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Prevalence and risk factors of asthma in mainland China: The CARE study

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单位: [a]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China [b]Department of Respiratory Diseases, The General Hospital of Shenyang Military, Shenyang, China [c]Department of Respiratory Diseases, Shanghai General Hospital of Shanghai Jiaotong University, Shanghai, China [d]Department of Respiratory Diseases, Ruijin Hospital of Shanghai Jiaotong University, Shanghai, China [e]Department of Respiratory Diseases, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China [f]Department of Respiratory Diseases Henan Provincial People's Hospital, Zhengzhou, China [g]Department of Respiratory Diseases Xijing Hospital of the Fourth Military Medical University, Xian, China [h]Guangzhou Institute of Respiratory Disease, Guangzhou, China [i]Department of Respiratory Diseases West China Hospital of Sichuan University, Chengdu, China
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关键词: Asthma Epidemiology Prevalence Risk factors

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Background: There are limited population based data on the prevalence of asthma in China. The China Asthma and Risk factors Epidemiologic (CARE) survey was designed to understand the prevalence and risk factors for asthma in mainland China. Objectives: The CARE survey aims to demonstrate the prevalence and risk factors of asthma in mainland China among adolescents (age > 14 years) and adults. Methods: The survey was performed between February 2010 and August 2012 in eight provinces/cities of seven areas in mainland China. The inhabitants (age, > 14 years) recruited in this survey were through multi-stage cluster random sampling. Asthma diagnosis was based on medical history and lung function tests. Multivariable logistic regression was used to analyzed the risk factors for asthma. Results: The study included 164 215 subjects (men, 79 692 [48.53%]; women, 84 523 [51.47%]). 2034 (1.24%) were asthmatic patients. Among all asthmatic patients, 521 (25.61%) were newly diagnosed. Univariable regression analysis showed that risk factors for asthma included smoking, first-degree relatives with asthma, allergic rhinitis, chronic bronchitis, COPD, pollinosis, allergic pneumonia, concomitant allergic diseases, BMI and raising pets. Multivariable logistic regression indicated that asthma risk factors included women, age stratification, smoking, first-degree relatives suffering from asthma or pollinosis, combined with allergic rhinitis, eczema or GERD. Conclusions: We speculated that the prevalence of asthma is increasing in mainland China among individuals aged > 14 years in the past 10 years. A number of risk factors were identified. The risk factors of asthma would be further elucidated in our future work. Clinical implications: Our CARE study highlights that asthma epidemic in mainland China should be paid more attention.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统 3 区 呼吸系统
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 心脏和心血管系统 3 区 呼吸系统
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出版当年[2016]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 RESPIRATORY SYSTEM
最新[2023]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2016版] 出版当年五年平均[2012-2016] 出版前一年[2015版] 出版后一年[2017版]

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第一作者单位: [a]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China [*1]Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital,National Clinical Research Center for Respiratory Diseases, No 2, East Yinghua Road, Chaoyang District, Beijing, 100029, China.
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通讯机构: [a]Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China [*1]Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital,National Clinical Research Center for Respiratory Diseases, No 2, East Yinghua Road, Chaoyang District, Beijing, 100029, China.
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