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[中国人群花粉传播问题的多维分析:一项大规模多中心横断面调查]

[A multi-dimensional analysis of pollen broadcasting concerns in Chinese population: a large-scale multi-center cross-sectional survey].

作者信息

Xu C Y, Zhang Y S, Luan N, Liu X Y, Qin D Y, Wang H M, Xiao X P, Zhou S H, Zhang J, Zhang P, Bai Y Q, Wang P P, Qi Y, Sun Z W, Liu Z, Ba L, Wang W C, Lu X, Wang M, Guo R, Sun D Y, Tao L Y, Zhu L

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing 100191, China.

Department of Otorhinolaryngology, Yancheng No.1 People's Hospital, Affiliated Hospital of Medical School, Nanjing University, Yancheng 224001, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Jan 7;59(1):2-11. doi: 10.3760/cma.j.cn115330-20231011-00137.

DOI:10.3760/cma.j.cn115330-20231011-00137
PMID:38212136
Abstract

To investigate the concern about pollen broadcasting in Chinese population from multiple dimensions and to understand the information about allergic rhinitis (AR) in China by analyzing related factors. From March 1 to September 30, 2022, a large-scale multi-center cross-sectional survey was conducted based on the Questionnaire Star platform in 21 Chinese hospitals. A total of 7 056 subjects from 7 regions in China: Northeast, North, East, Central, South, Southwest, and Northwest China were included. Basic characteristics (including social demographic characteristics and disease characteristics of AR patients), concern about pollen broadcasting, the willingness of pollen-induced AR (PiAR) patients to receive pollen broadcasting, and the treatment satisfaction rate of AR patients were collected. The chi-square test, multivariate linear regression model, and Logistic regression analysis were used to analyze the concern about pollen broadcasting in the Chinese population and related factors from multiple dimensions. Among 7 056 subjects, 23.02% were concerned about pollen broadcasting. Among 3 176 self-reported AR and 1 019 PiAR patients, 25.60% and 39.16% were concerned about pollen broadcasting, respectively, which was higher than that of non-AR or non-PiAR subjects ( value was 21.74 and 175.11, respectively, both <0.001). Among AR patients, the proportion of spring and autumn allergen-positive patients concerned about pollen broadcasting was higher than that in perennial allergen-positive patients ( value was 20.90 and 19.51, respectively, both <0.001). The proportion of AR patients with asthma, sinusitis, allergic conjunctivitis, and cardiovascular and cerebrovascular diseases was higher than those without complications ( value was 50.83, 21.97, 56.78, 7.62, respectively, all <0.05). The proportion of AR patients in North China who could find pollen broadcasting locally was 31.01%, significantly higher than those in other regions (all <0.05). Multivariate linear regression model analysis showed that among PiAR patients, those with higher per capita household income and higher AR disease cognition levels had been concerned about pollen broadcasting in the past, and those complicated with allergic conjunctivitis had stronger intention to receive pollen broadcasting (B value was 0.24, 0.13, 0.66, 0.47, respectively, all <0.05). The higher the disease cognition level of PiAR patients, the stronger their willingness to actively participate in treatment (=0.72, <0.001). Only 18.89% of AR patients felt satisfied with the treatment effect. Logistic regression analysis showed that in AR patients, the treatment satisfaction rate was significantly higher among those concerned about pollen broadcasting compared to those who were not (=1.83, <0.001). Currently, the dissemination of pollen broadcasting in China is hindered by various factors such as disease cognition level. The treatment satisfaction among AR patients remains unsatisfactory.

摘要

从多个维度调查中国人群对花粉传播的关注情况,并通过分析相关因素了解中国过敏性鼻炎(AR)的信息。2022年3月1日至9月30日,基于问卷星平台在中国21家医院开展了大规模多中心横断面调查。纳入了来自中国7个地区(东北、华北、华东、华中、华南、西南和西北)的7056名受试者。收集了基本特征(包括AR患者的社会人口学特征和疾病特征)、对花粉传播的关注情况、花粉诱导性AR(PiAR)患者接受花粉传播的意愿以及AR患者的治疗满意率。采用卡方检验、多元线性回归模型和Logistic回归分析从多个维度分析中国人群对花粉传播的关注情况及相关因素。在7056名受试者中,23.02%的人关注花粉传播。在3176名自我报告的AR患者和1019名PiAR患者中,分别有25.60%和39.16%的人关注花粉传播,高于非AR或非PiAR受试者( 值分别为21.74和175.11,均<0.001)。在AR患者中,春季和秋季过敏原阳性患者关注花粉传播的比例高于常年过敏原阳性患者( 值分别为20.90和19.51,均<0.001)。合并哮喘、鼻窦炎、过敏性结膜炎以及心脑血管疾病的AR患者比例高于无并发症的患者( 值分别为50.83、21.97、56.78、7.62,均<0.05)。华北地区能在当地查到花粉传播信息的AR患者比例为31.01%,显著高于其他地区(均<0.05)。多元线性回归模型分析显示,在PiAR患者中,人均家庭收入较高且AR疾病认知水平较高的人过去曾关注花粉传播,合并过敏性结膜炎的人接受花粉传播的意愿更强(B值分别为0.24、0.13、0.66、0.47,均<0.05)。PiAR患者的疾病认知水平越高,其积极参与治疗的意愿越强( =0.72,<0.001)。只有18.89%的AR患者对治疗效果感到满意。Logistic回归分析显示,在AR患者中,关注花粉传播的患者的治疗满意率显著高于不关注的患者( =1.83,<0.001)。目前,中国花粉传播信息的传播受到疾病认知水平等多种因素的阻碍。AR患者的治疗满意度仍不尽人意。

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