[Epidemiology of childhood asthma in sub-Saharan Africa: A systematic literature review].

IF 0.5 4区医学 Q4 RESPIRATORY SYSTEM

Revue des maladies respiratoires Pub Date : 2025-07-09 DOI:10.1016/j.rmr.2025.06.003

J G Mba Ndong, J A Bourobou Bourobou, E Ngoungou, S Aboughe Angone

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引用次数: 0

Abstract

Introduction: Asthma is the most common chronic disease in children and adolescents worldwide. In sub-Saharan Africa, however, it is one of the most widely neglected diseases, and very few studies have focused on its occurrence during childhood. That said, two factors are known to contribute to its rapid increase. The first consists in the economic challenges related to its management, and the second concerns barriers to the implementation strategies that might reduce its global burden. With more than half of sub-Saharan Africa's population under the age of 15, childhood asthma is a critical issue that requires serious investigation.

Method: Our approach was based on documentary search using the Google and Google Scholar databases. A list containing all relevant identified documents was created in the Zotero library management system for the purposes of online bibliographic sharing. To ensure (or at least reduce) duplicated efforts and so as facilitate potential collaboration, we registered our study in accordance with the PROSPERO systematic review protocol.

Results: The results of this cross-sectional survey conclusively demonstrate that the prevalence of childhood asthma in this part of the continent is high and growing rapidly. It varies not only according to region or country, but also within the same territory. The highest levels south of the Sahara were found in East Africa, with prevalence exceeding the ISAAC protocol time trends by 23.1% in Tanzania and 21.3% in South Africa. There are many explanations for these elevated rates: (a) gaps in knowledge and perception of the disease, (b) insufficient control or deficient management, and (c) patients' divergent social levels.

Conclusion: At present, the extent and severity of childhood asthma in sub-Saharan Africa is little known. In this context, the information collected in different publications could help to orient more adequate policies and to effectively develop good practices.

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[撒哈拉以南非洲儿童哮喘流行病学：系统文献综述]。

哮喘是全世界儿童和青少年中最常见的慢性疾病。然而，在撒哈拉以南非洲，它是最被广泛忽视的疾病之一，很少有研究关注其在儿童时期的发生。也就是说，已知有两个因素导致了它的快速增长。第一个问题是与其管理有关的经济挑战，第二个问题是可能减轻其全球负担的执行战略的障碍。撒哈拉以南非洲一半以上的人口年龄在15岁以下，儿童哮喘是一个需要认真调查的关键问题。方法：使用谷歌和谷歌Scholar数据库进行文献检索。为了联机书目共享的目的，在Zotero图书馆管理系统中创建了一个包含所有相关确定文件的列表。为了确保（或至少减少）重复工作，从而促进潜在的合作，我们按照PROSPERO系统审查协议注册了我们的研究。结果：这项横断面调查的结果最终表明，儿童哮喘的患病率在非洲大陆的这一部分是高的，并迅速增长。它不仅因地区或国家而异，而且在同一领土内也有所不同。撒哈拉以南的最高水平出现在东非，坦桑尼亚的患病率超过ISAAC协议时间趋势的比例为23.1%，南非为21.3%。发病率升高的原因有很多：(a)对疾病的认识和认知存在差距，(b)控制不足或管理不足，(c)患者的社会水平不同。结论：目前，撒哈拉以南非洲儿童哮喘的范围和严重程度知之甚少。在这方面，在不同出版物中收集的信息可以帮助制定更适当的政策和有效地发展良好做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revue des maladies respiratoires 医学-呼吸系统

CiteScore

1.10

自引率

16.70%

发文量

168

审稿时长

4-8 weeks

期刊介绍： La Revue des Maladies Respiratoires est l''organe officiel d''expression scientifique de la Société de Pneumologie de Langue Française (SPLF). Il s''agit d''un média professionnel francophone, à vocation internationale et accessible ici. La Revue des Maladies Respiratoires est un outil de formation professionnelle post-universitaire pour l''ensemble de la communauté pneumologique francophone. Elle publie sur son site différentes variétés d''articles scientifiques concernant la Pneumologie : - Editoriaux, - Articles originaux, - Revues générales, - Articles de synthèses, - Recommandations d''experts et textes de consensus, - Séries thématiques, - Cas cliniques, - Articles « images et diagnostics », - Fiches techniques, - Lettres à la rédaction.