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Allergic diseases in preschool children in Taichung City
1Department of Pediatrics, Chung Shan Medical College Hospital, Taichung, Taiwan.
Insights
Allergic diseases like asthma and rhinitis affect over a third of preschool children in Taichung City. A family history significantly increases a child
Area of Science:
- Pediatrics
- Allergology
- Epidemiology
Background:
- Allergic diseases are a significant public health concern in children.
- Preschool-aged children represent a critical developmental window for allergy onset and management.
Purpose of the Study:
- To determine the prevalence and patterns of allergic diseases in preschool children in Taichung City.
- To investigate the association between allergic diseases and demographic factors, including sex and family history.
Main Methods:
- A cross-sectional study utilizing parental questionnaires.
- Survey administered to 5,408 kindergarten students (ages 3-6) in Taichung City.
- Data collected on lifetime and current prevalence of bronchial asthma, allergic rhinitis, atopic eczema, and urticaria.
Main Results:
- Overall, 34.6% of children had recognized allergic diseases.
- Lifetime prevalence: bronchial asthma (9.4%), allergic rhinitis (26.4%), atopic eczema (6.6%), urticaria (6.8%).
- Current prevalence (past 12 months): bronchial asthma (6.7%), allergic rhinitis (14.8%), atopic eczema (3.5%).
- Bronchial asthma and allergic rhinitis were more common in boys.
- Positive family history was significantly associated with bronchial asthma, allergic rhinitis, and atopic eczema.
Conclusions:
- Allergic diseases represent a substantial health burden among preschool children in Taichung City.
- Early identification and intervention are crucial, especially for children with a family history of allergies.
Abstract:
The occurrence of allergic diseases in preschool children was studied on the basis of a questionnaire sent to the parents of 5,408 kindergarten students, 3 to 6 years of age, in Taichung City. The overall response rate was 81% and included 2311 (52.8%) boys and 2062 (47.2%) girls. Allergic diseases had been recognized in 34.6% of the children. The cumulative (lifetime) prevalence of bronchial asthma (BA), allergic rhinitis (AR), atopic eczema (AE), and urticaria were 9.4%, 26.4%, 6.6% and 6.8%, respectively. The current (past 12 months) prevalence of BA, AR, and AE was 6.7%, 14.8%, and 3.5%, respectively. BA and AR occurred more frequently in boys than in girls (P < 0.001); no significant difference was found between boys and girls in AE (P = 0.328). There were statistically significant relationships between positive family history and BA, AR and AE (P < 0.001). In conclusion, allergic diseases constitutes an important health problem for pre-school students in Taichung City.
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