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巴西联邦区青少年过敏性鼻炎患病率:国际儿童哮喘和过敏研究(ISAAC)第一阶段与第三阶段比较

Prevalence of allergic rhinitis among adolescents from Distrito Federal, Brazil: comparison between ISAAC phases I and III.

作者信息

Borges Wellington G, Burns Dennis Alexander R, Felizola Maria Luísa B M, Oliveira Bruno A, Hamu Cejana S, Freitas Vanessa C

机构信息

Hospital de Base do Distrito Federal, DF, Brazil.

出版信息

J Pediatr (Rio J). 2006 Mar-Apr;82(2):137-43. doi: 10.2223/JPED.1461.

DOI:10.2223/JPED.1461
PMID:16614769
Abstract

OBJECTIVE

To determine the prevalence of allergic rhinitis in a random group of schoolchildren aged 13 to 14 years in Brasilia, Brazil, to evaluate tendencies over 6 years and to compare prevalence rates among different socioeconomic groups.

METHODS

Two cross-sectional studies were undertaken 6 years apart, using the ISAAC (phases I and III) written questionnaire. Thirty-nine schools were chosen at random from eight administrative regions in Brasilia, and were classified into three groups according to the socioeconomic conditions of the population.

RESULTS

A total of 3,009 questionnaires were collected. Of these 53.5% related to female children and 80% to students from public schools. Prevalence rates for diagnosed rhinitis, recent rhinitis and allergic rhinitis were 20, 29.3 and 12.2%, respectively. Rhinitis was more prevalent in private schools than in public ones (17.8 versus 14.1%) and sufferers were predominantly female. Prevalence rates were also higher among populations with higher socioeconomic status (23.5 versus 12.2%). Comparison with the 1996 data revealed significant increases in the prevalence of diagnosed rhinitis (12.7 versus 20%, p = 0.001). These increases were observed at all socioeconomic levels.

CONCLUSIONS

A large number of 13 and 14-year-old children resident in the Distrito Federal exhibit symptoms indicative of rhinitis and the majority of them have allergic rhinitis. Over a six-year period the prevalence of allergic rhinitis increased significantly, predominantly affecting females and with greater prevalence among students at private school and from families with higher socioeconomic status.

摘要

目的

确定巴西巴西利亚13至14岁学龄儿童随机样本中变应性鼻炎的患病率,评估6年期间的变化趋势,并比较不同社会经济群体之间的患病率。

方法

相隔6年进行两项横断面研究,采用国际儿童哮喘和变应性疾病研究(ISAAC,第一阶段和第三阶段)书面问卷。从巴西利亚八个行政区随机选择39所学校,并根据人群的社会经济状况分为三组。

结果

共收集到3009份问卷。其中53.5%与女童相关,80%来自公立学校的学生。诊断性鼻炎、近期鼻炎和变应性鼻炎的患病率分别为20%、29.3%和12.2%。鼻炎在私立学校比公立学校更普遍(17.8%对14.1%),患者以女性为主。社会经济地位较高人群的患病率也更高(23.5%对12.2%)。与1996年数据比较显示,诊断性鼻炎的患病率显著增加(12.7%对20%,p = 0.001)。在所有社会经济水平均观察到这种增加。

结论

大量居住在联邦区的13和14岁儿童表现出鼻炎症状,其中大多数患有变应性鼻炎。在六年期间,变应性鼻炎的患病率显著增加,主要影响女性,在私立学校学生和社会经济地位较高家庭的学生中患病率更高。

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