Prevalence of asthma symptoms in schoolchildren, and climate in west European countries: an ecologic study
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- 作者：Alberto Arnedo-Pena (1)
Luis García-Marcos (2)
Alberto Bercedo-Sanz (3)
Inés Aguinaga-Ontoso (4)
Carlos González-Díaz (5)
águeda García-Merino (6)
Rosa Busquets-Monge (7)
Maria Morales Suárez-Varela (8)
Juan Batlles-Garrido (9)
Alfredo A. Blanco-Quirós (10)
Angel López-Silvarrey (11)
Gloria García-Hernández (12)
Jorge Fuertes (13) - 关键词：Asthma ; Schoolchildren ; Climate ; Sunshine ; Rainfall ; Vitamin D
- 刊名：International Journal of Biometeorology
- 出版年：2013
- 出版时间：September 2013
- 年：2013
- 卷：57
- 期：5
- 页码：775-784
- 全文大小：191KB
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Luis García-Marcos (2)
Alberto Bercedo-Sanz (3)
Inés Aguinaga-Ontoso (4)
Carlos González-Díaz (5)
águeda García-Merino (6)
Rosa Busquets-Monge (7)
Maria Morales Suárez-Varela (8)
Juan Batlles-Garrido (9)
Alfredo A. Blanco-Quirós (10)
Angel López-Silvarrey (11)
Gloria García-Hernández (12)
Jorge Fuertes (13)
1. Epidemiology Division, Public Health Center, Avda del Mar 12, 12003, Castellón, Spain
2. Pediatric Respiratory and Allergy units, “Arrixaca-University Children’s Hospital, University of Murcia, Murcia, Spain
3. Buelna Health Center, Cantabria, Spain
4. Department of Health Sciences, Public University of Navarra, Navarra, Spain
5. Pediatric Allergy Unit, Department of Pediatrics, Basurto Hospital, Bilbao, Spain
6. Concinos Health Center, Oviedo, Asturias, Spain
7. Department of Pediatrics, Hospital del Mar, Barcelona, Spain
8. Public and Environmental Health Unit, Department of Preventive Medicine, University of Valencia, and CIBER of Epidemiology and Public Health, Valencia, Spain
9. Pediatric Allergy Unit, Department of Pediatrics, Torrecárdenas Hospital, Almería, Spain
10. Department of Pediatrics, University of Valladolid, Valladolid, Spain
11. María José Jove Foundation, La Coru?a, Spain
12. Pediatric Allergy and Pulmonology Unit. -2 de Octubre- University Children’s Hospital, Madrid, Spain
13. “Perpetuo Socorro-Health Center, Huesca, Spain
文摘
The aim of the present study was to estimate the associations between the prevalence of asthma symptoms in schoolchildren and meteorological variables in west European countries that participated in the International Study of Asthma and Allergies in Children (ISAAC), Phase III 1997-003. An ecologic study was carried out. The prevalence of asthma was obtained from this study from 48 centers in 14 countries, and meteorological variables from those stations closest to ISAAC centers, together with other socioeconomic and health care variables. Multilevel mixed-effects linear regression models were used. For schoolchildren aged 6-?years, the prevalence rate of asthma decreased with an increase in mean annual sunshine hours, showed a positive association with rainy weather, and warm temperature, and a negative one with relative humidity and physician density (PD). Current wheeze prevalence was stronger in autumn/winter seasons and decreased with increasing PD. Severe current wheeze decreased with PD. For schoolchildren aged 13-4?years, the prevalence rates of asthma and current wheeze increased with rainy weather, and these rates decreased with increased PD. Current wheeze, as measured by a video questionnaire, was inversely associated with sunny weather, and nurse density. Severe current wheeze prevalence was stronger during autumn/winter seasons, decreased with PD, and indoor chlorinated public swimming pool density, and increased with rainy weather. Meteorological factors, including sunny and rainy weather, and PD may have some effect on the prevalence rates of asthma symptoms in children from west European countries.