PREVALENCE OF ASTHMA IN ADULTS IN BUSSELTON, WESTERN-AUSTRALIA

被引:158
作者
PEAT, JK
HABY, M
SPIJKER, J
BERRY, G
WOOLCOCK, AJ
机构
[1] UNIV SYDNEY, DEPT MED, SYDNEY, NSW 2006, AUSTRALIA
[2] UNIV SYDNEY, DEPT PUBL HLTH, SYDNEY, NSW 2006, AUSTRALIA
来源
BMJ-BRITISH MEDICAL JOURNAL | 1992年 / 305卷 / 6865期
基金
英国医学研究理事会;
关键词
D O I
10.1136/bmj.305.6865.1326
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective-To estimate whether the prevalence of asthma in adults increased over a nine year interval. Design-Serial cross sectional studies of the population with a protocol that included both subjective and objective measurements. Setting-Busselton, Western Australia. Subjects-A random sample of 553 subjects aged 18-55 years in 1981, and of 1028 subjects aged 18-55 years in 1990. Main outcome measures-Respiratory symptoms measured by self administered questionnaire, bronchial responsiveness measured by bronchial challenge with histamine, and allergy measured by skin prick tests. Results-Symptoms with increased prevalence were those with significant association with allergy in this population. Recent wheeze increased from 17.5% to 28.8% (p<0.001) and diagnosed asthma increased Erom 9.0% to 16.3% (p<0.001). The increase was greatest in subjects less than 30 years old. The prevalence of shortness of breath coming on at rest and of hay fever also increased significantly, but the prevalence of shortness of breath on exertion, chronic cough, bronchial hyperresponsiveness, current asthma (defined as recent wheeze plus bronchial hyperresponsiveness), and allergy did not increase. The severity of bronchial responsiveness did not change significantly in any symptom group. Conclusions-Young adults showed a significant increase in reporting of symptoms related to allergy but not in the prevalence of current asthma. The increase in symptoms may be due to increased awareness of asthma in this community, to changed treatment patterns, or to increased exposures to allergens.
引用
收藏
页码:1326 / 1329
页数:4
相关论文
共 23 条
[1]   THE PREVALENCE OF ASTHMA IN VICTORIAN ADULTS [J].
ABRAMSON, M ;
KUTIN, J ;
BOWES, G .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1992, 22 (04) :358-363
[2]   EVALUATION OF A NEW ASTHMA QUESTIONNAIRE [J].
ABRAMSON, MJ ;
HENSLEY, MJ ;
SAUNDERS, NA ;
WLODARCZYK, JH .
JOURNAL OF ASTHMA, 1991, 28 (02) :129-139
[3]   ASTHMA MORBIDITY IN AUSTRALIA - AN EPIDEMIOLOGIC-STUDY [J].
BAUMAN, A ;
MITCHELL, CA ;
HENRY, RL ;
ROBERTSON, CF ;
ABRAMSON, MJ ;
COMINO, EJ ;
HENSLEY, MJ ;
LEEDER, SR .
MEDICAL JOURNAL OF AUSTRALIA, 1992, 156 (12) :827-831
[4]   ASTHMA UNDER-RECOGNITION AND UNDER-TREATMENT IN AN AUSTRALIAN COMMUNITY [J].
BAUMAN, A ;
YOUNG, L ;
PEAT, JK ;
HUNT, J ;
LARKIN, P .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1992, 22 (01) :36-40
[5]   DESCRIPTIVE EPIDEMIOLOGY OF BRONCHIAL REACTIVITY IN AN ADULT-POPULATION - RESULTS FROM A COMMUNITY STUDY [J].
BURNEY, PGJ ;
BRITTON, JR ;
CHINN, S ;
TATTERSFIELD, AE ;
PAPACOSTA, AO ;
KELSON, MC ;
ANDERSON, F ;
CORFIELD, DR .
THORAX, 1987, 42 (01) :38-44
[6]   WHAT SYMPTOMS PREDICT THE BRONCHIAL RESPONSE TO HISTAMINE - EVALUATION IN A COMMUNITY SURVEY OF THE BRONCHIAL SYMPTOMS QUESTIONNAIRE (1984) OF THE-INTERNATIONAL-UNION-AGAINST TUBERCULOSIS-AND-LUNG-DISEASE [J].
BURNEY, PGJ ;
CHINN, S ;
BRITTON, JR ;
TATTERSFIELD, AE ;
PAPACOSTA, AO .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 1989, 18 (01) :165-173
[7]   HAS THE PREVALENCE OF ASTHMA INCREASED IN CHILDREN - EVIDENCE FROM THE NATIONAL STUDY OF HEALTH AND GROWTH 1973-86 [J].
BURNEY, PGJ ;
CHINN, S ;
RONA, RJ .
BRITISH MEDICAL JOURNAL, 1990, 300 (6735) :1306-1310
[8]  
BURR M L, 1989, Archives of Disease in Childhood, V64, P1452, DOI 10.1136/adc.64.10.1452
[9]  
CAMPBELL DA, 1989, AUST NZ J MED S, V19, P657
[10]   INCREASED PEDIATRIC ADMISSIONS WITH ASTHMA IN WESTERN-AUSTRALIA - A PROBLEM OF DIAGNOSIS [J].
CARMAN, PG ;
LANDAU, LI .
MEDICAL JOURNAL OF AUSTRALIA, 1990, 152 (01) :23-26