Trends in the prevalence and severity of asthma, rhinitis and atopic eczema in 6-to 7-and 13-to 14-yr-old children from the north-east of England

Trends in the prevalence and severity of asthma, rhinitis and atopic eczema in 6-to 7-and 13-to 14-yr-old children from the north-east of England
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DOI:
10.1111/j.1399-3038.2006.00498.x
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发表时间:
2007-03-01
影响因子:
4.4
通讯作者:
Shamssain, Mohammed
Shamssain, Mohammed
中科院分区:
医学2区
文献类型:
--
作者:
Shamssain, Mohammed

文献摘要

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本研究的目的是评估英格兰东北部儿童哮喘、鼻炎和特应性湿疹症状的时间趋势。采用儿童哮喘和过敏国际研究核心问卷,对6- 7岁和13- 14岁儿童进行了两次间隔6年的横断面调查。在两个年龄组中,所有三种疾病的症状普遍增加。在6至7岁年龄组中,男孩和女孩的增长率基本相同,而在13至14岁年龄组中,男孩的增长率一般更高。在较年轻的年龄组中,与终生诊断患有哮喘和花粉热相关的指数在女孩中增加,但在男孩中没有增加,而与终生诊断患有湿疹相关的指数在男孩和女孩中增加。在年龄较大的组中,与曾经患有哮喘的终生诊断相关的指数在男孩中略有增加,但在女孩中没有变化,而曾经患有花粉热的终生诊断在女孩中略有减少,但在男孩中没有变化。终生诊断患有湿疹的患病率在男孩和女孩中增加。本研究中观察到的变化可能与生活方式或环境因素的变化、对症状的认识或管理有关。
The aims of the present study were to assess time trends in symptoms of asthma, rhinitis and atopic eczema among children in the north-east of England. Two cross- sectional surveys 6 yr apart, 6- to 7- and 13- to 14 yr of age, using the International Study of Asthma and Allergies in Childhood, core questionnaire were performed. There was a general increase in symptoms for all the three conditions in both the age groups. In the age group 6- to 7 yr, the increase was generally the same in boys and girls, while in the age group 13- to 14 yr, the increase was generally more marked among boys. In the younger age group, indices related to lifetime diagnosed ever had asthma and having hay fever increased in girls but not in boys, while indices related to lifetime diagnosis of ever having eczema increased in boys and girls. In the older age group, indices related to lifetime diagnosis of ever had asthma slightly increased in boys but did not change in girls, while lifetime diagnosis of ever having hay fever slightly decreased in girls but did not change in boys. The prevalence of lifetime diagnosis of ever having eczema increased in boys and girls. Changes observed in the present study could be related to the changes in lifestyle or environmental factors, awareness or management of symptoms.