title: Asthma and Wheeze Prevalence among Nursing Professionals in Western Japan: A Cross-Sectional Study.
abstract: Although adult asthma is attributable to occupational factors, few reports are available on asthma prevalence among health care workers in Japan. The objective of this study was to estimate the prevalence of asthma and wheeze among Japanese nursing professionals. A cross-sectional study was conducted by postal survey using a translated version of the European Community Respiratory Health Survey questionnaire from April to June 2013. The analysis included 4634 nursing professionals (257 men and 4377 women) and the overall response rate was 84.8%. The prevalence of current asthma and wheeze were 10.7% (95% confidence interval (CI), 9.9%-11.7%) and 15.6% (95% CI, 14.5%-16.6%), respectively. More than one year of work experience as a nursing professional and more than one year of experience with bed-making tasks were associated with odds ratios (ORs) of 1.95 (95% CI, 1.12-3.39) and 1.64 (95% CI, 1.15-2.23) for wheeze, respectively. Current smoking was significantly associated with the presence of wheeze, with ORs of 2.27 for men (95% CI, 1.11-4.64) and 2.01 for women (95% CI, 1.54-2.64). Among female nurses, latex allergy was associated with wheeze (OR, 1.87; 95% CI, 1.56-2.23), as was body mass index ≥30 (OR, 2.76; 95% CI, 1.65-4.62). This study has provided the prevalence of asthma and wheeze among Japanese nursing professionals. Employment period, bed-making tasks, latex allergy, obesity, and smoking may be risk factors for prevalent wheeze among nursing professionals.
authors.affiliation: Department of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago 683-8504, Japan. junkurajun@gmail.com.
authors.forename: Jun
authors.initials: J
authors.lastname: Kurai
authors.affiliation: Department of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago 683-8504, Japan. watanabm@grape.med.tottori-u.ac.jp.
authors.forename: Masanari
authors.initials: M
authors.lastname: Watanabe
authors.affiliation: Department of Respiratory Medicine and Allergology, Faculty of Medicine, Kinki University, 377-2 Ohnohigashi, Osakasayama 589-0014, Japan. hsano@med.kindai.ac.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sano
authors.affiliation: Tottori Nursing Association, 318-1 Gotsu, Tottori 680-0901, Japan. torai@tottori-kangokyokai.or.jp.
authors.forename: Saeko
authors.initials: S
authors.lastname: Torai
authors.affiliation: Division of Nursing, Tottori University Hospital, 36-1 Nishi-cho, Yonago 683-8504, Japan. y-hiro0903@med.tottori-u.ac.jp.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Yanase
authors.affiliation: Division of Nursing, Tottori University Hospital, 36-1 Nishi-cho, Yonago 683-8504, Japan. funakoshi@med.tottori-u.ac.jp.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Funakoshi
authors.affiliation: Division of Nursing, Tottori University Hospital, 36-1 Nishi-cho, Yonago 683-8504, Japan. atsuko-5@med.tottori-u.ac.jp.
authors.forename: Atsuko
authors.initials: A
authors.lastname: Fukada
authors.affiliation: Department of Public Relations, Tottori University Hospital, 36-1 Nishi-cho, Yonago 683-8504, Japan. kangosk@med.tottori-u.ac.jp.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Hayakawa
authors.affiliation: Department of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago 683-8504, Japan. eiji@med.tottori-u.ac.jp.
authors.forename: Eiji
authors.initials: E
authors.lastname: Shimizu
authors.affiliation: The Board of Directors, Tottori University, 4-101 Koyamachou-Minami, Tottori 68-8550, Japan. hkitano@med.tottori-u.ac.jp.
authors.forename: Hiroya
authors.initials: H
authors.lastname: Kitano
mesh_terms: D000328:Adult; D001249:Asthma / Q000453:epidemiology*; D016535:Bronchial Hyperreactivity / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007564:Japan / Q000453:epidemiology; D020315:Latex Hypersensitivity / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology*; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D013997:Time Factors
keywords: ECRHS; asthma; bed-making tasks; body mass index; employment period; latex allergy; nursing professionals; prevalence; smoking; wheeze