Prevalence and determinants of current asthma in Cameroon
| Autor: | A.D. Balkissou, J.R. Boulleys-Nana, V. Poka-Mayap, R. Adidigue-Ndiome, Eric Walter Pefura-Yone, A. Djenabou, E.J. Olomo, L. Diffo-Sonkoue, A.B. Haman-Wabi, A.J.E. Alexandra, L.M. Endale-Mangamba, S. Adama, M. Massongo, A. Iddi-Faical |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male Epidemiologic Factors Logistic regression History 21st Century Interquartile range Risk Factors Prevalence Medicine Humans Cameroon Asthma business.industry Middle Aged medicine.disease Confidence interval Stratified sampling Cross-Sectional Studies Socioeconomic Factors Female Rural area Underweight medicine.symptom business Body mass index Demography |
| Zdroj: | Respiratory medicine and research. 78 |
| ISSN: | 2590-0412 |
| Popis: | Introduction The prevalence of asthma varies from one country to another due to differences in ethnicity, socio-economics status, environmental and climatic risk factors. The aim of this study was to determine the prevalence and determinants of current asthma in Cameroonian adults. Material and methods Data from 4 cross-sectional community-based studies from 2014 to 2018 were analyzed. Participants aged 19 years and above were selected through multilevel stratified random sampling methods across 2 urban areas, 2 semi-urban areas and 1 rural area. Current asthma was defined as “wheezing in the last 12 months in a subject with self-reported asthma or having used drugs for asthma treatment”. Logistic regression was used to investigate the determinants of current asthma. Results A total of 10,707 adults [median age (interquartile range) = 36 (26–52) years, 44.5% of men] were definitively enrolled in the study. The overall prevalence [95% confidence interval (CI)] of current asthma was 3.9% (3.5–4.3)%. Determinants [odd's ratio (OR), (95%CI)] of current asthma were: Sudanese ethnicity [1.9(1.4–2.7)], rural area [1.5(1.1–2.1)], urban area [1.6(1.2–2.2)], past history of pneumonia [1.9(1.1–3.4)], allergic rhino-conjunctivitis [6.5(4.7–8.9)], atopic eczema [2.3(1.5–3.6)], body mass index (BMI) ≥ 40 kg/m2 [1.9(1.0–3.4)] and BMI Conclusion The prevalence of current asthma is close to the low value of the Sub-Saharan African range. Sudanese ethnicity, rural area, urban area, history of pneumonia, allergic disease, severe obesity and underweight were determinants of current asthma in Cameroon. More research is surely warranted to understand the mechanisms underlying the association of asthma with Sudanese ethnicity. |
| Databáze: | OpenAIRE |
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