Filon F, Radman G Latex allergy: a follow up study of 1040 healthcare workers Occupational and Environmental Medicine. 2006; 63:121-125

Ghosh RE, Cullinan P, Fishwick D Asthma and occupation in the 1958 birth cohort. Thorax.. 2013; 68:(4)365-371

Gresse A, Winfield C, Slabbert E, Bölke P, Aucamp R, Jaga R Lifestyle risk behaviour of emergency medical care workers in Nelson Mandela Bay, South Africa. South African J Pre-Hosp Emerg Care.. 2020; 1:26-34

Hegg-Deloye S, Brassard P, Jauvin N Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics. Emerg Med J.. 2014; 31:(3)242-247

Heidemann C, Scheidt-Nave C, Beyer AK Gesundheitliche Lage von Erwachsenen in Deutschland—Ergebnisse zu ausgewählten Indikatoren der Studie GEDA 2019/2020-EHIS. J Health Monit (article in German).. 2021; 6:(3)3-27

Hofmann T, Macke M Berufstreue von angehenden notfallsanitäter*innen.

Imani A, Borna J, Alami A, Khosravan S, Hasankhani H Prevalence of low back pain and its related factors among pre-hospital emergency personnel in Iran. Journal of Emergency Practice and Trauma.. 2018; 5:(1)8-13

Lietzén R, Virtanen P, Kivimäki M, Sillanmäki L, Vahtera J, Koskenvuo M Stressful life events and the onset of asthma. Eur Respir J.. 2011; 37:(6)1360-1365

McHugh MK, Symanski E, Pompeii LA, Delclos GL Prevalence of asthma by industry and occupation in the US working population. Am J Ind Med.. 2010; 53:(5)463-475

Möckel L, Gerhard A, Mohr M, Armbrust CI, Möckel C Prevalence of pain, analgesic self-medication and mental health in German pre-hospital emergency medical service personnel: a nationwide survey pilot-study. Int Arch Occup Environ Health.. 2021; 94:(8)1975-1982

Möckel L, Arnold C, May T, Hofmann T The prevalence of diseases in German emergency medical services staff: a survey study. Arch Environ Occup Health.. 2022; 77:(10)838-845

Fragebogen zur Studie ‘Gesundheit in Deutschland aktuell’: GEDA2014/2015-EHIS. J Health Monit (document in German).. 2017; 2:(1)105-135

Schmitz R, Kuhnert R, Thamm M 12-Monats-Prävalenz von Allergien in Deutschland. J Health Monit (article in German).. 2017; 2:(1)77-82

Schuster M Ursachen und Folgen von Ausbildungsabbrüchen.

Steppuhn H, Kuhnert R, Scheidt-Nave C 12-Monats-Prävalenz von Asthma bronchiale bei Erwachsenen in Deutschland. J Health Monit (article in German).. 2017; 2:(23)36-45

White GE, Seaman C, Filios MS Gender differences in work-related asthma: surveillance data from California, Massachusetts, Michigan, and New Jersey, 1993-2008. J Asthma.. 2014; 51:(7)691-702

Factors associated with asthma and allergies in prehospital practitioners

02 May 2023
Volume 13 · Issue 2



This analysis was carried out to identify factors associated with asthma and allergies in prehospital emergency medical services staff in Germany over a 12-month period.


Multivariable logistic regression analysis was applied and adjusted odds ratios (AOR) with corresponding 95% confidence intervals (95% CI) were calculated.


In total, 2313 prehospital emergency medical services staff from Germany were included into the analysis. Women had the highest prevalence of asthma (12.28%) and allergies (40.61%). Asthma was significantly associated with gender, with lower odds for male (AOR 0.60; 95% CI [0.45-0.81]) than female practitioners. Allergies were significantly associated with: gender (male: AOR: 0.57; 95% CI (0.47-0.70)); smoking status (smokers: AOR: 0.79 (95% CI (0.62-0.99)); and role (trainees: AOR 1.37; 95% CI (1.06-1.78)).


There is a high 12-month prevalence of asthma and allergies in certain groups of prehospital emergency practitioners in Germany and this is associated with several factors.

It is well known that prehospital emergency medical services (EMS) staff often experience pain (Imani et al, 2018; Möckel et al, 2021). In addition, the EMS Health Study, which included a total of 2313 prehospital EMS staff from Germany, showed that asthma and allergies frequently occur among them. For example, the prevalence of asthma (including allergic asthma) over 12 months in female participants aged 18-29 years was 12.7%, which is 1.72 times higher than in women of the same age in the general German population (Mockel et al, 2022).

International studies have also reported a higher risk of asthma and allergies in health professionals (McHugh et al, 2010; Ghosh et al, 2013; Boudinar et al, 2021). A longitudinal study found that homebased caregivers had 2.1-times higher odds of developing asthma (Ghosh et al, 2013). In addition, a study of French dentists indicated a prevalence of allergies of 50.3%, with work-associated allergies affecting 13.4% (Boudinar et al, 2021).

Subscribe to get full access to International Paramedic Practice

Thank you for visiting International Paramedic Practice and reading our archive of expert clinical content. If you would like to read more from the only journal dedicated to those working in emergency care, you can start your subscription today for just £48.

What's included

  • CPD Focus

  • Develop your career

  • Stay informed