疾病的发病率仍在上升？基于韩国全国人口的一个为期6年的研究
2016/06/20
摘要
背景：最近一些西方国家发现在全球的上升趋势过后，过敏性疾病发病率的上升趋势有所减慢，但亚洲人群过敏性疾病变化趋势的数据很少。我们评估了最近韩国哮喘和其他过敏性疾病患病率趋势。
方法：从韩国国家健康保险的数据库中，提取了2009到2014年的全国性的诊断数据，分析了全国的患病率。
结果：2014年特应性皮炎、过敏性鼻炎、哮喘的患病率分别为19.0‰，133.1‰和36.3‰。这3种疾病在10岁以下这个年龄组的患病率最高，分别为95.0‰，384.1‰和132.1‰人，而在超过10岁的年龄组，其患病率仅为11.6‰，109.5‰和27.3‰。特应性皮炎和过敏性鼻炎患病率随着年龄的增加逐渐下降，但哮喘的患病率从30-39岁年龄组呈再增加的模式，在70-79岁年龄组达到另一个高峰。在研究期间，哮喘和特应性皮炎的患病率呈下降趋势。相反，过敏性鼻炎的患病率一直到2013年都稳步上升，特别是在10岁以下年龄组。
结论：在韩国，特应性皮炎和哮喘的发病率没有明显的上升。然而，过敏性鼻炎的患病率直到最近仍在上升，特别是在10岁以下的年龄组。这是亚洲首次报告显示过敏性疾病的发病率上升速度减慢。
（苏欣 审校）
Allergol Int. 2016 Apr;65(2):186-91. doi: 10.1016/j.alit.2015.11.002. Epub 2015 Dec 11.
Allergies are still on the rise? A 6-year nationwide population-based study in Korea.
Kim BK1, Kim JY1, Kang MK1, Yang MS2, Park HW1, Min KU1, Cho SH1, Kang HR3.
Author information
Abstract
BACKGROUND:Some western countries recently have shown a slowdown in the incidence of allergic diseases after worldwide increasing trends, but there are few data from Asian populations concerning changing trend of allergic diseases. We evaluated the recent trends in the prevalence of asthmaand other allergic diseases in Korea.
METHODS:From the database of Korean National Health Insurance, a nationwide diagnostic data from 2009 to 2014 were extracted and the national prevalence was analyzed.
RESULTS:The prevalence per 1000 people of atopic dermatitis, allergic rhinitis, and asthma in 2014 was 19.0, 133.1, and 36.3, respectively. The prevalence of three diseases was highest in the age group under 10 as, 95.0, 384.1, and 132.1 per 1000 people, while the prevalence in the over-10-year-group was only 11.6, 109.5, and 27.3, respectively. The prevalence of atopic dermatitis and allergic rhinitis gradually decreased with older age, but the prevalence of asthma showed a re-increasing pattern from the age group 30-39 and reached another peak for the age group 70-79. During the study period, the prevalence of asthma and atopic dermatitis showed decreasing tendency. In contrast, the prevalence of allergic rhinitis steadily increased until 2013, especially in the age group under 10.
CONCLUSIONS:The national prevalence of atopic dermatitis, and asthma did not show noticeable increase any more in Korea. However, the prevalence of allergic rhinitis still on the rise until recently, especially in the age group under 10. This is the first report in Asia suggesting a slowdown of the incidence of allergic diseases.
Copyright © 2015 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.
KEYWORDS:Allergic rhinitis; Asthma; Atopic dermatitis; Epidemiology; Prevalence
Allergol Int. 2016 Apr;65(2):186-91. doi: 10.1016/j.alit.2015.11.002. Epub 2015 Dec 11.
