Karunanayake Chandima P, Amin Khalid, Abonyi Sylvia, Dosman James A, Pahwa Punam
Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
J Asthma. 2020 Jan;57(1):40-46. doi: 10.1080/02770903.2018.1541354. Epub 2019 Jan 10.
The objective of the study was to determine the prevalence and associated risk factors of asthma in Aboriginal adolescents in Canada based on the Canadian Aboriginal Peoples Survey (APS) 2012. Few studies have investigated the prevalence and risk factors of asthma in Aboriginal adolescents in Canada. Data from the cross-sectional APS 2012 were analyzed to accomplish the objective. Logistic regression analysis was utilized to determine significant risk factors of lifetime diagnosis of asthma among Aboriginal adolescents. The outcome of interest for adolescents was based on the question: "Do you have asthma that have been diagnosed by a health professional?" Individual, environmental, and contextual factors were tested for an association with lifetime diagnosis of asthma among adolescents. The overall prevalence of lifetime diagnosis of asthma was 16.0%. The prevalence of lifetime diagnosis of asthma was 16.8% for adolescent boys and 15.3% for adolescent girls. Based on multivariable logistic regression analysis, the risk factors of lifetime diagnosis of asthma were: age, income, being overweight, smoking inside the home, having one to two children under 18 years in the household, history of bronchitis, living in an urban residence, education, and geographical location. Female sex was reported to have a protective effect on or reduce risk of the prevalence of lifetime diagnosis of asthma compared to the male sex. Lifetime diagnosis of asthma prevalence appears to be lower in Aboriginal adolescent girls than in adolescent boys. Lifetime diagnosis of asthma prevalence in these adolescents is associated with age, income, education, being overweight, smoking inside the home, history of bronchitis, and location of residence, both geographical region and urban residence. The prevalence of lifetime diagnosis of asthma among Aboriginal adolescent is higher compared to the general adolescent population in Canada.
该研究的目的是基于2012年加拿大原住民调查（APS）确定加拿大原住民青少年哮喘的患病率及相关风险因素。很少有研究调查过加拿大原住民青少年哮喘的患病率和风险因素。分析了2012年APS横断面研究的数据以实现这一目标。采用逻辑回归分析来确定原住民青少年终身哮喘诊断的显著风险因素。青少年的关注结果基于以下问题：“你是否患有经健康专业人员诊断的哮喘？”对个体、环境和背景因素与青少年终身哮喘诊断之间的关联进行了测试。哮喘终身诊断的总体患病率为16.0%。青少年男性哮喘终身诊断的患病率为16.8%，青少年女性为15.3%。基于多变量逻辑回归分析，哮喘终身诊断的风险因素为：年龄、收入、超重、在家中吸烟、家中有一至两个18岁以下儿童、支气管炎病史、居住在城市、教育程度和地理位置。据报告，与男性相比，女性对哮喘终身诊断患病率有保护作用或降低其风险。原住民青少年女孩哮喘终身诊断的患病率似乎低于青少年男孩。这些青少年哮喘终身诊断的患病率与年龄、收入、教育程度、超重、在家中吸烟、支气管炎病史以及居住地点（包括地理区域和城市居住情况）有关。与加拿大普通青少年人群相比，原住民青少年哮喘终身诊断的患病率更高。
