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一个中国在校儿童大队列中,哮喘、鼻炎和湿疹的发生率、严重性和危险因素

2014/01/27

   摘要
   背景:
关于中国儿童哮喘、鼻炎和湿疹发生率、严重性和危险因素的资料尚不足。
   目的:为一项关于哮喘、鼻炎和湿疹影响因素的大型纵向研究建立基线数据,数据来源于中国工业城市石家庄的一个大型群体。
   方法:我们采用国际儿童哮喘和过敏(ISAAC)问卷,研究了石家庄市10,338名6~18岁的儿童。
   结果:儿童哮喘、鼻炎和湿疹的发生率分别为1.2%, 13.5%和11.8%。男孩发生率高于女孩,年龄较小的儿童发生率高于年龄较大的儿童。母乳喂养的儿童哮喘和鼻炎发生率低于非母乳喂养的儿童,不包括湿疹。超重儿童哮喘、鼻炎和湿疹发生率高于未超重的儿童。父亲吸烟的儿童鼻炎和湿疹发生率高于父亲不吸烟的儿童;接触宠物的儿童哮喘和鼻炎发生率高于未接触宠物的儿童。
   结论:研究组中哮喘发生率低,但是鼻炎发生率高,并可被视为一个主要公共卫生问题。男孩和年幼儿童的哮喘、鼻炎和湿疹发生率普遍较高。接触宠物是鼻炎的危险因素,超重是哮喘和鼻炎的危险因素,父亲吸烟暴露是哮喘、鼻炎和湿疹的危险因素。

 

 (刘国梁 审校)
J Asthma. 2013 Dec 4. [Epub ahead of print]

 


Prevalence, Severity, and Risk Factors of Asthma, Rhinitis, and Eczema in a Large Group of Chinese Schoolchildren.


Song N, Shamssain M, Zhang J, Wu J, Fu C, Hao S, Guan J, Yan X.


ABSTRACT
BACKGROUND:
There is a lack of information on the prevalence, severity and risk factors of asthma, rhinitis, and eczema in Chinese children.
OBJECTIVE:To establish baseline data for a major longitudinal study of factors affecting asthma, rhinitis, and eczema in a large group of children from the industrialized city of Shijiazhuang, China.
METHODS:We used the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire and studied 10,338 children, ages 6 to 18, from Shijiazhuang.
RESULTS:The prevalence of childhood asthma, rhinitis, and eczema is 1.2%, 13.5%, and 11.8% respectively. Boys had higher prevalence of these conditions than girls and younger children had higher prevalence than older children. Breastfed children had lower prevalence of asthma and rhinitis, but not eczema, than non-breastfed children. Overweight children had higher prevalence of asthma, rhinitis, and eczema than those who were not overweight. Children exposed to paternal smoking had higher prevalence of rhinitis and eczema than those not exposed; children exposed to pets had higher prevalence of asthma and rhinitis than those not exposed.
CONCLUSIONS:The prevalence of asthma in this study group is low, but the prevalence of rhinitis is high, and could be considered a major public health problem. The prevalence of asthma, rhinitis and eczema is generally higher in boys and younger children. Exposure to pets is a risk factor for rhinitis, being overweight is a risk factor for asthma and rhinitis, and exposure to parental smoking is a risk factor for asthma, rhinitis, and eczema in these


J Asthma. 2013 Dec 4. [Epub ahead of print]


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