Pérez-Perdomo Rosa, Pérez-Cardona Cynthia, Disdier-Flores Orville, Cintrón Yvette
Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, San Juan, Puerto Rico 00936-5067, USA.
J Asthma. 2003;40(5):465-74. doi: 10.1081/jas-120018713.
The 2000 Behavioral Risk Factor Surveillance System (BRFSS) showed that Puerto Rico had the highest self-reported prevalence of asthma. Our objective was to estimate the self-reported prevalence of asthma among different population subgroups and determine its correlates in Puerto Rican adults as reported by the BRFSS. The BRFSS data gathered during 2000 were analyzed. To determine factors associated with self-reported prevalence of asthma, a simple unconditional logistic regression model was employed; then, to estimate adjusted weighted prevalence odds ratios, a multiple unconditional logistic regression model was used. The self-reported weighted prevalence of ever having asthma among Puerto Rican adults was 15.9% (14.8%-16.9%). Asthma prevalence was significantly higher in the following population subgroups: females (18.8%), educational attainment > 12 years (18.4%), having health coverage (16.3%), and obesity (21.0%). Asthma prevalence did not differ among age groups, region of residence, annual income, smoking at least 100 cigarettes in entire life, and physical activity. Almost half (45.6%) of asthmatics reported having children affected with the condition. The prevalence of asthma in any children of the interviewed was 33.2%, 51.3% were receiving treatment, and 30.6% and 24.3% reported having one to three visits to emergency departments and hospital admissions, respectively, resulting from asthma last year. Based on the logistic regression model, the following factors were significantly associated with asthma: sex, high educational attainment, health coverage and obesity. Consistent with previous studies in Puerto Ricans living in the mainland, a higher than expected prevalence of asthma was observed. The possibility of a genetic-environment interaction deserves further investigation.
2000年行为风险因素监测系统（BRFSS）显示，波多黎各自我报告的哮喘患病率最高。我们的目标是估计不同人群亚组中自我报告的哮喘患病率，并确定BRFSS报告的波多黎各成年人哮喘患病率的相关因素。对2000年收集的BRFSS数据进行了分析。为了确定与自我报告的哮喘患病率相关的因素，采用了简单的无条件逻辑回归模型；然后，为了估计调整后的加权患病率比值比，使用了多元无条件逻辑回归模型。波多黎各成年人中自我报告曾患哮喘的加权患病率为15.9%（14.8%-16.9%）。以下人群亚组的哮喘患病率显著更高：女性（18.8%）、受教育程度>12年（18.4%）、有医疗保险（16.3%）和肥胖（21.0%）。哮喘患病率在年龄组、居住地区、年收入、一生中至少吸烟100支以及身体活动方面没有差异。几乎一半（45.6%）的哮喘患者报告其子女患有该病。受访者的任何子女中哮喘患病率为33.2%，51.3%正在接受治疗，分别有30.6%和24.3%报告去年因哮喘到急诊科就诊1至3次和住院。基于逻辑回归模型，以下因素与哮喘显著相关：性别、高受教育程度、医疗保险和肥胖。与之前对居住在美国大陆的波多黎各人的研究一致，观察到哮喘患病率高于预期。基因-环境相互作用的可能性值得进一步研究。
