Patient-physician communication about work-related asthma: what we do and do not know.
Mazurek-JM; White-GE; Moorman-JE; Storey-E
Ann Allergy, Asthma, & Immun 2015 Feb; 114(2):97-102.e1
BACKGROUND: Effective patient-physician communication is the key component of the patient-physician relationship. OBJECTIVE: To assess the proportion of ever-employed adults with current asthma who talked about asthma associated with work with their physician or other health professional and to identify factors associated with this communication. METHODS: The 2006 to 2010 Behavioral Risk Factor Surveillance System Asthma Call-Back Survey data from 40 states and the District of Columbia for ever-employed adults (>/=18 years old) with current asthma (N = 50,433) were examined. Multivariable logistic regression analyses were conducted to identify factors associated with communication with a health professional about asthma and work. RESULTS: Among ever-employed adults with current asthma, 9.1% were ever told by a physician that their asthma was related to any job they ever had and 11.7% ever told a physician or other health professional that this was the case. When responses to the 2 questions were combined, the proportion of those who communicated with a health professional about asthma and work was 14.7%. Communication with a health professional about asthma and work was associated with age, race or ethnicity, employment, education, income, insurance, and urgent treatment for worsening asthma. CONCLUSION: A small proportion of patients with asthma might communicate with a health professional about asthma associated with work. Future studies should examine whether patients with asthma ever discussed with a health professional the possibility that their asthma might be related to work to provide information on the frequency of patient-clinician communication about asthma related to work.
Pulmonary-system-disorders; Respiratory-system-disorders; Bronchial-asthma; Humans; Statistical-analysis; Demographic-characteristics; Age-factors; Sex-factors; Racial-factors; Surveillance
Jacek M. Mazurek, MD, MS, PhD, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Division of Respiratory Disease Studies, Surveillance Branch, Mailstop HG 900.2, 1095 Willowdale Road, Morgantown, WV 26505
Annals of Allergy, Asthma, and Immunology