Uijen A A, Schermer T R J, van den Hoogen H J M, Mulder J, Zantinge E M, Bottema B J A M
Universitair Medisch Centrum St Radboud, Afd. Huisartsgeneeskunde, Postbus 9101, 6500 HB Nijmegen.
Ned Tijdschr Geneeskd. 2008 May 17;152(20):1157-63.
To determine whether there are differences in prevalence of and health care consumption for asthma and COPD between Dutch people of Turkish, Moroccan and Surinamese origin and indigenous Dutch people.
Retrospective.
Based on data from the 'Second Dutch national study into morbidity and interventions in general practice', we compared the prevalence of asthma and COPD in the different ethnic groups. In addition, we compared the use of various airway medications and the number of general practice contacts between these ethnic groups.
We analysed data of 240,067 indigenous Dutch, 2,942 Turkish, 2,416 Moroccan and 3,320 Surinamese subjects. Asthma is more prevalent among Surinamese and seems less prevalent among Moroccans. COPD seems less prevalent among immigrants than among the indigenous Dutch population. Immigrants tend to have less prescriptions of prophylactic maintenance airway medication and they also tend to have less airway-related general practice contacts than indigenous Dutch patients.
Differences exist in the prevalence of and health care consumption for asthma and COPD between the different ethnic groups in the Netherlands. There seems to be underdiagnosis of COPD in immigrants. Moreover, immigrant asthma and COPD patients are probably undertreated.
确定在荷兰的土耳其裔、摩洛哥裔、苏里南裔人群与荷兰本土人群之间，哮喘和慢性阻塞性肺疾病（COPD）的患病率及医疗保健消费是否存在差异。
回顾性研究。
基于“荷兰第二次全国初级医疗发病率及干预研究”的数据，我们比较了不同种族群体中哮喘和COPD的患病率。此外，我们还比较了这些种族群体之间各种气道药物的使用情况以及初级医疗接触次数。
我们分析了240,067名荷兰本土人、2,942名土耳其人、2,416名摩洛哥人和3,320名苏里南人的数据。哮喘在苏里南裔人群中更为普遍，而在摩洛哥裔人群中似乎不太普遍。COPD在移民中的患病率似乎低于荷兰本土人群。移民往往较少开具预防性维持气道药物的处方，并且与荷兰本土患者相比，他们与气道相关的初级医疗接触也较少。
荷兰不同种族群体在哮喘和COPD的患病率及医疗保健消费方面存在差异。移民中COPD似乎存在诊断不足的情况。此外，移民哮喘和COPD患者可能治疗不足。
