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Occupational rhinitis in bell pepper greenhouse workers: determinants of leaving work and the effects of subsequent allergen avoidance on health-related quality of life.

机译:甜椒温室工人的职业性鼻炎:决定工作的决定因素以及随后避免过敏原对健康相关生活质量的影响。

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BACKGROUND: Avoidance of occupational allergens or reduction in exposure has been advocated as the mainstay of the management of occupational rhinitis. Sparse data to the effect of allergen avoidance are available. OBJECTIVE: To identify factors that may lead to leaving work and to address the effect of subsequent allergen avoidance on quality of life. METHODS: A survey to the prevalence of occupational allergy to bell pepper performed in 1999 comprised 472 employees, of which 254 had work-related rhinitis and 228 completed the Rhinitis-related Quality of Life Questionnaire. After 8-year follow-up in 2007, 91 workers with rhinitis in 1999 were available to fill out the questionnaire again and were used to evaluate the course of nasal disease in terms of perceived severity and impact on daily life. RESULTS: Workers with rhinitis at baseline were more likely to leave their job in bell pepper cultivation for another job (OR = 1.62, 95% CI 0.95-2.75). Among the 91 workers, 58 subjects were still at work, whereas 33 subjects had left work. The subjects who left jobs reported substantial improvement in quality of life. The magnitude of the changes ranged from -0.31 to -1. The effect of quitting work on the mean quality of life score amounted -0.76 +/- 0.15. CONCLUSIONS: The current study is the first large longitudinal studies showing that leaving work and subsequent occupational allergen avoidance have a beneficial effect on rhinitis-related quality of life. The study suggests that occupational rhinitis can be a reason to leave work.
机译:背景:提倡避免职业过敏原或减少暴露是控制职业性鼻炎的主要手段。可获得避免过敏原的稀疏数据。目的:确定可能导致离职的因素,并解决随后避免过敏原对生活质量的影响。方法:1999年进行的一项职业性职业性甜椒过敏症调查包括472名员工,其中254名与工作有关的鼻炎和228名完成了与鼻炎有关的生活质量调查表。在2007年进行了8年的随访之后,1999年有91名鼻炎工人再次填写了调查表,并根据感觉到的严重程度和对日常生活的影响来评估鼻病的病程。结果:基线时患有鼻炎的工人更有可能离开甜椒种植而从事其他工作(OR = 1.62,95%CI 0.95-2.75)。在91名工人中,有58名受试者仍在工作,而33名受试者仍在工作。辞职的受试者报告生活质量得到了显着改善。变化的幅度范围为-0.31至-1。辞职对平均生活质量得分的影响为-0.76 +/- 0.15。结论:本研究是第一项大型纵向研究,表明离职和随后的职业性变应原避免对与鼻炎有关的生活质量具有有益作用。研究表明,职业性鼻炎可能是离职的原因。

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