López Pereira Patricia, Gandarillas Grande Ana María, Díez Gañán Lucía, Ordobás Gavín María
Servicio de Epidemiología. Dirección General de Salud Pública. Madrid. España.
Hospital Universitario Ramón y Cajal. Madrid. España.
Rev Esp Salud Publica. 2017 May 25;91:e201705036.
Asthma is an important public health issue. The goal of this study is to analyse the trends in self-reported asthma prevalence in the Madrid Region and its association with socio-demographic and health factors.
Data from the "Non-Communicable Disease Risk Factor Surveillance System" in adult population (SIVFRENT-A) 1996-2013 were used. Prevalences and 95% CI were estimated for: current asthma, cumulative prevalence of asthma and asthma attack in the last 12 months, in five periods. Changes in inter-period prevalence were estimated by calculating prevalence ratios (PR) with 95% CI by Poisson regression. The association between asthma prevalence socio-demographic and health variables was evaluated by multivariate logistic regression.
Current prevalence of asthma and cumulative prevalence of asthma increased per study period an average of 14%. Asthma attack prevalence in the last 12 months increased an average of 19%. It was associated (statistically significant) to an increase of current prevalence of asthma, cumulative prevalence of asthma and asthma attack prevalence in the last 12 months: being a woman, ORa: 1.55; ORa: 1.35 and ORa: 1.46 respectively; have poor self-perceived health, ORa: 3.09; ORa: 2.63 and ORa: 2.89; and intense physical activity, ORa: 1.48; ORa: 1.32 and ORa: 1.49. In the case of current prevalence of asthma and cumulative prevalence of asthma also be studying, ORa: 1.34 and ORa: 1.46 respectively.
Self-reported asthma prevalence increased in the last decades. The prevalence was higher in woman, persons with poor self-perceived health and adults with intense physical activity.
哮喘是一个重要的公共卫生问题。本研究的目的是分析马德里地区自我报告的哮喘患病率趋势及其与社会人口统计学和健康因素的关联。
使用1996 - 2013年成年人群“非传染性疾病风险因素监测系统”(SIVFRENT - A)的数据。估计了五个时期的当前哮喘患病率、哮喘累积患病率以及过去12个月内的哮喘发作率及其95%置信区间。通过泊松回归计算患病率比(PR)及其95%置信区间来估计各时期患病率的变化。通过多因素逻辑回归评估哮喘患病率与社会人口统计学和健康变量之间的关联。
在每个研究时期,当前哮喘患病率和哮喘累积患病率平均增加14%。过去12个月内哮喘发作率平均增加19%。以下因素与当前哮喘患病率、哮喘累积患病率以及过去12个月内哮喘发作率的增加相关(具有统计学意义):女性,优势比(ORa)分别为:1.55;1.35和1.46;自我感觉健康状况差,ORa分别为:3.09;2.63和2.89;以及剧烈体育活动,ORa分别为:1.48;1.32和1.49。对于当前哮喘患病率和哮喘累积患病率的研究情况,ORa分别为1.34和1.46。
在过去几十年中,自我报告的哮喘患病率有所增加。女性、自我感觉健康状况差的人和进行剧烈体育活动的成年人患病率更高。