A population-based study of asthma, quality of life, and occupation among elderly Hispanic and non-Hispanic whites: a cross-sectional investigation.
A population-based study of asthma, quality of life, and occupation among elderly Hispanic and non-Hispanic whites: a cross-sectional investigation.
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DOI：
10.1186/1471-2458-5-97
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发表时间：
2005-09-21
影响因子：
4.5
通讯作者：
Delclos GL
中科院分区：
文献类型：
--
作者：
Arif AA;Rohrer JE;Delclos GL
美国人口正在老龄化，预计到2030年将翻一番。本研究评估了老年西班牙裔和非西班牙裔白色人群中哮喘的患病率及其相关性。数据从一个样本的3021西班牙裔和非西班牙裔白色受试者，65岁及以上，采访的一部分，正在进行的横断面研究的老年人在西德克萨斯州，进行了分析。结果变量分为：无哮喘（参考类别）、当前哮喘和可能哮喘。多分类logistic回归分析用于评估结果变量与各种社会人口统计学指标、自测健康、哮喘症状、生活质量指标（SF-12）和各种职业之间的关系。目前哮喘和疑似哮喘的估计患病率分别为6.3%（95%CI：5.3-7.2）和9.0%（95%CI：7.8-10.1）。与无哮喘的受试者（42.6，42.1-43.1）相比，大多数当前患有哮喘（平均SF-12评分35.8，95%CI：34.2-37.4）或可能患有哮喘（35.3，34.0-36.6）的受试者的身体健康相关生活质量显著较差。在多元逻辑回归分析中，女性患哮喘的几率是男性的1.64倍（95%CI：1.12-2.38）。花粉热是当前和可能的哮喘的强预测因子。与非吸烟者相比，既往吸烟者中当前哮喘的几率高1.78倍（95%CI：1.24-2.55）;而当前吸烟者中可能哮喘的几率高2.73倍（95%CI：1.77-4.21）。同样，健康状况一般/较差和主诉严重疼痛与当前和可能的哮喘独立相关。肥胖者目前和可能患哮喘的几率几乎是肥胖者的两倍。当按性别分层时，女性的几率显著更大（交互作用项的p值= 0.038）。与农场相关的职业者目前哮喘的几率显著更大（调整后OR = 2.09，95%CI：1.00-4.39）;而报告教学为最长职业者的几率显著更低（调整后OR = 0.36，95%CI = 0.18-0.74）。这项研究发现，哮喘是老年人常见的疾病，它显着影响生活质量和一般健康状况。结果支持采用综合方法来识别和控制这一人群的哮喘。
The U.S. population is aging and is expected to double by the year 2030. The current study evaluated the prevalence of asthma and its correlates in the elderly Hispanic and non-Hispanic white population. Data from a sample of 3021 Hispanics and non-Hispanic White subjects, 65 years and older, interviewed as part of an ongoing cross-sectional study of the elderly in west Texas, were analyzed. The outcome variable was categorized into: no asthma (reference category), current asthma, and probable asthma. Polytomous logistic regression analysis was used to assess the relationship between the outcome variable and various socio-demographic measures, self-rated health, asthma symptoms, quality of life measures (SF-12), and various occupations. The estimated prevalence of current asthma and probable asthma were 6.3% (95%CI: 5.3–7.2) and 9.0% (95%CI: 7.8–10.1) respectively. The majority of subjects with current asthma (Mean SF-12 score 35.8, 95%CI: 34.2–37.4) or probable asthma (35.3, 34.0–36.6) had significantly worse physical health-related quality of life as compared to subjects without asthma (42.6, 42.1–43.1). In multiple logistic regression analyses, women had a 1.64 times greater odds of current asthma (95%CI: 1.12–2.38) as compared to men. Hay fever was a strong predictor of both current and probable asthma. The odds of current asthma were 1.78 times (95%CI: 1.24–2.55) greater among past smokers; whereas the odds of probable asthma were 2.73 times (95%CI: 1.77–4.21) greater among current smokers as compared to non-smokers. Similarly fair/poor self rated health and complaints of severe pain were independently associated with current and probable asthma. The odds of current and probable asthma were almost two fold greater for obesity. When stratified by gender, the odds were significantly greater among females (p-value for interaction term = 0.038). The odds of current asthma were significantly greater for farm-related occupations (adjusted OR = 2.09, 95%CI: 1.00–4.39); whereas the odds were significantly lower among those who reported teaching as their longest held occupation (adjusted OR = 0.36, 95%CI = 0.18–0.74). This study found that asthma is a common medical condition in the elderly and it significantly impacts quality of life and general health status. Results support adopting an integrated approach in identifying and controlling asthma in this population.
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影响因子：
10
作者：
Eduard, W;Douwes, J;Heederik, D
通讯作者：
Heederik, D
影响因子：
7.7
作者：
BURNEY, PGJ;CHINN, S;PAPACOSTA, AO
通讯作者：
PAPACOSTA, AO
影响因子：
6.7
作者：
HORSLEY, JR;STERLING, IJN;HOWELL, JBL
通讯作者：
HOWELL, JBL
影响因子：
3.5
作者：
Arif, AA;Delclos, GL;Lee, ES
通讯作者：
Lee, ES
影响因子：
--
作者：
Camargo, CA;Weiss, ST;Speizer, FE
通讯作者：
Speizer, FE