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Occupational Medicine 1997;47:273-276
© 1997 Society of Occupational Medicine


research-article

The impact of Hymenoptera venom allergy on occupational activities

E. Kahan*,{dagger},$$$,, R. Ben-Moshe{dagger}, E. Derazne* and R. Tamir{dagger},{ddagger}

* Department of Epidemiology and Statistics, The Institute for Occupational Health, Tel Aviv University Tel Aviv, Israel
{dagger} Sackler Faculty of Medicine, Tel Aviv University Tel Aviv, Israel
{ddagger} Division of Clinical Immunology and Allergy Belinson Campus, Petah Tiqva, Israel
$$$ Department of Family Medicine, Rabin Medical Center Belinson Campus, Petah Tiqva, Israel

The objective of this study was to investigate the impact of allergy to hymenoptera venom on the occupational activities of patients undergoing immunologic treatment for insect sting anaphylaxis. The design was a cross-sectional study conducted in a sample of 500 out of 1,500 patients undergoing venom inmunotherapy for insect sting reaction in 13 allergy clinics in Israel. A self-administered questionnaire was used to collect data about demographic characteristics of patients, severity of the allergic reaction, and adverse effects on occupational activities. Of the 204 respondents who were part of the labour force, 48.5% reported adverse effects on routine occupational activities. The factors with a significant influence on the probability of adverse occupational effects were: (1) patient's type of work (blue collar vs. white collar: OR=;3.22, p<0.001; army vs. white collar: OR=5.28, p=0.001); (2) severity of the allergic reaction (severe reaction vs. mild/moderate reaction: OR=2.34, p=0.007). Our findings suggest that severe insect sting allergy has an adverse impact on patients' occupational activities. This factor requires special attention by the medical community. Social workers and occupational physicians should collaborate in the assessment and management of these patients.

Keywords      Allergy; anaphylaxis; Hymenoptera

Received       15 July 1996
Accepted       24 February 1997


Correspondence and reprint requests to: E. Kahan, Department of Epidemiology and Statistics, The Institute for Occupational Health, Tel Aviv University, Tel Aviv 69978, Israel. Tel: (+972) 3 6425261; Fax: (+972) 3 6422270


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