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中国11个主要城市中自我报告的变应性鼻炎患病率。

Prevalence of self-reported allergic rhinitis in eleven major cities in china.

作者信息

Zhang Luo, Han Demin, Huang Dan, Wu Yangfeng, Dong Zhen, Xu Geng, Kong Weijia, Bachert Claus

机构信息

Beijing Institute of Otorhinolaryngology, Ministry of Education, China.

出版信息

Int Arch Allergy Immunol. 2009;149(1):47-57. doi: 10.1159/000176306. Epub 2008 Nov 26.

Abstract

BACKGROUND

Allergic rhinitis (AR) is a common disease and its prevalence is increasing worldwide. Data on the current prevalence of AR in China, one of the biggest countries in the world, with a population of around 1.3 billion citizens, are scarce. The aim of this study was to investigate the prevalence of self-reported AR in Chinese citizens.

METHODS

In a cross-sectional, population-based study, telephone interviews were conducted in 11 major cities in China after sampling target telephone numbers through the approach of random digital dialing. The questions for the telephone interviews were based on validated questionnaires.

RESULTS

A total of 38,203 telephone interviews were conducted from September 2004 to May 2005. The response rate was 63.7%. After adjustment for age and gender, the self-reported prevalence of AR was lowest in Beijing (8.7%) and highest in Urumqi (24.1%). Among the subjects with self-reported AR, 25.6% were diagnosed with persistent AR and 74.4% suffered from intermittent AR. Less than half of the subjects with self-reported AR had presented at a health clinic. In 37.3% AR had previously been diagnosed by physicians, and 33.1% of subjects with self-reported AR had been treated. Comorbidities reported were asthma (9.2%), rhinosinusitis (13.3%) and atopic dermatitis (16.4%).

CONCLUSIONS

This study demonstrates that the self-reported prevalence of AR in 11 cities across Mainland China has wide variations, ranging from <10% to >20%; 26% of the self-reported AR subjects were classified as suffering from persistent AR.

摘要

背景

变应性鼻炎(AR)是一种常见疾病,其在全球范围内的患病率正在上升。关于世界上最大的国家之一、拥有约13亿人口的中国目前AR患病率的数据稀缺。本研究的目的是调查中国公民自我报告的AR患病率。

方法

在一项基于人群的横断面研究中,通过随机数字拨号方法对目标电话号码进行抽样后,在中国11个主要城市进行了电话访谈。电话访谈的问题基于经过验证的问卷。

结果

2004年9月至2005年5月共进行了38203次电话访谈。应答率为63.7%。在对年龄和性别进行调整后,自我报告的AR患病率在北京最低(8.7%),在乌鲁木齐最高(24.1%)。在自我报告患有AR的受试者中,25.6%被诊断为持续性AR,74.4%患有间歇性AR。自我报告患有AR的受试者中不到一半曾到健康诊所就诊。37.3%的AR此前已被医生诊断,33.1%自我报告患有AR的受试者曾接受过治疗。报告的合并症有哮喘(9.2%)、鼻窦炎(13.3%)和特应性皮炎(16.4%)。

结论

本研究表明,中国大陆11个城市自我报告的AR患病率差异很大,范围从<10%到>20%;26%自我报告患有AR的受试者被归类为患有持续性AR。

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