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Characteristics of Patients with Occupational Asthma in Türkiye, a Developing Country Cover

Characteristics of Patients with Occupational Asthma in Türkiye, a Developing Country

Open Access
|May 2026

Figures & Tables

Figure 1

Diagram of selection of the study population.

WRA: Work‑Related Asthma.

WEA: Work‑Exacerbated Asthma.

OA: Occupational Asthma.

Table 1

Characteristics of patients diagnosed with occupational asthma.

NUMBERS (N) (N = 104)PERCENTAGES (%) (100%)
Gender
  • Male

6865.4
  • Female

3634.6
Symptoms
  • Shortness of breath

9793.3
  • Cough

5754.8
  • Wheezing

1211.5
  • Chest tightness

109.6
Physical examination
  • Normal auscultation findings

4745.2
  • Prolonged expiration

1413.5
  • Rhonchus

4341.3
Smoking status
  • Never smoked

3937.5
  • Ex‑smoker

2726.0
  • Current smoker

3836.5
History of atopy
  • Yes

3129.8
  • No

7370.2
Concomitant chronic diseases4947.1
  • Lumbar disc herniation

87.7
  • Mental health problems

76.7
  • Hypertension

43.8
  • Allergic rhinitis

43.8
  • Gastroesophageal reflux

43.8
Diagnostic criteria of occupational asthmaa
  • Relevant historyb

1716.4
  • Relevant historyb + work/rest_BPT

1413.5
  • Relevant historyb + PEF monitoring

4442.3
  • Relevant historyb + PEF monitoring + work/rest_BPT

2524.0
  • Relevant historyb + RADS history

43.8

Abbreviations: BPT, bronchial provocation test; PEF, peak expiratory flow; RADS, reactive airway dysfunction syndrome.

[i] a In all cases, the diagnosis of asthma was confirmed first.

[ii] b Relevant history: It must be a history that includes all three of the following criteria.

  1. Onset of symptoms after entering the workplace.

  2. Association between symptoms of asthma and work.

  3. Identification of exposure to an agent known to cause occupational asthma in the workplace.

Table 2

Distribution of patients diagnosed with occupational asthma by sectors.

NUMBERS (N) (N = 104)PERCENTAGE (%)
Service sector3432.7
 Health services1110.6
 Cleaning services109.6
 Restaurant–bakery workers43.8
 Dental technicians32.9
 Laboratory workers32.9
 Others32.9
Industry sector7067.3
 Metal casting–cutting works1312.5
 Textile manufacturing87.7
 Welding76.7
 Furniture manufacturing76.7
 Plastic and packaging manufacturing76.7
 Automotive manufacture and repair54.8
 Ceramic manufacturing54.8
 Chemical manufacturing43.8
 Food manufacturing43.8
 Wind energy panel manufacturing43.8
 Leather manufacturing32.9
 Artificial stone manufacturing32.9
Agriculture sector00
Figure 2

Distribution of occupational asthma cases by exposure agents.

Table 3

Comparison of patient characteristics based on the molecular weight of asthma‑inducing agents.

HMWLMWP‑VALUE
Age years, means (±SD)39.13 (6.2)36.88 (6.4)0.190
Latency period months, means (±SD)87.57 (61.1)79.16 (82.6)c0.207
Gender, n (%, row)<0.001
  • Male

7 (10.3)61 (89.7)
  • Female

16 (44.4)20 (55.6)
Symptoms, n (%, row)
  • Shortness of breathb

21 (21.6)76 (78.4)0.647a
  • Coughb

9 (15.8)48 (84.2)0.087
  • Wheezingb

4 (33.3)8 (66.7)0.458a
  • Chest tightnessb

1 (10.0)9 (90.0)0.452a
Physical examination, n (%, row)0.852
  • Normal findings

10 (21.3)37 (78.7)
  • Abnormal findings

13 (22.8)44 (77.2)
Smoking Status, n (%, row)0.502
  • Never smoked

10 (25.6)29 (74.4)
  • Ever smoked (current or ex)

13 (20.0)52 (80.0)
History of atopy, n (%, row)<0.001
  • Yes

16 (51.6)15 (48.4)
  • No

7 (9.6)66 (90.4)
Presence of allergic rhinitis, n (%, row)0.033a
  • Yes

3 (75.0)1 (25.0)
  • No

20 (20.0)80 (80.0)
Skin prick test, n (%, row)d0.008
  • Positive

13 (65.0)7 (35.0)
  • Negative

3 (20.0)12 (80.0)
Sectors, n (%, row)<0.001
  • Service

17 (50.0)17 (50.0)
  • Industry

6 (8.6)64 (91.4)

[i] Note:

[ii] a Fisher’s exact test was used because the cell count exceeded 20% with an expected value of less than 5.

[iii] b In the chi‑square test, only rows with symptomatic individuals are shown, omitting asymptomatic data for simplicity.

[iv] c RADS cases (n = 4) were excluded from this analysis.

[v] d Only 35 of the cases underwent a skin prick test.

DOI: https://doi.org/10.5334/aogh.5251 | Journal eISSN: 2214-9996
Language: English
Page range: 44 - 44
Submitted on: Mar 10, 2026
Accepted on: Apr 17, 2026
Published on: May 18, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Merve Demirci Atik, Nur Acar, Aylin Güngör Çifci, Arif Hikmet Çİmrİn, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.