Bronchial asthma prevalence at Sverdlovsk region
Abstract
The aim: to reveal bronchial asthma (BA) spread on the basis of different risk factors for the disease and of regional features, to develop an algorithm for determination of BA prevalence at a large industrial region. We asked 2045 citizens using the random method and the verifying questionnaire ECRHS. Answers were given by 1572 (76.9%) respondents, their mean age was 40.1±0.3 years, 837 females were among them. Air pollutants (N02, S02, CO) concentrations were detected. Bronchial hyperreactivity (BHR) and bronchial obstruction (BO) were estimated in 288 subjects. The most typical asthma-like symptom was "loaded or sibilant breathing during the last year" (31.3% of the positive answers). A dependence of asthma-like symptoms frequency on the air pollutants concentration and nose allergic diseases was determined. BO and BHR were revealed in 14.3% of the cases. The BA spread at the large industrial region was 6.2% in total (6.9% for males and 5.5% for females). An optimized method for BA prevalence detection at a large industrial region was developed.
References
1. Биличенко Т.Н. Распространенность хронического бронхита и других респираторных нарушений среди взрослого населения, их диагностическое и прогностическое значение. (Клиникоэпидемиологическое исследование): Автореф. дис. ... канд. мед. наук. М.; 1992.
2. Биличенко Т.Н. Эпидемиология бронхиальной астмы. В кн.: Чучалин А. Г. (ред.) Бронхиальная астма. М.: Агар; 1997; т. 1, гл. 14: 400423.
3. Большее Л.Н., Смирнов Н.В. Таблицы математической статистики. 3-е изд. М.: Наука; 1983.
4. Бронхиальная астма. Глобальная стратегия. Пульмонология 1996; прил.: 1-166.
5. Королюк B.C., Порт енко Н.И., Скороход А.В., Турбина А.Ф. (ред.) Справочник по теории вероятности и математической статистике. М.: Наука; 1985.
6. Метод оптимизации антиастматической терапии: Пособие для врачей/Чучалин А.Г., Антонов Н.С., Сахарова Г.М. и др. М.; 1997.
7. Britton J. Measurement of peak flow variability in community populations methodology. Eur. Respir. J. 1997; 24 (suppl.): 42s-44s.
8. Burney P.G., Laitinen L.A., Perdrizet S. et at. Validity and repeatability of the IUATLD (1984) Bronchial Symptoms Questionnaire: an International comparison. Eur. Respir. J. 1989; 2: 940-945.
9. Dekker F.W., Schrier A.C., Sterk P.J., Dijkman J.H. Validity of peak expiratory flow measurement in assessing reversibility of airflow obstruction. Thorax 1992; 47: 162-166.
10. Devalia J.L., Rusznak C., Wang J., Daviels R.J. Pollution-allergen interactions: challenge studies in man. Eur. Respir. Rev. 1998; 8 (53): 175-178.
11. Lebowitz M.D., Knudson R.J., Burrows B. Tucson epidemiologic study of obstructive lung diseases. I: Methodology and prevalence of disease. Am. J. Epidemiol. 1975; 102 (2): 137-152.
12. Papageorgiou N., Gaga М., Marossis C. et at. Prevalence of asthma and asthma-like symptoms in Athens, Greece. Respir. Med. 1997; 91 (2): 83-88.
13. Paun G., Dutu St. Prevalence of respiratory symptoms, asthma bronchiale and chronic bronchitis in an industrial environment with high air pollution. Eur. Respir. J. 1996; 9 (suppl. 23): 353s.
14. World Health Organization. Air quality guidelines for Europe. WHO regional publications, European Series № 23. Copenhagen: World Health Organization; 1987.
Review
For citations:
Leshchenko I.V. Bronchial asthma prevalence at Sverdlovsk region. PULMONOLOGIYA. 2001;(2):50-55. (In Russ.)
Views:
319
Email this article 