Estimated prevalences of respiratory symptoms, asthma and chronic obstructive pulmonary disease related to detection rate in primary health care
Estimated prevalences of respiratory symptoms, asthma and chronic obstructive pulmonary disease related to detection rate in primary health care
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DOI：
10.1080/028134301300034701
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发表时间：
2001-03-01
影响因子：
2.1
通讯作者：
Lundbäck, B
中科院分区：
文献类型：
--
作者：
Hasselgren, M;Arne, M;Lundbäck, B
目的-评估呼吸道症状、哮喘和慢性阻塞性肺疾病（COPD）的患病率，并将其与初级卫生保健中的估计检出率联系起来。设计-一项两阶段研究，包括横断面调查和临床验证。受试者- 4814人完成了调查，206人完成了确认性验证研究。主要结果测量-呼吸道症状的患病率，结果-超过40%的人报告有呼吸道症状。8.0%报告了喘息，11.4%报告了呼吸短促，14.1%报告了痰液产生。吸烟在妇女中比在男子中更为普遍。哮喘患病率为8.2%，COPD患病率为2.1%。哮喘患者中，估计有33%是未确诊的，67%使用药物和近60%参加了初级卫生保健service.Conclusion -呼吸道症状以及哮喘是常见的，在这项研究中，相当于早期的研究结果。流行病学估计的哮喘患病率与初级卫生保健中较低的检出率之间的差异至少可以用三个因素来解释：没有寻求任何护理的人、诊断不足的人或接受其他卫生保健提供者治疗的人。
Objective - To assess the prevalence of respiratory symptoms, asthma and chronic obstructive pulmonary disease (COPD), and to relate it to an estimated detection rate in primary health care.Design - A two-staged study with a cross-sectional survey and a clinical validation.Setting - The adult population of Varmland, a county in Sweden.Subjects - 4814 persons completed the survey and 206 the confirmative validation study.Main outcome measures - Prevalence of respiratory symptoms, of asthma and COPD.Results - More than 40% reported respiratory symptoms. Wheeze was reported by 8.0%, shortness of breath by 11.4% and sputum production by 14.1%. Smoking was more common among women than among men. The prevalence of asthma was 8.2% and COPD 2.1%. Of persons with asthma, 33% were estimated to be undiagnosed, 67% used medication and nearly 60% attended primary health care services.Conclusion - Respiratory symptoms as well as asthma were common in this study and equivalent to earlier findings. The difference between the epidemiologically estimated prevalence of asthma and the lower detection rate in primary health care can be explained by at least three factors: persons who did not seek any care, were underdiagnosed or attended other health care providers.