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加那利群岛哮喘症状的高患病率:气候影响?

High prevalence of asthma symptoms in the Canary Islands: climatic influence?

作者信息

Julià Serdà G, Cabrera Navarro P, Acosta Fernández O, Martín Pérez P, Batista Martín J, Alamo Santana F, Rodríguez de Castro F, Antó Boqué J M

机构信息

Servicio de Neumología, Hospital Universitario Dr. Negrín, Las Palmas de Gran Canaria, Spain.

出版信息

J Asthma. 2005 Jul-Aug;42(6):507-11. doi: 10.1081/JAS-67621.

DOI:10.1081/JAS-67621
PMID:16293547
Abstract

The worldwide variation in asthma prevalence prompted us to carry out a study to assess the variability of asthma-related symptoms in young adults on the islands of Gran Canaria and Tenerife. We used the questionnaire used in the European Community Respiratory Health Survey with the addition of two questions on smoking and ancestors from the Canary Islands. In each island, this questionnaire was distributed to a random sample of 5000 subjects aged 20-44 years. Of the 10,000 subjects, 9,506 (95.06%) were considered eligible. We obtained 7,132 (75.03%) responses. The prevalence of the different symptoms was wheezing 25.3%, nocturnal thoracic tightness 18.0%, awakened by an attack of shortness of breath 13.1%, attack of nocturnal coughing 33.3%, attack of asthma 4.3%, current asthma treatment 6.2%, and nasal allergies 18.0%. Women and smokers showed a significantly higher prevalence of asthma symptoms. No significant difference in symptoms was found between subjects whose ancestors were of Canarian origin and those with ancestors born outside the Canaries. As has been observed on other islands (Great Britain and New Zealand), asthma is common in individuals from 20 to 44 years of age in the Canaries. We hypothesize that climatic conditions play an important role in the prevalence of asthma symptoms.

摘要

全球哮喘患病率的差异促使我们开展一项研究,以评估大加那利岛和特内里费岛年轻成年人中与哮喘相关症状的变异性。我们使用了欧洲共同体呼吸健康调查中所采用的问卷,并增加了两个关于吸烟和加那利群岛祖先的问题。在每个岛屿,该问卷被分发给5000名年龄在20 - 44岁的随机抽样对象。在这10000名对象中,9506名(95.06%)被认为符合条件。我们获得了7132份(75.03%)回复。不同症状的患病率分别为:喘息25.3%、夜间胸部发紧18.0%、因呼吸急促发作而惊醒13.1%、夜间咳嗽发作33.3%、哮喘发作4.3%、当前接受哮喘治疗6.2%以及鼻过敏18.0%。女性和吸烟者的哮喘症状患病率显著更高。在祖先为加那利群岛原住民的对象与祖先出生在加那利群岛以外的对象之间,未发现症状有显著差异。正如在其他岛屿(英国和新西兰)所观察到的那样,哮喘在加那利群岛20至44岁的人群中很常见。我们推测气候条件在哮喘症状的患病率中起着重要作用。

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