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Epidemiology and Risk Factor Analysis of Systemic Allergic Reaction to Bee Venom in the Slovenian Population of Beekeepers Cover

Epidemiology and Risk Factor Analysis of Systemic Allergic Reaction to Bee Venom in the Slovenian Population of Beekeepers

Open Access
|Jan 2025

Figures & Tables

Figure 1.

Study flow diagram.
Legend: APISS-Q–Apis for “bee”, the letter “S” for “Slovenia” and the letter “Q” for ”questionnaire”.
Study flow diagram. Legend: APISS-Q–Apis for “bee”, the letter “S” for “Slovenia” and the letter “Q” for ”questionnaire”.

The characteristics of the study population according to the categories of selected potential risk factors (N=1,080)_

CategoryVariableTotal Ncat (%)
DemographyAge
18-39123 (11.4)
40-64507 (46.9)
≥65450 (41.7)
Sex
Female163 (15.1)
Male917 (84.9)
Education
Lower651 (60.3)
Upper429 (39.7)
BMI
18.5-24.9295 (27.3)
25-29.9547 (50.7)
≥30238 (22.0)
Environmental exposureSmoking status
Yes365 (33.8)
No715 (66.2)
Beekeeping status
Hobby1058 (98.0)
Professional22 (2.0)
Type of beekeeping
Stationary894 (82.8)
Other186 (17.2)
Beekeeping duration (yr)
≤10356 (33.0)
>11724 (67.0)
No. of active working days in a week
1-2843 (78.1)
≥3237 (21.9)
Use of protective equipment
Some elements629 (58.2)
Complete outfit252 (23.3)
None199 (18.5)
Beekeeping among
FDRa and FMb
Bee contact825 (76.4)
No bee contact255 (23.6)
Host predisposition to SARSymptoms when working at hives
Nasal17 (1.6)
Other9 (0.8)
None1054 (97.6)
Personal history of LLR
Yes175 (16.2)
No905 (83.8)
Personal history of atopic disease
Yes126 (11.7)
No954 (88.3)
Personal history of other allergic diseases
Yes89 (8.2)
No991 (91.8)
History of AR to bee venom among FDRa
Yes174 (16.1)
No906 (83.9)
History of atopic disease among FDRa
Yes91 (8.4)
No989 (91.6)
History of other allergic diseases among FDRa
Yes32 (3.0)
No1048 (97.0)

The estimated lifetime prevalence of self-reported first systemic allergic reaction to bee venom in 1,080 beekeepers and graded for severity according to Mueller_

GradeNcat (%)95% CI
SAR I27 (26.5)24.5-28.5
SAR II29 (28.4)28.4-28.4
SAR III26 (25.5)23.5-27.5
SAR IV20 (19.6)17.4-21.4
TOTAL102 (100.0)

Multiple logistic regression analysis of the overall lifetime prevalence of self-reported first systemic allergic reaction to bee venom associated with risk factors among the Slovenian population of beekeepers (N=1,080)_

Risk factorVariableOR95% CIp-value
lowerupper
Estimated number of bee stings per season>511
≤505.2743.2508.559<0.001
DemographyAgea
≥651
18-391.4771.1601.881<0.002
40-641.2701.0551.527<0.011
Sexa
Female1
Male1.7121.0072.9110.047
Environmental exposureBeekeeping duration (yr)
>111
≤101.2350.7592.0100.395
Host predisposition to SARSymptoms when working at hives
None1
Nasal9.6932.46938.0450.001
Personal history of LLR
No1
Yes20.6544.74789.877<0.001
Personal history of atopic disease
No1
Physician-confirmed asthma1.2880.7072.3460.408
Personal history of other allergic diseases
No1
Yes1.6640.8413.2910.143
DOI: https://doi.org/10.2478/sjph-2025-0006 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 40 - 48
Submitted on: Jul 11, 2024
|
Accepted on: Sep 30, 2024
|
Published on: Jan 2, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Tanja CARLI, Igor LOCATELLI, Mitja KOŠNIK, Danilo BEVK, Andreja KUKEC, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.