Atopic and non-atopic asthma in a farming and a general population

W. Eduard, E. Omenaas, P. Bakke, J.E. Douwes, D.J.J. Heederik

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background
In a previous study inverse associations between asthma and exposure to fungal spores and endotoxins in atopic farmers and positive associations with the same factors in non‐atopic farmers were documented. No external reference population had been included. We, therefore, compared this farming population with the general population from an adjacent region.

Methods
Random samples of a farming (n = 2,106) and a rural (n = 351) and urban (n = 727) general population were selected. Atopy was assessed by serum IgE and asthma by questionnaires.

Results
The asthma prevalence was 4.0% among farmers, 5.7% in the rural, and 7.6% in the urban population. Atopy was similar (9–10%). Most asthmatics were not atopic, 67–75%. Farmers had asthma less often than the general population OR 0.52 (95% CI 0.36–0.75); both atopic (OR 0.33 (95% CI 0.15–0.69)) and non‐atopic asthma (OR 0.60 (95% CI 0.39–0.93)).

Conclusion
This may indicate a protective effect of the farm environment on asthma but a healthy worker effect may also play a role. Am. J. Ind. Med. 46:396–399, 2004. © 2004 Wiley‐Liss, Inc.
Original languageEnglish
Pages (from-to)396-399
Number of pages4
JournalAmerican Journal of Industrial Medicine
Volume46
Issue number4
DOIs
Publication statusPublished - Oct 2004

Keywords

  • farmers
  • asthma
  • atopy
  • endotoxins
  • fungal spores

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