Asthma prevalence among women aged 18 to 44 in the United States: National health and nutrition examination survey 2001-2016
Asthma prevalence among women aged 18 to 44 in the United States: National health and nutrition examination survey 2001-2016
复制标题
DOI：
10.1080/02770903.2019.1602874
复制
发表时间：
2019-04-23
影响因子：
1.9
通讯作者：
Palmsten, Kristin
中科院分区：
文献类型：
--
作者：
Flores, Katrina F.;Bandoli, Gretchen;Palmsten, Kristin
目的：提供美国育龄妇女哮喘和哮喘药物使用的最新患病率估计。方法：利用参加国家健康和营养检查调查（2001-2016）的 11,383 名 18-44 岁女性（包括 1,245 名孕妇）的数据，我们评估了自我报告诊断哮喘的年龄调整患病率。对于 18-44 岁的女性，我们按年份、人口统计数据和其他特征进行分层。此外，我们还评估了 18-44 岁患有哮喘的女性的哮喘药物使用情况。结果：年龄调整后，18-44 岁的女性中有 9.9%（95% 置信区间 (CI) 9.2%、10.7%）和孕妇有 10.9%（95% CI 7.2%、14.6%）报告患有哮喘。哮喘患病率在2015-2016年最高（12.0% 95% CI 9.8%, 14.3%），在2003-2004年最低（8.6% 95% CI 6.4%, 10.8%）。拥有医疗补助或州儿童健康保险计划保险的 18-44 岁女性 (16.8% 95% CI 14.5%, 19.2%)、肥胖 (14.4% 95% CI 12.9%, 15.8%)、糖尿病 (18.7% 95% CI 12.1%, 25.2%)、高血压 (16.6% 95% CI 12.1%, 25.2%) 14.2%、19.0%）和当前吸烟者（12.8%、95% CI 11.4%、14.2%）的哮喘患病率最高。在患有哮喘的女性中，38.3% (95% CI 34.5%, 42.1%) 报告在过去 30 天内使用过哮喘药物。结论：在育龄妇女中，哮喘负担因人口和临床特征而异，并且近年来有所增加。
Objective: To provide updated prevalence estimates of asthma and asthma medication use for women of childbearing age in the United States. Methods: Using data from 11,383 women aged 18-44, including a subset of 1,245 pregnant women, enrolled in the National Health and Nutrition Examination Survey (2001-2016), we assessed the age-adjusted prevalence of self-reported diagnosed asthma. For women aged 18-44, we stratified by year, demographics, and other characteristics. Furthermore, we assessed asthma medication use among women aged 18-44 with asthma. Results: After age-adjustment, 9.9% (95% confidence interval (CI) 9.2%, 10.7%) of women aged 18-44 and 10.9% (95% CI 7.2%, 14.6%) of pregnant women reported having asthma. Asthma prevalence was highest in 2015-2016 (12.0% 95% CI 9.8%, 14.3%) and lowest in 2003-2004 (8.6% 95% CI 6.4%, 10.8%). Women aged 18-44 with Medicaid or State Children's Health Insurance Program insurance coverage (16.8% 95% CI 14.5%, 19.2%), obesity (14.4% 95% CI 12.9%, 15.8%), diabetes (18.7% 95% CI 12.1%, 25.2%), hypertension (16.6% 95% CI 14.2%, 19.0%), and current smokers (12.8% 95% CI 11.4%, 14.2%) had the highest asthma prevalence. Of women with asthma, 38.3% (95% CI 34.5%, 42.1%) reported using asthma medications in the past 30 days. Conclusions: Among women of childbearing ages, asthma burden varies across demographic and clinical characteristics and has increased in recent years.