Health burden of co-morbid asthma and allergic rhinitis in West Indian children
| Autor: | Isaac Bekele, K. Garcia Henry, N. Figaro, T. Walters, C. Francis-Regis, L. M. Pinto Pereira, J. Jackman, A. Pandor, N. Babootee, S. Farrell, G. Cudjoe |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Rhinitis Allergic Perennial Adolescent West Indies Immunology Comorbidity Disease Risk Factors Surveys and Questionnaires Prevalence medicine Humans Immunology and Allergy Child West indian Asthma West indies Response rate (survey) Childhood asthma Schools business.industry Age Factors Rhinitis Allergic Seasonal General Medicine medicine.disease Co morbid Child Preschool Physical therapy Female Tobacco Smoke Pollution Emergency Service Hospital business |
| Zdroj: | Allergologia et Immunopathologia. 38:129-134 |
| ISSN: | 0301-0546 |
| DOI: | 10.1016/j.aller.2009.09.002 |
| Popis: | Co-morbid allergic rhinitis (AR) and asthma has not been studied in Caribbean countries where there is a high prevalence of childhood asthma.Using the International Primary Care Airways Group (IPAG) guidelines to determine AR, care-givers of 393 (response rate=100%) children attending asthma clinics in selected public sector health facilities in Trinidad, West Indies, were interviewed.Children (393) were between 2-17 years and included 239 (60.8%) boys and 154 (39.2%) girls. As many as 53.9% of children sampled (95% CI 45.9-55.8) suffered from AR. Children exposed to household smoking were nearly twice as likely to have AR (p0.0041, OR=1.9, CI 1.22-2.88). Significantly (p0.01) more asthmatics with AR (154, 58.6%) visited Accident and Emergency (AE) in the past 12 months. The odds of visiting AE at least once in the past 12 months for asthmatics with AR were 1.75 (95% CI 1.15-2.68). The average frequency of AE visits was higher in children who also suffered from AR (1.75 vs 1.36, p0.04). Age was negatively correlated (-0.21, p0.005) with exacerbation frequency for asthmatics without AR suggesting AE visits are independent of age in co-morbid disease. More children with AR (60%) suffer day and night symptoms (p0.001), and miss school (59.8%) (p0.03) at least once a week (p0.002) than asthmatics without AR (OR=1.5, 95% CI=1.03-2.30).AR is prevalent in 53.9% of Trinidadian children with asthma. The burden of co-morbid disease in asthmatic children is associated with increased likelihood of asthma-related AE visits, day and night symptoms and absence from school. |
| Databáze: | OpenAIRE |
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