Increase in prevalence of physician-diagnosed asthma in Helsinki during the Finnish Asthma Programme: improved recognition of asthma in primary care? A cross-sectional cohort study

被引：33

作者：

Kainu, Annette ^{[1
]}

Pallasaho, Paula ^{[2
]}

Piirila, Paivi ^{[3
]}

Lindqvist, Ari ^{[4
]}

Sovijarvi, Anssi ^{[5
,6
]}

Pietinalho, Anne ^{[7
,8
]}

机构：

[1] Univ Helsinki, Cent Hosp, Peijas Hosp, Div Resp Med,Dept Med, Vantaa, Finland

[2] Finnish Inst Occupat Hlth, Helsinki, Finland

[3] Univ Helsinki, Cent Hosp, Dept Lab, Lab Clin Physiol,Div Clin Physiol & Nucl Med, Helsinki, Finland

[4] Univ Helsinki, Cent Hosp, Dept Med, Res Unit Pulm Dis,Div Pulm Med, Helsinki, Finland

[5] Univ Helsinki, Cent Hosp, Dept Lab, Div Clin Physiol & Nucl Med, Helsinki, Finland

[6] Univ Helsinki, Helsinki, Finland

[7] Finnish Lung Hlth Assoc Filha, Helsinki, Finland

[8] Raasepori Hlth Care Ctr, Tammisaari, Finland

来源：

PRIMARY CARE RESPIRATORY JOURNAL | 2013年 / 22卷 / 01期

关键词：

asthma; allergic rhinitis; allergy; epidemiology; smoking; COPD; OBSTRUCTIVE PULMONARY-DISEASE; CHRONIC-BRONCHITIS; YOUNG-ADULTS; FINLAND; COPD; TRENDS; NO; SEVERITY; QUALITY; BURDEN;

D O I：

10.4104/pcrj.2013.00002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: The continuing rise in asthma prevalence has been questioned, with recent reports suggesting a plateau. Aims: To assess a 10-year trend in the age-adjusted prevalence of physician-diagnosed asthma, respiratory and allergic symptoms, and use of asthma medication in the adult population of Helsinki during the Finnish Asthma Programme from 1994 to 2004. Methods: Two cross-sectional postal surveys were conducted among random Finnish National Population Registry samples 10 years apart using the same protocol. A total of 6,062 subjects (75.9%) and 2,449 subjects (61.9%) participated in 1996 and 2006, respectively. Results: The prevalence of physician-diagnosed asthma increased from 6.5% in 1996 to 10.0% in 2006 (p<0.001). This was evident in both genders aged <60 years, but particularly in women aged <40 years, paralleling an increased use of asthma medication. Concurrently, the prevalence of allergic rhinoconjunctivitis increased from 37.2% to 44.4% (p<0.001). The prevalence of physician-diagnosed chronic obstructive pulmonary disease remained unchanged (3.7%), while current smoking abated. Subjects with a smoking history had more respiratory symptoms (p<0.001). Among subjects without physician-diagnosed asthma, those reporting allergic rhinoconjunctivitis had a higher prevalence of lower respiratory tract symptoms. Conclusions: The prevalence of allergic rhinoconjunctivitis and physician-diagnosed asthma has increased in Helsinki during 10 years in adults, especially in women aged <40 years. Concomitantly, the use of asthma medication increased and subjects with physician-diagnosed asthma were less symptomatic. The increase in the prevalence of physician-diagnosed asthma may partly be due to improved diagnostic recognition of asthma in primary care during the Finnish Asthma Programme, but the concurrent rise in allergic rhinoconjunctivitis may reflect a true rise in prevalence. (C) 2013 Primary Care Respiratory Society UK. All rights reserved. A Kainu et al. Prim Care Respir 2013; 22(1): 64-71 http://dx.doi.org/10.4104/pcrj.2013.00002

引用

页码：64 / 71

页数：8