An international comparison of asthma, wheeze, and breathing medication use among children
| Autor: | Olga Fedortsiv, Joshua Lawson, Vakhtangi Beridze, Jan E Zejda, Grzegorz Brożek, Emilija Vlaski, Donna C. Rennie, Andrei Shpakou, Sophio Beridze, Anna Afanasieva |
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| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Canada Adolescent Republic of Belarus Cross-sectional study 03 medical and health sciences 0302 clinical medicine Environmental health Wheeze Prevalence Medicine Western world Humans 030212 general & internal medicine Respiratory sounds Patient Medication Knowledge Child Asthma Respiratory Sounds Childhood asthma Medication use medicine.diagnostic_test business.industry Respiration medicine.disease respiratory tract diseases Europe Cross-Sectional Studies 030228 respiratory system Child Preschool Western World Female Poland medicine.symptom business |
| Zdroj: | Respiratory medicine. 133 |
| ISSN: | 1532-3064 |
| Popis: | There is variation in childhood asthma between countries with typically higher prevalence in "Westernized" nations. We compared asthma, respiratory symptoms, and medication prevalence in Eastern and Central European regions and Canada.We conducted a cross-sectional survey study of children (5-15 years) from one urban centre in each of Canada, Belarus, Poland, Republic of Georgia (Adjara), Republic of Macedonia, and Ukraine. Surveys were distributed through randomly selected schools to parents (2013-2015).The prevalence of asthma differed by country from 20.6% in Canada to 1.5% in Ukraine (p 0.001). This association remained after confounder adjustment. Except for Canada (58.7%) and Poland (42.5%), less than 10% of children with a history of wheeze had a diagnosis of asthma. Regardless of country, more than 50% of children with a diagnosis of asthma used breathing medications in the past year. Finally, except for Georgia (12.1%), all countries had a prevalence of ever wheeze above 20% (23.8% in Poland to 30.9% in Macedonia).Despite large differences in asthma prevalence, respiratory morbidity was more comparable suggesting asthma prevalence may be underestimated. Further validation of asthma diagnosis is needed. It is important to promote best diagnostic practices among first contact physicians. |
| Databáze: | OpenAIRE |
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