Allergen Sensitization and Asthma Outcomes among World Trade Center Rescue and Recovery Workers.


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
01 03 2019
Historique:
received: 15 01 2019
revised: 15 02 2019
accepted: 22 02 2019
entrez: 3 3 2019
pubmed: 3 3 2019
medline: 3 7 2019
Statut: epublish

Résumé

A large number of World Trade Center (WTC) rescue and recovery workers are affected by asthma. While physical and mental health comorbidities have been associated with poor asthma control in this population, the potential role of allergen sensitization is unknown. This study examined the association of indoor sensitization and exposure as a risk factor for increased asthma morbidity in WTC workers. We used data from a prospective cohort of 331 WTC workers with asthma. Sensitization to indoor allergens was assessed by measurement of antigen-specific serum immunoglobulin E (IgE) levels. We used validated tools to evaluate the exposure to indoor allergens. Asthma morbidity outcomes included level of control (Asthma Control Questionnaire, ACQ), quality of life (Asthma Quality of Life Questionnaire, AQLQ) and acute resource utilization. The prevalence of sensitization to cat, dog, mouse, dust mite, cockroach, and mold allergens were 33%, 21%, 17%, 40%, 17%, and 17%, respectively. Unadjusted and regression analyses showed no significant relationship between sensitization and increased asthma morbidity (

Identifiants

pubmed: 30823641
pii: ijerph16050737
doi: 10.3390/ijerph16050737
pmc: PMC6427816
pii:
doi:

Substances chimiques

Allergens 0

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIOSH CDC HHS
ID : U01 OH010405
Pays : United States

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Auteurs

Belen Rojano (B)

Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. belen.rojanobroz@mountsinai.org.

Erin West (E)

Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. krystallyn@gmail.com.

Emily Ferdermann (E)

Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. emily.federmann@mountsinai.org.

Steven Markowitz (S)

Barry Commoner Center for Health and the Environment, Queens College, City University of New York, Queens, New York, NY 11367, USA. steven.markowitz@qc.cuny.edu.

Denise Harrison (D)

Department of Medicine, New York University School of Medicine, Bellevue Hospital Center, New York, NY 10016, USA. denise.harrison@nyulangone.org.

Laura Crowley (L)

Division of Occupational and Environmental Medicine, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. laura.crowley@mssm.edu.

Paula Busse (P)

Division of Allergy and Immunology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. paula.busse@mssm.edu.

Alex D Federman (AD)

Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. alex.federman@mountsinai.org.

Juan P Wisnivesky (JP)

Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. juan.wisnivesky@mssm.edu.
Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. juan.wisnivesky@mssm.edu.

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