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[德国儿童和青少年躯体疾病的患病率。德国儿童和青少年健康访谈与检查调查(KiGGS)的结果]

[Prevalence of somatic diseases in German children and adolescents. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)].

作者信息

Kamtsiuris P, Atzpodien K, Ellert U, Schlack R, Schlaud M

机构信息

Robert Koch-Institut, Berlin, BRD.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):686-700. doi: 10.1007/s00103-007-0230-x.

Abstract

In the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), which was conducted from 2003 to 2006, data on acute/infectious and chronic diseases were collected from a population-based sample of 17,641 subjects aged 0 to 17 years. The annual prevalence rates among acute diseases vary widely. Children and adolescents are most frequently affected by acute (infectious) respiratory conditions. 88.5 % of the surveyed children and adolescents experienced at least one episode of common cold within the last 12 months. Among the other acute respiratory infections, bronchitis and tonsillitis were the most frequently encountered conditions with 19.9 % and 18.5 %, respectively. The 12-month prevalence of otitis media and pseudocroup was 11 % and 6.6 %, respectively. 1.5 % of the children and adolescents experienced an episode of pneumonia. Apart from respiratory infections, gastrointestinal infections were very frequently stated as reasons for acute illness. Furthermore, 12.8 % of the children and adolescents experienced a herpetic infection, 7.8 % a conjunctivitis and 4.8 % a urinary tract infection. Lifetime prevalence rates of infectious diseases were as follows: pertussis 8.7 %, measles 7.4 %, mumps 4.0 %, rubella 8.5 %, varicella 70.6 %, scarlet fever 23.5 %. The various chronic somatic diseases in children and adolescents had different lifetime prevalence rates. Most frequently, children and adolescents were affected by obstructive bronchitis (13.3 %), neurodermatitis/atopic eczema (13.2 %) and hay fever (10.7 %). Scoliosis and asthma had been diagnosed by a doctor in 5.2 % and 4.7 % of subjects aged 0-17 years, respectively. The lifetime prevalence rates of the remaining diseases varied between 0.14 % for diabetes mellitus and 3.6 % for convulsions/epileptic fits. For the first time ever, these survey results provide nationwide representative information on the prevalence rates of acute/infectious and chronic diseases in children and adolescents which is based on a population-representative sample.

摘要

在2003年至2006年开展的德国儿童和青少年健康访谈与检查调查(KiGGS)中,从17641名0至17岁的具有人群代表性的样本中收集了急性/传染性疾病和慢性病的数据。急性疾病的年患病率差异很大。儿童和青少年最常受到急性(传染性)呼吸道疾病的影响。在过去12个月内,88.5%的受访儿童和青少年至少经历过一次普通感冒。在其他急性呼吸道感染中,支气管炎和扁桃体炎是最常见的疾病,分别占19.9%和18.5%。中耳炎和假膜性喉炎的12个月患病率分别为11%和6.6%。1.5%的儿童和青少年经历过肺炎发作。除呼吸道感染外,胃肠道感染也经常被提及为急性疾病的原因。此外,12.8%的儿童和青少年经历过疱疹感染,7.8%经历过结膜炎,4.8%经历过尿路感染。传染病的终生患病率如下:百日咳8.7%,麻疹7.4%,腮腺炎4.0%,风疹8.5%,水痘70.6%,猩红热23.5%。儿童和青少年中的各种慢性躯体疾病有不同的终生患病率。最常见的是,儿童和青少年受到阻塞性支气管炎(13.3%)、神经性皮炎/特应性湿疹(13.2%)和花粉症(10.7%)的影响。在0至17岁的受试者中,分别有5.2%和4.7%的人被医生诊断患有脊柱侧弯和哮喘。其余疾病的终生患病率在糖尿病的0.14%至惊厥/癫痫发作的3.6%之间不等。这些调查结果首次基于具有人群代表性的样本,提供了全国范围内关于儿童和青少年急性/传染性疾病和慢性病患病率的具有代表性的信息。

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