Trends in the Prevalence of Asthma in Korean Children: A Population-Based Study From 1995 to 2022.

IF 4.1 2区 医学 Q2 ALLERGY
Eun Lee, Gitae Seo, Chae Hyun Im, So-Yeon Lee, Yong Ju Lee, Hyo-Bin Kim, Hye Mi Jee, Jihyun Kim, You Hoon Jeon, Dong In Suh, Hyeon-Jong Yang, Kee-Jae Lee, Woo Kyung Kim, Kangmo Ahn
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引用次数: 0

Abstract

Purpose: We investigated the prevalence of asthma and its risk factors in Korean children in 2022, comparing the prevalence with previous data to identify trends in the prevalence of childhood asthma over time.

Methods: This nationwide cross-sectional study enrolled 4,038 children aged 6-7 years and 4,269 children aged 12-13 years from 213 randomly selected elementary schools in 2022. The prevalence of asthma in 2022 was compared with those in 1995, 2000, and 2010, with subgroup comparisons classified by gender. A modified International Study of Asthma and Allergies in Childhood questionnaire assessed asthma prevalence with environmental factors.

Results: The prevalence of ''asthma diagnosis ever' in children aged 6-7 years was 9.1%, 9.4%, and 10.4% in 1995, 2000, and 2010, respectively, which was decreased in 2022 (2.1%, P < 0.001). The prevalence of 'current asthma' in children aged 6-7 years showed fluctuations (3.5%, 2.0%, 4.2%, and 0.6% in 1995, 2000, 2010, and 2022, respectively) without showing a significant trend. The prevalence of 'asthma diagnosis ever' and 'current asthma' in children aged 6-7 years was significantly higher in males than in females. The prevalence of 'asthma diagnosis ever' in children aged 12-13 years was 3.1% in 1995, with a significant increasing trend in 2000 (5.8%) and 2010 (7.5%), followed by a decrease in 2022 (3.4%). Male sex, a history of bronchiolitis in early life, allergic rhinitis diagnosis ever, and atopic dermatitis diagnosis ever were associated with 'asthma diagnosis ever' in children aged 6-7 years. For children aged 12-13 years, male sex and history of bronchiolitis in early life were independently associated with 'asthma diagnosis ever.'

Conclusions: Childhood asthma prevalence has decreased, varying by asthma definition. The study's findings provide important information for establishing prevention and management strategies of childhood asthma.

韩国儿童哮喘患病率趋势:1995年至2022年的一项基于人群的研究
目的:我们调查了2022年韩国儿童哮喘患病率及其危险因素,并将患病率与之前的数据进行比较,以确定儿童哮喘患病率随时间的变化趋势。方法:这项横断面研究于2022年在全国范围内随机抽取213所小学的4038名6-7岁儿童和4269名12-13岁儿童。将2022年哮喘患病率与1995年、2000年和2010年进行比较,并按性别进行亚组比较。一项修订的国际儿童哮喘和过敏调查问卷评估了环境因素对哮喘患病率的影响。结果:1995年、2000年和2010年,6 ~ 7岁儿童“哮喘确诊率”分别为9.1%、9.4%和10.4%,到2022年下降了2.1% (P < 0.001)。6-7岁儿童“当前哮喘”患病率出现波动(1995年、2000年、2010年和2022年分别为3.5%、2.0%、4.2%和0.6%),但没有明显的趋势。在6-7岁的儿童中,“曾经诊断出哮喘”和“目前患有哮喘”的患病率在男性中明显高于女性。1995年,12-13岁儿童的“哮喘确诊率”为3.1%,2000年(5.8%)和2010年(7.5%)呈显著上升趋势,随后在2022年下降(3.4%)。男性、早期毛细支气管炎病史、过敏性鼻炎诊断、特应性皮炎诊断与6-7岁儿童“哮喘诊断”相关。对于12-13岁的儿童,男性性别和早期生活中的毛细支气管炎病史与哮喘诊断独立相关。结论:儿童哮喘患病率有所下降,但因哮喘定义而异。本研究结果为建立儿童哮喘的预防和管理策略提供了重要信息。
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来源期刊
CiteScore
6.10
自引率
6.80%
发文量
53
审稿时长
>12 weeks
期刊介绍: The journal features cutting-edge original research, brief communications, and state-of-the-art reviews in the specialties of allergy, asthma, and immunology, including clinical and experimental studies and instructive case reports. Contemporary reviews summarize information on topics for researchers and physicians in the fields of allergy and immunology. As of January 2017, AAIR do not accept case reports. However, if it is a clinically important case, authors can submit it in the form of letter to the Editor. Editorials and letters to the Editor explore controversial issues and encourage further discussion among physicians dealing with allergy, immunology, pediatric respirology, and related medical fields. AAIR also features topics in practice and management and recent advances in equipment and techniques for clinicians concerned with clinical manifestations of allergies and pediatric respiratory diseases.
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