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[德国儿童和青少年常见过敏症的患病率:KiGGS研究结果:首次随访(KiGGS第一轮)]

[Prevalence of common allergies in children and adolescents in Germany: results of the KiGGS study: first follow-up (KiGGS Wave 1)].

作者信息

Schmitz R, Thamm M, Ellert U, Kalcklösch M, Schlaud M

机构信息

Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General Pape Str. 62-66, 12101, Berlin, Deutschland,

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014 Jul;57(7):771-8. doi: 10.1007/s00103-014-1975-7.

Abstract

The first follow-up of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 1) was conducted from 2009 to 2012 as a combined cross-sectional and longitudinal study and provides, among other things, data on allergic diseases. Data collection was carried out by telephone interviews. In total, 6,093 girls and 6,275 boys were included, among them 4,455 newly recruited 0- to 6-year-olds (response 38.8%) and 7,913 KiGGS follow-up participants aged 7-17 years (response 72.9%). Based on parent reports, 15.6% (95% confidence interval 14.7-16.5) of children and adolescents aged 0-17 years were currently affected by at least one atopic disease. The 12-month prevalence rates of hay fever, atopic dermatitis, and asthma were 9.1% (8.4-9.8), 6.0% (5.4-6.6), and 4.1% (3.6-4.6), respectively. In all, 2.2% (1.9-2.6) of the children and adolescents were currently suffering from contact dermatitis. Compared with the baseline KiGGS survey from 2003 to 2006, a higher percentage of participants reported the occurrence of asthma within the past 12 months in the recent KiGGS Wave 1 (4.1 vs. 3.2%; p = 0.0034). The total increase is mainly due to higher prevalence rates among 0- to 6-year-olds, especially in girls. Higher 12-month prevalence rates can be also observed for hay fever among 0- to 6-year-olds, especially in girls, although the total increase is not statistically significant (9.1 vs. 8.3%; p = 0.08). There was a declining trend for atopic dermatitis: 6.8% (2003-2006) vs. 5.4% (2009-2012); p = 0.0015.

摘要

德国儿童和青少年健康访谈与检查调查(KiGGS第一轮)的首次随访于2009年至2012年进行,是一项横断面和纵向相结合的研究,除其他内容外,还提供了有关过敏性疾病的数据。数据收集通过电话访谈进行。总共纳入了6093名女孩和6275名男孩,其中包括4455名新招募的0至6岁儿童(应答率38.8%)和7913名7至17岁的KiGGS随访参与者(应答率72.9%)。根据家长报告,0至17岁的儿童和青少年中,目前有15.6%(95%置信区间14.7 - 16.5)至少患有一种特应性疾病。花粉症、特应性皮炎和哮喘的12个月患病率分别为9.1%(8.4 - 9.8)、6.0%(5.4 - 6.6)和4.1%(3.6 - 4.6)。总体而言,2.2%(1.9 - 2.6)的儿童和青少年目前患有接触性皮炎。与2003年至2006年的KiGGS基线调查相比,在最近的KiGGS第一轮中,有更高比例的参与者报告在过去12个月内出现哮喘(4.1%对3.2%;p = 0.0034)。总体增加主要是由于0至6岁儿童中的患病率较高,尤其是女孩。在0至6岁儿童中,尤其是女孩,花粉症的12个月患病率也有所升高,尽管总体增加没有统计学意义(9.1%对8.3%;p = 0.08)。特应性皮炎呈下降趋势:2003 - 2006年为6.8%,2009 - 2012年为5.4%;p = 0.0015。

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