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哮喘的流行病学与经济负担

Epidemiology and economic burden of asthma.

作者信息

Loftus Patricia A, Wise Sarah K

机构信息

Department of Otolaryngology-Head and Neck Surgery, Emory University, Atlanta, GA.

出版信息

Int Forum Allergy Rhinol. 2015 Sep;5 Suppl 1:S7-10. doi: 10.1002/alr.21547. Epub 2015 May 23.

Abstract

BACKGROUND

The "asthma epidemic" is on the rise, with the Center for Disease Control (CDC) epidemiological studies reporting a 3.0% asthma prevalence in the United States in 1970, 5.5% in 1996, and 7.8% in 2006 to 2008. This results in an immense economic burden, with asthma costing an estimated $56 billion in the United States in 2007, which is a 6% increase from the $53 billion that was spent in 2002.

METHODS

A review of the current literature and CDC reports were used to thoroughly examine and summarize the epidemiology and economic burden of asthma domestically and globally.

RESULTS

Asthma shows a male predominance before puberty, and a female predominance in adulthood. Studies show Puerto Ricans to be the most commonly affected ethnicity, and a higher prevalence of asthma is found in lower income populations. Asthma is related to some of the more common otolaryngologic diseases such as allergy and obstructive sleep apnea. The condition results in significant morbidity, such as an increase in emergency department visits and a decrease in productivity due to missed school and works days.

CONCLUSION

Epidemiological statistics report an undisputable increase of asthma both domestically and worldwide, which means the economic burden of this disease is also on the rise. Better access to healthcare, improved asthma education, and bridging the gap between ethnic and racial disparities in the treatment and management of asthma may help to control this epidemic, promote better outcomes, and prevent continued rising costs related to the management of this widespread disease.

摘要

背景

“哮喘流行”现象正在加剧,美国疾病控制中心(CDC)的流行病学研究报告称,1970年美国哮喘患病率为3.0%,1996年为5.5%,2006年至2008年为7.8%。这带来了巨大的经济负担,2007年美国哮喘的花费估计为560亿美元,比2002年的530亿美元增长了6%。

方法

通过对当前文献和CDC报告的回顾,全面审视和总结国内外哮喘的流行病学及经济负担情况。

结果

哮喘在青春期前男性居多,成年后女性居多。研究表明,波多黎各人是受影响最普遍的种族,低收入人群中哮喘患病率更高。哮喘与一些较常见的耳鼻喉科疾病有关,如过敏和阻塞性睡眠呼吸暂停。这种疾病会导致显著的发病率,如急诊就诊次数增加,以及因缺课和旷工导致的生产力下降。

结论

流行病学统计报告显示,国内外哮喘发病率均无可争议地上升,这意味着这种疾病的经济负担也在增加。更好地获得医疗保健服务、改善哮喘教育,以及弥合哮喘治疗和管理中种族和民族差异之间的差距,可能有助于控制这一流行病,促进更好的治疗效果,并防止与这种广泛疾病管理相关的成本持续上升。

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