哮喘联盟

   摘要
   目的:比较2014年阿伯丁的小学儿童哮喘、喘息、花粉病和湿疹的患病率及危险因素。
   设计:横断面调查
   地点:苏格兰东北部阿伯丁的小学
   参与者:苏格兰小学1～7年级儿童由他们的班级老师派发疑问问卷调查表，由他们的父母完成调查表， 通过邮寄或网络反馈给调查者。
   主要的观察指标:哮喘史、湿疹史、花粉病史、和近期喘息史.
   结果:41所学校同意参与 (87%). 分发11249份问卷，收回3935份 (35%)。父母报告的儿童既往哮喘病史、湿疹史、花粉病史率分别为14%, 30%和24%。 既往哮喘的发生率增加与年龄(OR 1.1 每年, 95% CI 1.1 to 1.2), 男性 (OR 1.89, 95% CI 1.4 to 2.3), 父母吸烟 (OR 1.7, 95% CI 1.2 to 2.3)和湿疹(OR 6.6, 95% CI 5.2 to 8.4)等有关。近期喘息的患病率报告为14%，并与男性、父母吸烟以及湿疹呈正相关。但是,父母湿疹是儿童湿疹风险的唯一预测因子。
   结论:在本调查中小学生的哮喘患病率是14%，几乎是湿疹患病率的一半。我们得出的关于哮喘和湿疹的发病率和危险因素与以往同一区域的研究结果不同。这些发现表明哮喘和湿疹的发病原因不同。


 

（苏欣 审校）
BMJ Open. 2015 Jun 9;5(6):e008446. doi: 10.1136/bmjopen-2015-008446.
 

Diverging prevalences and different risk factors for childhood asthma and eczema: a cross-sectional study.
 

Barnish MS1, Tagiyeva N2, Devereux G2, Aucott L3, Turner S2.
 

Abstract
OBJECTIVE:To compare the prevalences of and risk factors for asthma, wheeze, hay fever and eczema in primary schoolchildren in Aberdeen in 2014.
DESIGN:Cross-sectional survey.
SETTING:Primary schools in Aberdeen, North-East Scotland.
PARTICIPANTS:Children in Scottish school years primary 1-7 were handed a questionnaire by their class teacher to be completed by their parents and returned to the researchers by post or online.
MAIN OUTCOME MEASURES:Lifetime history of asthma, eczema and hay fever, and recent history of wheeze.
RESULTS:41 schools agreed to participate (87%). 11 249 questionnaires were distributed and 3935 returned (35%). A parent-reported lifetime history of asthma, eczema and hay fever was present in 14%, 30% and 24% of children, respectively. The odds of lifetime asthma increased with age (OR 1.1 per year, 95% CI 1.1 to 1.2), male sex (OR 1.89, 95% CI 1.4 to 2.3), parental smoking (OR 1.7, 95% CI 1.2 to 2.3) and eczema (OR 6.6, 95% CI 5.2 to 8.4). Prevalence of recent wheeze was also reported to be 14% and was positively associated with male sex, parental smoking and eczema. In contrast, parental eczema was the only identified predictor of childhood eczema risk.
CONCLUSIONS:The lifetime prevalence of asthma in primary schoolchildren was 14% in this survey, approximately half the prevalence of eczema. We report diverging prevalences in relation to previous studies in our locality, and different risk factors for asthma and eczema. These findings suggest that asthma and eczema are unlikely to have a common origin.
 

BMJ Open. 2015 Jun 9;5(6):e008446. doi: 10.1136/bmjopen-2015-008446.