Becerir T, Akcay A, Duksal F, Ergin A, Becerir C, Guler N
Pamukkale University, Pamukkale School of Medicine, Department of Pediatrics, Denizli, Turkey.
Clinic of Pediatrics, Department of Pediatrics, Division of Pediatric Allergy, Gaziantep, Turkey.
Allergol Immunopathol (Madr). 2014 Nov-Dec;42(6):594-602. doi: 10.1016/j.aller.2013.05.004. Epub 2013 Aug 19.
There is currently no standard tool for the measurement of asthma in epidemiological studies. The objectives of this study were to determine the prevalence of asthma, to describe the potential local risk factors, and to assess the agreement between written and video questionnaires in 13- to 14-year-old schoolchildren.
We performed a cross-sectional study involving 5427 adolescents in 26 schools. Prevalence of asthma symptoms were evaluated using the International Study of Asthma and Allergies in Childhood (ISAAC) written and video questionnaire. The adolescents were asked additional questions for risk factors of asthma.
The prevalence of lifetime wheeze, wheeze in the last 12 months and doctor-diagnosed asthma with written questionnaire were found as 13.5%, 6.3% and 11.2% respectively. Prevalence of lifetime wheeze, wheeze in the last 12 months, wheeze after exercise in the last 12 months, with video questionnaire were found as 9.6%, 5.5%, 11.9% and 1.9% respectively. The proportion of total agreement between the two questionnaires was high (0.77-0.81) with poor kappa value (0.25-0.50). In multivariate analysis, family history of atopy, stuffed toys and accompaniment of children to their parents after school hours in textile industry were found as risk factors for asthma. In addition kind of bird, such as canary was found as a risk factor.
Prevalence of asthma is moderate in Turkey. Agreement between the two questionnaires was high. Accompaniment of children to their parents in textile industry is a newly-described risk factor for asthma.
目前在流行病学研究中尚无用于测量哮喘的标准工具。本研究的目的是确定哮喘的患病率，描述潜在的局部危险因素，并评估13至14岁学童书面问卷和视频问卷之间的一致性。
我们进行了一项横断面研究，涉及26所学校的5427名青少年。使用儿童哮喘和过敏国际研究（ISAAC）书面问卷和视频问卷评估哮喘症状的患病率。还向青少年询问了有关哮喘危险因素的其他问题。
书面问卷得出的终生喘息患病率、过去12个月内喘息患病率和医生诊断的哮喘患病率分别为13.5%、6.3%和11.2%。视频问卷得出的终生喘息患病率、过去12个月内喘息患病率、过去12个月内运动后喘息患病率分别为9.6%、5.5%、11.9%，运动后喘息患病率为1.9%。两份问卷的总体一致性比例较高（0.77 - 0.81），但kappa值较低（0.25 - 0.50）。在多变量分析中，特应性家族史、填充玩具以及放学后儿童在纺织行业陪同父母被发现是哮喘的危险因素。此外，金丝雀等鸟类也被发现是一个危险因素。
土耳其哮喘患病率中等。两份问卷之间的一致性较高。儿童在纺织行业陪同父母是新描述的哮喘危险因素。
