格陵兰岛确诊哮喘发病率低——呼吁加强诊断力度。
Low prevalence of diagnosed asthma in Greenland - a call for increased focus on diagnosing.
机构信息
Steno Diabetes Center Greenland, Queen Ingrid's Hospital, Nuuk, Greenland.
Greenland Center for Health Research, Institute of Health and Nature, University of Greenland, Nuuk, Greenland.
出版信息
Int J Circumpolar Health. 2023 Dec;82(1):2195136. doi: 10.1080/22423982.2023.2195136.
The aim of this study was to estimate prevalence of patients with asthma in Greenland according to age, gender and residence and to investigate the associated quality of care. The study was performed as a cross-sectional study with data extracted from the Greenlandic electronical medical record. A total of 870 patients aged 12 years or above were diagnosed with asthma at the end of 2022, corresponding to a prevalence of 1.9%. In 2020, the total prevalence was 0.2%. The prevalence of patients aged 12 years or above with asthma was highest among patients in Nuuk (3.3%) compared with patients in the remaining parts of Greenland (1.1%). More women than men were diagnosed with asthma, and the prevalence increased with age from 20 to 59 years. The prevalence of current smokers was high among the asthma population. The quality of care was significantly higher among patients living in Nuuk for all process indicators compared with patients from the remaining parts of Greenland. The prevalence of asthma in Greenland is low compared to other comparable populations and might be underestimated. Initiatives supporting increased focus on diagnosing asthma are thus warranted.
本研究旨在根据年龄、性别和居住地估计格陵兰的哮喘患者患病率，并调查相关的护理质量。该研究采用横断面研究设计，从格陵兰电子病历中提取数据。共有 870 名年龄在 12 岁及以上的患者在 2022 年底被诊断患有哮喘，患病率为 1.9%。2020 年，总患病率为 0.2%。在努克（3.3%）的患者中，12 岁及以上哮喘患者的患病率最高，而在格陵兰其余地区的患者中，这一比例为 1.1%。被诊断患有哮喘的女性多于男性，且患病率从 20 岁到 59 岁随年龄增长而增加。在哮喘患者中，当前吸烟者的比例很高。与格陵兰其他地区的患者相比，生活在努克的患者的所有治疗过程指标的护理质量都显著更高。与其他可比人群相比，格陵兰的哮喘患病率较低，可能被低估了。因此，有必要采取措施支持加强对哮喘的诊断。
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