Department of Pediatrics, University of California, La Jolla, San Diego, CA, USA.
Department of Family Medicine and Public Health, University of California, La Jolla, San Diego, CA, USA.
J Asthma. 2020 Jul;57(7):693-702. doi: 10.1080/02770903.2019.1602874. Epub 2019 Apr 24.
To provide updated prevalence estimates of asthma and asthma medication use for women of childbearing age in the United States. Using data from 11,383 women aged 18-44, including a subset of 1,245 pregnant women, enrolled in the National Health and Nutrition Examination Survey (2001-2016), we assessed the age-adjusted prevalence of self-reported diagnosed asthma. For women aged 18-44, we stratified by year, demographics, and other characteristics. Furthermore, we assessed asthma medication use among women aged 18-44 with asthma. After age-adjustment, 9.9% (95% confidence interval (CI) 9.2%, 10.7%) of women aged 18-44 and 10.9% (95% CI 7.2%, 14.6%) of pregnant women reported having asthma. Asthma prevalence was highest in 2015-2016 (12.0% 95% CI 9.8%, 14.3%) and lowest in 2003-2004 (8.6% 95% CI 6.4%, 10.8%). Women aged 18-44 with Medicaid or State Children's Health Insurance Program insurance coverage (16.8% 95% CI 14.5%, 19.2%), obesity (14.4% 95% CI 12.9%, 15.8%), diabetes (18.7% 95% CI 12.1%, 25.2%), hypertension (16.6% 95% CI 14.2%, 19.0%), and current smokers (12.8% 95% CI 11.4%, 14.2%) had the highest asthma prevalence. Of women with asthma, 38.3% (95% CI 34.5%, 42.1%) reported using asthma medications in the past 30 days. Among women of childbearing ages, asthma burden varies across demographic and clinical characteristics and has increased in recent years.
提供美国育龄妇女哮喘和哮喘药物使用的最新流行率估计。我们使用了 11383 名年龄在 18-44 岁的女性的数据,其中包括 1245 名孕妇的一个子集,这些女性参加了国家健康和营养检查调查(2001-2016 年),评估了自我报告诊断为哮喘的年龄调整流行率。对于 18-44 岁的女性,我们按年份、人口统计学特征和其他特征进行了分层。此外,我们评估了患有哮喘的 18-44 岁女性的哮喘药物使用情况。经过年龄调整后,18-44 岁的女性中有 9.9%(95%置信区间(CI)9.2%,10.7%)和孕妇中有 10.9%(95% CI 7.2%,14.6%)报告患有哮喘。哮喘流行率在 2015-2016 年最高(12.0% 95% CI 9.8%,14.3%),在 2003-2004 年最低(8.6% 95% CI 6.4%,10.8%)。18-44 岁的女性中有医疗补助或州儿童健康保险计划保险(16.8% 95% CI 14.5%,19.2%)、肥胖(14.4% 95% CI 12.9%,15.8%)、糖尿病(18.7% 95% CI 12.1%,25.2%)、高血压(16.6% 95% CI 14.2%,19.0%)和当前吸烟者(12.8% 95% CI 11.4%,14.2%)的哮喘流行率最高。在患有哮喘的女性中,有 38.3%(95% CI 34.5%,42.1%)报告在过去 30 天内使用过哮喘药物。在育龄妇女中,哮喘负担因人口统计学和临床特征而异,近年来有所增加。