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Cited by 7Asthma and respiratory diseasesOccupational exposure and asthmaChronic Obstructive Pulmonary Disease (COPD) Research

Asthma trigger perceptions are associated with work disability

Open access
Karvala, Kirsi, Uitti, Jukka, Taponen, Saara, Luukkonen, Ritva, Lehtimäki, Lauri·2018·Respiratory Medicine
DOI 10.1016/j.rmed.2018.04.010
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Abstract

Objective To study the association between perceptions of various triggers of asthma and employment status.Methods A questionnaire was administered to all those adults living in the city of Tampere, Finland, who were entitled to special reimbursement for asthma medication by the Social Insurance Institution (n = 2613). The response rate was 79%. The study population (n = 1657) consisted of individuals who worked full-time (n = 967), were unemployed (n = 197), had all-cause work disability (n = 334), or were retired due to old age (n = 159). Given a list of potential asthma triggers, the respondents were asked how often (never/sometimes/often) the trigger caused or worsened their asthma symptoms during leisure time.Results After adjusting for background variables (age, sex, smoking, and professional status), frequency of asthma symptoms, and the use of asthma medication during the last year, any individual trigger identified as asthma-relevant was associated with having work disability (vs. working full-time). The highest odds ratio (OR) was found for vehicle exhaust (OR 5.0, CI 2.2-11.4). We found similar but less consistent associations between asthma trigger perceptions and unemployment. No elevated ORs were found regarding asthma trigger perceptions for old-age retirement.Conclusions Perceptions of asthma triggers are associated with all-cause work disability. Our findings suggest that asthmatics have excess trigger perceptions that are not explained by asthma alone. Asthmatics need to be informed that inaccurate trigger perceptions may develop, and how they are induced, because unnecessary trigger avoidance may interfere with work life.

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  • Asthma patients are commonly encouraged to avoid triggers, but symptom overlap between asthma and anxiety may cause excessive avoidance, leading to impaired daily functioning and for some work disability and unemployment.

    “asthma patients are commonly encouraged to avoid triggers for asthma, however the symptom overlap between asthma and anxiety may cause excessive avoidance, leading to impaired daily functioning (Haselkorn et al., 2010), and for some even to work disability and unemployment (Karvala et al., 2018).”

    From Targeting excessive avoidance behavior to reduce anxiety related to asthma: A feasibility study of an exposure-based treatment delivered online (2021) · cites this paper as Karvala et al., 2018

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Authors
Karvala, K., Uitti, J., Taponen, S., Luukkonen, R., & Lehtimäki, L.
Affiliations
  • Finnish Institute of Occupational Health (FI)
  • Tampere University (FI)
  • University of Helsinki (FI)
  • Tampere University Hospital (FI)
Corresponding author
Karvala, Kirsi
ORCID
Venue
Respiratory Medicine
Publisher
Elsevier BV
Published
2018-06
Volume
139
Pages
19-26
ISSN
0954-6111 (ISSN-L)
DOI
10.1016/j.rmed.2018.04.010
OpenAlex
W2802664482
Cited by
7
References
53
Citations by year
2024: 1 · 2021: 1 · 2020: 3 · 2019: 2
FWCI
1.03
Type
journal article
Language
en
Open access
Licence
Locations
  • Respiratory Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Työväentutkimus Vuosikirja (submittedVersion)
Funders
Finnish Work Environment Fund (100068)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords
asthma, asthma triggers, work disability, unemployment, vehicle emissions, occupational health, trigger avoidance
MeSH terms
Adult, Aged, Asthma, Vehicle Emissions, Cross-Sectional Studies, Employment, Female, Finland, Humans, Male, Middle Aged, Perception, Quality of Life, Surveys and Questionnaires, Odds Ratio, Young Adult

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