Mounouchy M-A, Cordeau L, Raherison C
Association, Karu Asthme, Guadeloupe, France.
Rev Mal Respir. 2009 Nov;26(9):944-51. doi: 10.1016/s0761-8425(09)73329-7.
The aim of the ISAAC 1 study was to determine the prevalence and severity of asthma among adolescents in Guadeloupe.
The study was carried out with a representative sample of young people in the second and third years of "college" (secondary school) in classes selected at random. The anonymous questionnaires were completed by pupils in 2003. 5097 questionnaires were processed.
49.7% of the adolescents stated they had already felt breathless or oppressed; 29% said they had experienced wheezing. Of the 812 adolescents who declared they had already suffered asthma attacks the medical diagnosis was confirmed for 89%. 22% had been hospitalised at least once for asthma. A high proportion had suffered severe attacks (3.5%). A considerable number of school days had been lost by asthma sufferers. Medical care is inappropriate and the pupils' knowledge of the peak flow is poor (only 15%).
The study confirmed the high frequency of asthma in Guadeloupe (14.1%) with high indicators of severity and it allowed a comparison to be made between Guadeloupe and the other regions which have carried out the ISAAC 1 study.
国际儿童哮喘和变应性鼻炎研究(ISAAC 1)的目的是确定瓜德罗普岛青少年哮喘的患病率和严重程度。
该研究以随机挑选班级的“初中”(中学)二、三年级青少年为代表性样本开展。匿名问卷由学生于2003年填写。共处理了5097份问卷。
49.7%的青少年表示他们曾感到气喘或呼吸困难;29%称有过喘息经历。在812名宣称曾患哮喘发作的青少年中,89%得到医学诊断证实。22%至少因哮喘住院一次。相当一部分人经历过严重发作(3.5%)。哮喘患者损失了大量上学日。医疗护理不当,学生对呼气峰值流速的了解很差(仅15%)。
该研究证实瓜德罗普岛哮喘发病率高(14.1%)且严重程度指标高,并使得瓜德罗普岛能与开展了ISAAC 1研究的其他地区进行比较。