Masoompour Seyed Masoom, Mahdaviazad Hamideh, Ghayumi Seiyed Mohammad Ali
Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Clin Respir J. 2018 Jun;12(6):2110-2116. doi: 10.1111/crj.12780. Epub 2018 Mar 5.
This study aimed to explore the association between the prevalence of asthma and the socioeconomic factors using data from the Shiraz Adult Respiratory Disease Study, 2015(SARDS).
The SARDS was conducted from June to October 2015 among adult subjects of the general population of Shiraz, Iran. Current asthma was defined as the presence of at least 1 of the following factors in the preceding 12 months: (1) being awakened by an attack of shortness of breath, coughing, or chest tightness without any identifiable cause; (2) having an asthma attack; (3) currently using medication for asthma; or (4) having wheezing or whistling in the chest not associated with a cold or the flu. Information on individual socioeconomic status was derived from self-reported education level, occupation, income, and residence location. A value of P < .05 was considered statistically significant.
A total of 4582 respondents aged 20-60 years were included in the analysis. The overall prevalence of adult asthma was 7.8%. The prevalence of asthma was higher significantly among female and subjects with higher body mass index, allergic rhinitis, smokers, jobless, and individuals who live in suburban areas. In the adjusted logistic regression model, being jobless (odds ratio [OR], 2.256; 95% confidence interval [CI], 1.123-4.535) and living in a suburban area (OR, 1.735; 95% CI, 1.058-2.845) were the most significant socioeconomic predictive factors for adult current asthma.
It can be concluded that lower socioeconomic status is associated with higher adult current asthma prevalence. Target interventions are necessary to reduce disparities in healthcare systems.
本研究旨在利用2015年设拉子成人呼吸系统疾病研究（SARDS）的数据，探讨哮喘患病率与社会经济因素之间的关联。
SARDS于2015年6月至10月在伊朗设拉子普通人群的成年受试者中进行。当前哮喘的定义为在前12个月内至少存在以下因素之一：（1）因呼吸急促、咳嗽或胸闷发作而醒来，且无任何可识别的原因；（2）发生哮喘发作；（3）目前正在使用哮喘药物；或（4）胸部有喘息或哮鸣声，与感冒或流感无关。个人社会经济状况信息来自自我报告的教育水平、职业、收入和居住地点。P值<0.05被认为具有统计学意义。
共有4582名年龄在20至60岁之间的受访者纳入分析。成年哮喘的总体患病率为7.8%。女性、体重指数较高、患有过敏性鼻炎、吸烟者、失业者以及居住在郊区的人群中哮喘患病率显著更高。在调整后的逻辑回归模型中，失业（比值比[OR]，2.256；95%置信区间[CI]，1.123 - 4.535）和居住在郊区（OR，1.735；95% CI，1.058 - 2.845）是成年当前哮喘最显著重要的社会经济预测因素。
可以得出结论，社会经济地位较低与成年当前哮喘患病率较高相关。有必要采取针对性干预措施以减少医疗保健系统中的差异。
