Global asthma prevalence in adults: findings from the cross-sectional world health survey.

Global asthma prevalence in adults: findings from the cross-sectional world health survey.
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DOI:
10.1186/1471-2458-12-204
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发表时间:
2012-03-19
期刊:
影响因子:
4.5
通讯作者:
Boulet LP
Boulet LP
中科院分区:
医学2区
文献类型:
--
作者:
To T;Stanojevic S;Moores G;Gershon AS;Bateman ED;Cruz AA;Boulet LP

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哮喘是世界范围内残疾、卫生资源利用和生活质量差的主要原因。我们着手对成人哮喘的全球负担进行估计,这可能会为制定应对这一常见疾病的战略提供信息。世界卫生调查(WHS)是世界卫生组织在2002-2003年制定和实施的。来自70个国家的178,215名年龄在18至45岁之间的人回答了与哮喘和相关症状有关的问题。哮喘的患病率基于对过去12个月内自我报告的医生诊断的哮喘、临床/治疗的哮喘和喘息相关问题的回答。医生诊断的哮喘、临床/治疗的哮喘和成人喘息的全球患病率分别为4.3%、4.5%和8.6%,在70个国家中差异高达21倍。澳大利亚报告的医生诊断、临床/治疗哮喘和喘息的发生率最高(21.0%、21.5%和27.4%)。在临床/治疗哮喘的患者中,近24%是目前吸烟者,一半报告喘鸣,20%从未接受过哮喘治疗。这项研究提供了成人哮喘负担的全球估计,并表明哮喘仍然是全球主要的公共卫生问题。吸烟率高仍然是对抗全球哮喘负担的主要障碍。虽然资源丰富的国家的发病率最高,但资源贫乏的国家也受到严重影响,对发展构成障碍,因为它进一步扩大了非传染性疾病的需求。
Asthma is a major cause of disability, health resource utilization and poor quality of life world-wide. We set out to generate estimates of the global burden of asthma in adults, which may inform the development of strategies to address this common disease. The World Health Survey (WHS) was developed and implemented by the World Health Organization in 2002-2003. A total of 178,215 individuals from 70 countries aged 18 to 45 years responded to questions related to asthma and related symptoms. The prevalence of asthma was based on responses to questions relating to self-reported doctor diagnosed asthma, clinical/treated asthma, and wheezing in the last 12 months. The global prevalence rates of doctor diagnosed asthma, clinical/treated asthma and wheezing in adults were 4.3%, 4.5%, and 8.6% respectively, and varied by as much as 21-fold amongst the 70 countries. Australia reported the highest rate of doctor diagnosed, clinical/treated asthma, and wheezing (21.0%, 21.5%, and 27.4%). Amongst those with clinical/treated asthma, almost 24% were current smokers, half reported wheezing, and 20% had never been treated for asthma. This study provides a global estimate of the burden of asthma in adults, and suggests that asthma continues to be a major public health concern worldwide. The high prevalence of smoking remains a major barrier to combating the global burden of asthma. While the highest prevalence rates were observed in resource-rich countries, resource-poor nations were also significantly affected, posing a barrier to development as it stretches further the demands of non-communicable diseases.
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