.
Main Results:
- AR severity was significantly associated with increased presenteeism (B=4.19, P<.001).
- No significant differences in absenteeism or presenteeism were found between AR and non-AR groups.
- Depressive symptoms significantly mediated the relationship between AR and presenteeism (TNIE=5.246, P=.047).
Conclusions:
- The overall impact of allergic rhinitis on work productivity may be limited in nonclinical Japanese workforces.
- Depressive symptoms play a significant role in mediating the effect of AR on presenteeism.
- Further research may be needed to understand the nuances of AR's impact on occupational health.
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