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Published on: December 17, 2017
A systematic review of recent asthma symptom surveys in Iranian children
A Entezari1, Y Mehrabi, M Varesvazirian
1Department of Community and Preventive Medicine, Shaheed Beheshti University MC, Tehran, Iran.
Insights
This study estimated the national prevalence of asthma symptoms in Iranian children. The overall prevalence was 13.14%, highlighting a significant public health concern for asthma prevention and control in Iran.
Area of Science:
- Pediatric Allergy and Immunology
- Public Health Epidemiology
- Respiratory Medicine
Background:
- Asthma is the most common chronic childhood illness globally.
- Accurate national prevalence data is crucial for effective public health strategies in Iran.
- Previous international reports may not fully capture the specific burden of childhood asthma in Iran.
Purpose of the Study:
- To systematically review and meta-analyze existing data to determine the national prevalence of asthma symptoms in Iranian children.
- To provide an updated and comprehensive estimate of childhood asthma prevalence across Iran.
- To inform public health policy and resource allocation for asthma management.
Main Methods:
- A systematic review and meta-analysis of population-based prevalence studies on childhood asthma in Iran.
- Searched internet and hand-searched 142 articles, dissertations, and reports published between 1998 and 2003.
- Selected 19 studies conducted using the International Study of Asthma and Allergies in Childhood (ISAAC) protocol, analyzing data from 61,067 children.
Main Results:
- Prevalence of asthma symptoms varied significantly across regions, with Kerman reporting 2.7% and Tehran 35.4%.
- The overall national prevalence of asthma symptoms in Iranian children was estimated at 13.14% (95% CI: 9.97-16.30%).
- The calculated national prevalence is higher than previously estimated in international reports.
Conclusions:
- Childhood asthma symptoms represent a substantial public health issue in Iran.
- The findings underscore the need for targeted asthma prevention and control programs tailored to the Iranian population.
- This study provides essential data for prioritizing and enhancing asthma care within Iran's public health framework.
Abstract:
Asthma is the most prevalent chronic disease in children. To quantify the national prevalence of asthma symptoms in Iranian children, we conducted a systematic review and meta-analysis. After internet and hand searching for population-based prevalence estimates published from 1998 to 2003 from 142 articles, dissertations and reports of research projects, 19 of them were selected. All the selected studies on children had been performed by the International Study of Asthma and Allergies in Childhood (ISAAC) protocol. We analyzed the data using NCSS software. In the included 19 studies, 61,067 children in different age groups had been examined by the ISAAC protocol. The lowest prevalence of asthma symptoms was 2.7% in Kerman and the highest was 35.4% in Tehran (capital of Iran). Overall prevalence of asthma symptoms at a national level was estimated as 13.14% (95% CI: 9.97-16.30%). Based on this study, the prevalence of asthma symptoms in Iran is higher than that estimated in the international reports. This information can be used to help prioritize asthma prevention and control within the range of Iranian public health concerns.
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