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Asthma in Italian conscripts: a four year study.

Andrea Vizzaccaro1, Ignazio Cirillo, Maria Angela Tosca

  • 1Navy Hospital, La Spezia, Allergy & ENT Unit, Head-Neck Department, San Martino Hospital, Genoa, Italy.

European Annals of Allergy and Clinical Immunology
|June 10, 2003
PubMed
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Asthma diagnosis and treatment in Italian conscripts improved slightly but remain suboptimal. Many young males were still underdiagnosed and undertreated for asthma, indicating ongoing challenges in respiratory health management.

Area of Science:

  • Pulmonary Medicine
  • Military Health
  • Epidemiology

Background:

  • Previous studies indicated underdiagnosis and undertreatment of asthma in Italian conscripts from 1990-1998.
  • This highlights a persistent issue in identifying and managing asthma in this demographic.

Purpose of the Study:

  • To assess trends in asthma diagnosis and treatment among Italian conscripts.
  • To evaluate the effectiveness of interventions aimed at improving asthma care in young adult males.

Main Methods:

  • A 4-year observational study (1999-2002) screened 28,327 18-year-old males during military call-up.
  • Data collection focused on asthma diagnosis, treatment patterns, and spirometry results.

Main Results:

Related Experiment Videos

  • Asthma was diagnosed in 6.52% of conscripts (1,847 individuals).
  • A significant decrease in mild persistent asthma was observed (39.6% to 30.1%, p < 0.01).
  • While use of inhaled corticosteroids and antileukotrienes increased, one-third received no treatment, and 40% had impaired spirometry.

    • Conclusions:

    • Educational efforts have shown partial success in addressing asthma underdiagnosis and undertreatment.
    • However, significant challenges remain, with ongoing underdiagnosis and undertreatment of asthma in this population.