Severity of childhood asthma by socioeconomic status
Severity of childhood asthma by socioeconomic status
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DOI：
10.1093/ije/25.2.388
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发表时间：
1996-04-01
影响因子：
7.7
通讯作者：
Wjst, M
中科院分区：
文献类型：
--
作者：
Mielck, A;Reitmeir, P;Wjst, M
背景对工业化国家儿童哮喘与社会经济地位（SES）之间相关性的研究进行了回顾，得出的结论是似乎没有明确的关联。然而，阿伯丁25年前发表的一项研究表明，在哮喘儿童中，严重哮喘在社会下层最普遍，但哮喘严重程度等级之间的这种区别在很大程度上被忽视了。我们筛选了慕尼黑所有四年级的德国籍学龄儿童（4434名儿童，应答率87%），以与阿伯丁研究相同的方式区分三个严重程度等级。儿童哮喘的患病率按严重程度和SES报告。与高社会经济地位组相比，低社会经济地位组严重哮喘的患病率显著较高（比值比= 2.37; 95%置信区间：1.28-4.41）。这种关联不能用已确定的危险因素来解释。应更多地关注严重哮喘和SES之间的关联，并采取措施，如针对低社会经济群体的早期诊断和治疗。
Background. A review of studies on the association between childhood asthma and socioeconomic status (SES) in industrialized countries leads to the conclusion that there does not seem to be a clear association. A study from Aberdeen published 25 years ago, however, shows that among children with asthma, severe asthma is most prevalent in the lower social class, but this distinction between grades of asthma severity has been largely ignored since.Methods. We screened all fourth grade schoolchildren of German nationality in Munich (4434 children, response rate 87%), distinguishing three severity grades in the same way as the study in Aberdeen.Results. Prevalences of childhood asthma are reported by severity grade and SES. Prevalence of severe asthma was found to be significantly higher in the low as compared with the high socioeconomic group (Odds ratio = 2.37; 95% confidence interval: 1.28-4.41). This association could not be explained by established risk factors,Conclusions. More attention should be paid to the association between severe asthma and SES, with measures such as targeting early diagnosis and treatment towards low socioeconomic groups.