儿童喘患病率和严重程度的最新趋势
M Weitzman1, S L Gortmaker, A M Sobol
1Department of Pediatrics, University of Rochester (NY), School of Medicine and Dentistry.
JAMA
|November 18, 1992
概括
从1981年到1988年,儿童喘患病率显著增加,主要是白人儿童. 然而,在此期间,喘严重程度和功能影响并没有恶化.
科学领域:
- 儿科健康 儿科健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 儿童喘是一个重大的公共卫生问题.
- 了解流行和影响的趋势对于有效的干预至关重要.
研究的目的:
- 分析1981年至1988年间儿童喘患病率和分布的变化.
- 调查童年喘与儿童健康和在这一时期的功能之间的关系.
主要方法:
- 从"儿童健康补充"对国家健康访谈调查的数据分析.
- 使用了1981年和1988年0-17岁儿童的全国代表性随机样本.
主要成果:
- 儿童喘患病率从1981年的3.1%上升到1988年的4.3% (P < .0001).
- 白人儿童的患病率增加,而黑人儿童的患病率保持稳定,尽管总体上更高.
- 与1981年相比,1988年患有喘的儿童的健康状况有所改善,住院,睡觉和错过学校日减少.
结论:
- 在1981年至1988年间,儿童喘患病率增加了近40%,仅限于白人儿童.
- 在这段时间内,没有证据支持喘严重程度的增加或喘儿童的功能影响.
- 这些发现挑战了人们对黑人儿童喘患病率增加和美国喘严重程度恶化的看法.
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