Changing Trends in Asthma Prevalence Among Children.
Changing Trends in Asthma Prevalence Among Children.
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DOI：
10.1542/peds.2015-2354
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发表时间：
2016-01
期刊：
影响因子：
8
通讯作者：
Rossen LM
中科院分区：
文献类型：
--
作者：
Akinbami LJ;Simon AE;Rossen LM
儿童哮喘患病率从1980年到1995年翻了一番，然后从2001年到2010年增长缓慢。在这第二个时期，种族差距扩大。最近的趋势仍有待说明。我们使用2001-2013年国家健康访谈调查数据分析了0至17岁儿童的哮喘患病率。使用二次项逻辑回归来检验趋势中的非线性模式。通过控制性别、年龄、贫困状况、种族/民族、城市化和地理区域的多变量模型进一步评估人口统计学亚组之间的差异。总体而言，儿童哮喘患病率从2001年到2009年有所增加，随后在2013年达到平台期，然后下降。从2001年到2013年，多变量logistic回归显示，非西班牙裔白色和波多黎各儿童以及东北部和西部儿童的患病率没有变化; 10至17岁儿童、贫困儿童和生活在南方的儿童的患病率增加; 5至9岁儿童、近贫困儿童和非西班牙裔黑人儿童的患病率增加，然后趋于平稳; 0- 4岁儿童、非贫困儿童、墨西哥儿童和中西部儿童的患病率先上升后下降。非西班牙裔黑人与白人之间的差距不再扩大，波多黎各儿童的患病率仍然最高。近年来，儿童哮喘患病率停止增加，非西班牙裔黑人-白人差异停止增加，主要是由于非西班牙裔黑人儿童的患病率趋于稳定。
Childhood asthma prevalence doubled from 1980 to 1995 and then increased more slowly from 2001 to 2010. During this second period, racial disparities increased. More recent trends remain to be described. We analyzed current asthma prevalence using 2001–2013 National Health Interview Survey data for children ages 0 to 17 years. Logistic regression with quadratic terms was used to test for nonlinear patterns in trends. Differences between demographic subgroups were further assessed with multivariate models controlling for gender, age, poverty status, race/ethnicity, urbanicity, and geographic region. Overall, childhood asthma prevalence increased from 2001 to 2009 followed by a plateau then a decline in 2013. From 2001 to 2013, multivariate logistic regression showed no change in prevalence among non-Hispanic white and Puerto Rican children and those in the Northeast and West; increasing prevalence among 10- to 17-year-olds, poor children, and those living in the South; increasing then plateauing prevalence among 5- to 9-year-olds, near-poor children, and non-Hispanic black children; and increasing then decreasing prevalence among 0- to 4-year-olds, nonpoor, and Mexican children and those in the Midwest. Non-Hispanic black-white disparities stopped increasing, and Puerto Rican children remained with the highest prevalence. Current asthma prevalence ceased to increase among children in recent years and the non-Hispanic black-white disparity stopped increasing due mainly to plateauing prevalence among non-Hispanic black children.