Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, the Netherlands.
Rhinology. 2019 Feb 1;57(1):43-48. doi: 10.4193/Rhin18.061.
Population-based studies using the European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) criteria for the assessment of the chronic rhinosinusitis (CRS) prevalence play important roles in the development and promotion of public health policies.
A multistage, stratified cluster, random sampling method was used to select the study participants from individuals living in Bushehr, which is in the southwestern part of Iran. The standardized Global Allergy and Asthma European Network (GA2LEN) questionnaire was completed by 5,201 participants, and the CRS prevalence were compared among different groups of related factors using chi-squared tests.
The overall CRS prevalence was 28.4% based on the EPOS criteria, while the self-reported physician-diagnosed CRS prevalence was 20.0%. There was no gender difference; however, CRS was more prevalent in smokers, individuals aged 25 - 34 years old, non-educated persons, and healthcare workers. CRS was also associated with asthma and allergic rhinitis.
The present study showed that the CRS prevalence in Iran was relatively high. These results support the idea that CRS is a major public health problem in Iran.
使用欧洲鼻窦炎和鼻息肉意见书（EPOS）标准对慢性鼻窦炎（CRS）患病率进行评估的基于人群的研究在制定和促进公共卫生政策方面发挥着重要作用。
采用多阶段、分层聚类、随机抽样方法，从伊朗西南部布什尔的居民中选择研究参与者。5201 名参与者完成了标准化的全球过敏和哮喘欧洲网络（GA2LEN）问卷，并使用卡方检验比较了不同相关因素组的 CRS 患病率。
根据 EPOS 标准，总体 CRS 患病率为 28.4%，而自我报告的经医生诊断的 CRS 患病率为 20.0%。无性别差异；然而，吸烟者、25-34 岁人群、未受教育者和医务人员中 CRS 更为普遍。CRS 还与哮喘和过敏性鼻炎有关。
本研究表明，伊朗的 CRS 患病率相对较高。这些结果支持 CRS 是伊朗一个主要公共卫生问题的观点。
