Asthma prevalence, morbidity and management practices in South Australia, 1992-1995
Asthma prevalence, morbidity and management practices in South Australia, 1992-1995
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DOI：
10.1111/j.1445-5994.1997.tb00997.x
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发表时间：
1997-12-01
期刊：
影响因子：
--
通讯作者：
Smith, B
中科院分区：
文献类型：
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作者：
Adams, R;Ruffin, R;Smith, B
背景：南澳大利亚春季健康综合调查(SSAHOS)被用来监测1992-1995年间哮喘患病率、哮喘发病率和哮喘管理措施的趋势。目的：确定自我报告的哮喘患病率和哮喘行动计划的可用性是否在增加。方法：对南澳大利亚州4200户15岁以上居民进行多阶段、系统、聚类区抽样，由训练有素的访谈者进行代表性人群调查。结果：每年进行3000多次访谈。1992年至1995年间，15岁及以上人群哮喘的自我报告患病率从15.7%上升到20.3%(p<；0.0005)，现症哮喘患病率从9.3%上升到11.4%(p<；0.05)。个人哮喘行动计划的自我报告可获得性从1992年的21.9%增加到1995年的42.2%(p<；0.0005)。1992年，21%的人在家里有雾化器，10.5%的人有峰值流量计。1993年，61.4%的人在使用预防性药物，35%的人认为支气管扩张剂是预防药物。在1994年和1995年，12.5%至15.6%的人每周或更频繁地夜间醒来，31.4%的人每周或更频繁地出现晨间哮喘症状。在过去的一年里，20.1%到20.8%的人因为平时的活动而失去了工作天数。收入在2万美元以下的人比收入较高的人有更多的症状，住院次数更多，需要更多的药物。结论：自报哮喘患病率增加。目前的哮喘治疗与全国哮喘运动推荐的治疗方法之间仍然存在差距。
Background: The Spring South Australian Health Omnibus Survey (SSAHOS) has been used to monitor trends in asthma prevalence, asthma morbidity and asthma management practices between 1992 and 1995.Aims: To determine if self-reported asthma prevalence and availability of asthma action plans were increasing. To identify deficiencies in asthma management and opportunities for intervention.Methods: Representative population survey by trained interviewers using a multistage, systematic, clustered area sample of 4200 households in South Australia where people aged 15 years or more are living.Results: Over 3000 interviews were conducted each year. Between 1992 and 1995 the self-reported prevalence of asthma in those aged 15 years or more increased significantly from 15.7% to 20.3% (p < 0.0005), and the prevalence of current asthma increased from 9.3% to 11.4% (p < 0.05). The self-reported availability of individual asthma action plans increased from 21.9% in 1992 to 42.2% in 1995 (p < 0.0005). In 1992, 21% had a nebuliser at home, and 10.5% had a peak flow meter. In 1993, 61.4% were using preventive medications, and 35% thought bronchodilators were 'preventer' medications. In 1994 and 1995, between 12.5% and 15.6% had nocturnal awakening weekly or more often, and 31.4% had morning asthma symptoms weekly or more often. Between 20.1% and 20.8% had lost days from usual activities during the last year. These on incomes below $20,000 had more symptoms, had more admissions to hospital, and required more medication than those on higher incomes.Conclusions: Self-reported asthma prevalence has increased. There remains a gag between current asthma management and that recommended by the National Asthma Campaign.