克罗地亚西北沿海地区学童哮喘和过敏性疾病患病率呈上升趋势。

Rising trends in the prevalence of asthma and allergic diseases among school children in the north-west coastal part of Croatia.

作者信息

Banac Srđan, Rožmanić Vojko, Manestar Koraljka, Korotaj-Rožmanić Zrinka, Lah-Tomulić Kristina, Vidović Ivana, Serer Marta, Svraka Nastasja, Petrić Tamara

机构信息

Department of Pediatrics, Clinical Hospital Center Rijeka , Rijeka , Croatia .

出版信息

J Asthma. 2013 Oct;50(8):810-4. doi: 10.3109/02770903.2013.803115. Epub 2013 Jun 20.

DOI:10.3109/02770903.2013.803115

PMID:23662983

Abstract

OBJECTIVE

To estimate time trends in prevalence of symptoms and reported diagnosis related to asthma, allergic rhinitis/conjunctivitis and eczema among school children in the north-west coastal part of Croatia.

METHODS

Results of two identical cross-sectional surveys conducted on the same area 8 years apart (school years 2001/02 versus 2009/10) in complete adherence to the protocol of the International Study of Asthma and Allergies in Childhood were compared. Surveyed population comprised two age groups: 6-7 years (n = 1634 versus n = 1052) and 13-14 years (n = 2194 versus 1181).

RESULTS

Significant (p < 0.001) increases in prevalence (%) of symptoms related to asthma (8.4 versus 14.0), allergic rhinitis (17.5 versus 25.6), allergic rhinoconjunctivitis (6.7 versus 15.3) and eczema (3.4 versus 5.9) were observed in the 13-14-year-olds. In the 6-7-year-olds there were observed significant (p < 0.001) increases in prevalence of symptoms of eczema (5.4 versus 8.7) and allergic rhinitis (16.9 versus 22.1) whereas prevalence of symptoms related to asthma (9.7 versus 9.4; p = 0.398) and allergic rhinoconjunctivitis (5.6 versus 6.8; p = 0.102) showed to be stable. Significant increases in prevalence of reported diagnosis were observed for asthma (5.2 versus 6.9; p = 0.02) and hay fever (10.5 versus 14.6; p < 0.001) in the older, and for eczema (10.6 versus 14.1; p < 0.001) in the younger age group.

CONCLUSION

Prevalence of asthma and allergic diseases among the school children living on the surveyed area showed a rising trend.

摘要

目的

评估克罗地亚西北沿海地区学童中与哮喘、过敏性鼻炎/结膜炎和湿疹相关的症状患病率及报告诊断的时间趋势。

方法

比较在同一地区相隔8年（2001/02学年与2009/10学年）完全按照儿童哮喘和过敏国际研究方案进行的两次相同横断面调查的结果。调查人群包括两个年龄组：6-7岁（n = 1634对n = 1052）和13-14岁（n = 2194对1181）。

结果

13-14岁儿童中，与哮喘相关症状的患病率（8.4%对14.0%）、过敏性鼻炎（17.5%对25.6%）、过敏性鼻结膜炎（6.7%对15.3%）和湿疹（3.4%对5.9%）显著增加（p < 0.001）。在6-7岁儿童中，湿疹（5.4%对8.7%）和过敏性鼻炎（16.9%对22.1%）症状的患病率显著增加（p < 0.001），而与哮喘相关症状（9.7%对9.4%；p = 0.398）和过敏性鼻结膜炎（5.6%对6.8%；p = 0.102）的患病率显示稳定。在较大年龄组中，哮喘（5.2%对6.9%；p = 0.02）和花粉症（10.5%对14.6%；p < 0.001）报告诊断的患病率显著增加，在较年轻年龄组中，湿疹（10.6%对14.1%；p < 0.001）报告诊断的患病率显著增加。