Ma Yi-Chun, Lin Cheng-Chieh, Li Chia-Ing, Chiang Jen-Huai, Li Tsai-Chung, Lin Jaung-Geng
Graduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan Department of Pediatrics, Tai-An Hospital, Taichung 40143, Taiwan.
Department of Family Medicine, China Medical University Hospital, Taichung 40402, Taiwan School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan.
J Public Health (Oxf). 2016 Sep;38(3):e263-e271. doi: 10.1093/pubmed/fdv144. Epub 2015 Oct 25.
This study determined annual prevalence and incidence trends of asthma among children in Taiwan from 2002 to 2008. Risk factors and traditional Chinese medicine (TCM) use were examined.
A random sample was selected for a population-based study with a selection probability of 0.5 from all 3-18 years insurants. The annual prevalence and incidence of asthma were estimated according to age, sex, insurance premium and degree of urbanization.
The prevalence of asthma increased from 12.99% in 2002 to 16.86% in 2008. The increase was greatest in 2008, among boys, 11-15 years, ≥medium insurance premium, and high- and medium-density urban area. TCM use in asthma-prevalent children decreased from 1.16% in 2002 to 0.59% in 2008. The incidence fluctuated, ranging from 1.01% in 2002 to 1.49% in 2005. The highest was in 2005, among boys, 3-5 years, ≥medium insurance premium and high-density urban area. TCM use in asthma-incident children decreased from 3.59% in 2002 to 1.69% in 2008.
This study demonstrated a substantial increase in annual prevalence of asthma among children in Taiwan from 2002 to 2008. The incidence fluctuated. The TCM use showed a decreasing linear trend and was higher in incident than in prevalent cases.
本研究确定了2002年至2008年台湾儿童哮喘的年患病率和发病率趋势。研究了危险因素和中药使用情况。
从所有3至18岁的被保险人中随机抽取样本进行基于人群的研究，选择概率为0.5。根据年龄、性别、保险费和城市化程度估算哮喘的年患病率和发病率。
哮喘患病率从2002年的12.99%上升至2008年的16.86%。2008年增幅最大，在11至15岁的男孩、保险费≥中等以及高密度和中密度城市地区。哮喘患病率较高儿童的中药使用率从2002年的1.16%降至2008年的0.59%。发病率波动，从2002年的1.01%到2005年的1.49%。2005年最高，在3至5岁的男孩、保险费≥中等以及高密度城市地区。哮喘新发儿童的中药使用率从2002年的3.59%降至2008年的1.69%。
本研究表明，2002年至2008年台湾儿童哮喘的年患病率大幅上升。发病率波动。中药使用呈下降线性趋势，新发病例中的使用率高于患病病例。
