Department of Pediatrics, Bhumibol Adulyadej Hospital, Royal Thai Air Force, Bangkok, Thailand.
Pediatric Allergy & Clinical Immunology Research Unit, Division of Allergy and Immunology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand.
Asian Pac J Allergy Immunol. 2019 Dec;37(4):226-231. doi: 10.12932/AP-120618-0336.
As noted in the reports of ISAAC phase I and III, allergic diseases are very common in Thailand, especially among younger children.
The objectives of this project are to study the prevalence and severity of the most common allergic diseases. i.e. asthma, rhinoconjunctivitis and eczema among children living in Bangkok.
A cross-sectional multi-centers survey using GAN Core questionnaires on asthma, rhinoconjunctivitis and eczema symptoms were completed by parents of children aged 6-7 years and children aged 13-14 years.
The total of 6,291 questionnaires were eligible for the analysis. The cumulative vs. 12-month period prevalence of the three conditions for all children were: 24.4% vs. 13.5% for wheezing, 51.1% vs. 43.6% for rhinitis and 15.8% vs. 14.2% for eczema, respectively. The period prevalence of wheezing for younger children (14.6%) was higher than for older children (12.5%). Prevalences of severe wheeze and exercise wheeze were more common among older children (2.9% and 14.8%). The 12-month prevalences of rhinitis (43.6%) and rhinoconjunctivitis (16.3%) were higher in both age groups. Eczema, as the same to the other conditions, occurred more frequently in both groups (period prevalence of 14.3% and 14.0%) comparing to ISAAC phase III.
Allergic conditions are very common diseases among children residing in Bangkok. There is an urgent need for an in-depth study to define epidemiological factors responsible for this increase.
正如 ISAAC 阶段 I 和 III 报告中所指出的，过敏疾病在泰国非常普遍，尤其是在年幼的儿童中。
本项目的目的是研究曼谷儿童中最常见的过敏疾病（即哮喘、鼻结膜炎和湿疹）的流行率和严重程度。
采用横断面多中心研究，使用 GAN 核心问卷对 6-7 岁儿童和 13-14 岁儿童的哮喘、鼻结膜炎和湿疹症状进行调查。
共有 6291 份问卷符合分析要求。三种疾病在所有儿童中的累计 vs.12 个月期间患病率分别为：喘息（24.4% vs.13.5%）、鼻炎（51.1% vs.43.6%）和湿疹（15.8% vs.14.2%）。年龄较小的儿童（14.6%）喘息的期间患病率高于年龄较大的儿童（12.5%）。严重喘息和运动后喘息在年龄较大的儿童中更为常见（2.9%和 14.8%）。两个年龄组中鼻炎（43.6%）和鼻结膜炎（16.3%）的 12 个月患病率均较高。湿疹与其他疾病一样，在两个年龄组中更为常见（期间患病率为 14.3%和 14.0%），高于 ISAAC 第三阶段。
过敏疾病在曼谷居住的儿童中非常普遍。迫切需要进行深入研究，以确定导致这种增加的流行病学因素。
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