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安哥拉罗安达6至7岁学童哮喘、过敏性鼻炎和湿疹的患病率

Prevalence of asthma, allergic rhinitis and eczema in 6-7-year-old schoolchildren from Luanda, Angola.

作者信息

Arrais M, Lulua O, Quifica F, Rosado-Pinto J, Gama J M R, Taborda-Barata L

机构信息

Department of Pulmonology, Military Hospital, Rua D. Manuel I, Luanda, Angola.

Department of Immunoallergology, Hospital da Luz, Avenida Lusíada, 100, 1500-650, Lisbon, Portugal.

出版信息

Allergol Immunopathol (Madr). 2019 Nov-Dec;47(6):523-534. doi: 10.1016/j.aller.2018.12.002. Epub 2019 Feb 10.

Abstract

BACKGROUND

Epidemiological data have shown that the prevalence of asthma, rhinoconjunctivitis and eczema in children is still increasing, namely in Africa. However, there are no epidemiological studies on asthma or allergic diseases in Angolan children.

OBJECTIVE

To study the prevalence of asthma and other allergic diseases in Angolan children.

METHODS

Descriptive, observational, cross-sectional study, using the ISAAC study methodology, in the province of Luanda, Angola in 6-7-year-old children. Forty-six (8.3%) public schools were randomly selected. Data were analysed using the SPSS Statistics version 24.0 software.

RESULTS

A total of 3080 children were studied. Results showed that the prevalence of asthma (wheezing in the previous 12 months) was 15.8%, that of rhinitis (sneezing, runny or blocked nose in the previous 12 months) was 19%, and that of eczema (itchy skin lesions in the previous 12 months) was 22%, without differences between sexes. Rhinitis was associated with a higher number of episodes of wheezing episodes, disturbed sleep and night cough, in children with asthma. Rhinitis, eczema, Split-type air conditioning system, antibiotic intake in the child's first year of life, frequent intake (more than once per month) of paracetamol and active maternal smoking were associated with a higher risk of having asthma, whereas electrical cooking was associated with a protective effect.

CONCLUSION

Asthma and allergic diseases are highly prevalent in children from Luanda. A strategy for preventive and control measures should be implemented.

摘要

背景

流行病学数据显示,儿童哮喘、鼻结膜炎和湿疹的患病率仍在上升,尤其是在非洲。然而,安哥拉儿童哮喘或过敏性疾病的流行病学研究尚属空白。

目的

研究安哥拉儿童哮喘和其他过敏性疾病的患病率。

方法

采用国际儿童哮喘和过敏研究(ISAAC)的方法,于20XX年在安哥拉罗安达省对6至7岁儿童进行描述性、观察性横断面研究。随机选取46所(8.3%)公立学校。使用SPSS Statistics 24.0软件进行数据分析。

结果

共研究了3080名儿童。结果显示,哮喘(过去12个月内喘息)的患病率为15.8%,鼻炎(过去12个月内打喷嚏、流鼻涕或鼻塞)的患病率为19%,湿疹(过去12个月内皮肤瘙痒性病变)的患病率为22%,男女之间无差异。在哮喘儿童中,鼻炎与更多的喘息发作、睡眠障碍和夜间咳嗽相关。鼻炎、湿疹、分体式空调系统、儿童出生后第一年使用抗生素、频繁服用(每月超过一次)对乙酰氨基酚以及母亲主动吸烟与患哮喘的风险较高相关,而使用电炉烹饪则具有保护作用。

结论

罗安达儿童哮喘和过敏性疾病的患病率很高。应实施预防和控制措施的策略。

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