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Differences in the prevalence of asthma and current wheeze between Jews and Arabs: results from a national survey of schoolchildren in Israel.
Ann Allergy Asthma Immunol. 2002 Oct; 89(4):386-92.AA

Abstract

BACKGROUND

There is evidence that the prevalence of asthma is higher in Jewish schoolchildren than in Arab schoolchildren. It is not clear to what extent other risk factors explain these differences.

OBJECTIVE

To evaluate whether the population group differences in the prevalence of asthma and current wheeze remain after adjustment for several potential risk factors.

METHODS

A national survey of 10,057 13- to 14-year-old schoolchildren was carried out in Israel in 1997. There were 7,436 Jewish children and 2,621 Arab children. Differences in the two population groups were examined while controlling for demographic and environmental factors such as: sex, parental education, parental smoking and asthma, crowding, and presence of older siblings.

RESULTS

The prevalence of asthma and current wheeze was significantly higher in Jewish children compared with Arab children. The asthma prevalence was 7.8% for Jewish children and 4.9% for Arab children (P = 0.001), and prevalence of current wheeze was 20.7 and 10.1%, respectively (P = 0.001). After adjustment for demographic and environmental factors, the prevalence of asthma and current wheeze was still increased in the Jewish population (odds ratios: 1.51; 95% confidence interval [CI] = 1.06 to 2.15; 2.15 95% CI = 1.70 to 2.73, respectively). History of asthma in parents and residence in a rural area were significant risk factors for asthma and current wheeze. In addition, the presence of less than three older siblings was a significant risk factor for asthma, and female sex, ever having pets, and maternal smoking were significantly associated with current wheeze.

CONCLUSIONS

The differences between Jewish and Arab children were not explained by the studied factors. Genetic factors, different environmental exposure, and nutritional habits should be studied to further explain the differences between these populations.

Authors+Show Affiliations

The Israel Center for Disease Control, Israel Ministry of Health, Tel-Hashomer. tamar.s@icdc.health.gov.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12392383

Citation

Shohat, Tamy, et al. "Differences in the Prevalence of Asthma and Current Wheeze Between Jews and Arabs: Results From a National Survey of Schoolchildren in Israel." Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, vol. 89, no. 4, 2002, pp. 386-92.
Shohat T, Green MS, Davidson Y, et al. Differences in the prevalence of asthma and current wheeze between Jews and Arabs: results from a national survey of schoolchildren in Israel. Ann Allergy Asthma Immunol. 2002;89(4):386-92.
Shohat, T., Green, M. S., Davidson, Y., Livne, I., Tamir, R., & Garty, B. Z. (2002). Differences in the prevalence of asthma and current wheeze between Jews and Arabs: results from a national survey of schoolchildren in Israel. Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, 89(4), 386-92.
Shohat T, et al. Differences in the Prevalence of Asthma and Current Wheeze Between Jews and Arabs: Results From a National Survey of Schoolchildren in Israel. Ann Allergy Asthma Immunol. 2002;89(4):386-92. PubMed PMID: 12392383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in the prevalence of asthma and current wheeze between Jews and Arabs: results from a national survey of schoolchildren in Israel. AU - Shohat,Tamy, AU - Green,Manfred S, AU - Davidson,Yael, AU - Livne,Irit, AU - Tamir,Rami, AU - Garty,Ben-Zion, PY - 2002/10/24/pubmed PY - 2002/11/26/medline PY - 2002/10/24/entrez SP - 386 EP - 92 JF - Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology JO - Ann Allergy Asthma Immunol VL - 89 IS - 4 N2 - BACKGROUND: There is evidence that the prevalence of asthma is higher in Jewish schoolchildren than in Arab schoolchildren. It is not clear to what extent other risk factors explain these differences. OBJECTIVE: To evaluate whether the population group differences in the prevalence of asthma and current wheeze remain after adjustment for several potential risk factors. METHODS: A national survey of 10,057 13- to 14-year-old schoolchildren was carried out in Israel in 1997. There were 7,436 Jewish children and 2,621 Arab children. Differences in the two population groups were examined while controlling for demographic and environmental factors such as: sex, parental education, parental smoking and asthma, crowding, and presence of older siblings. RESULTS: The prevalence of asthma and current wheeze was significantly higher in Jewish children compared with Arab children. The asthma prevalence was 7.8% for Jewish children and 4.9% for Arab children (P = 0.001), and prevalence of current wheeze was 20.7 and 10.1%, respectively (P = 0.001). After adjustment for demographic and environmental factors, the prevalence of asthma and current wheeze was still increased in the Jewish population (odds ratios: 1.51; 95% confidence interval [CI] = 1.06 to 2.15; 2.15 95% CI = 1.70 to 2.73, respectively). History of asthma in parents and residence in a rural area were significant risk factors for asthma and current wheeze. In addition, the presence of less than three older siblings was a significant risk factor for asthma, and female sex, ever having pets, and maternal smoking were significantly associated with current wheeze. CONCLUSIONS: The differences between Jewish and Arab children were not explained by the studied factors. Genetic factors, different environmental exposure, and nutritional habits should be studied to further explain the differences between these populations. SN - 1081-1206 UR - https://www.unboundmedicine.com/medline/citation/12392383/Differences_in_the_prevalence_of_asthma_and_current_wheeze_between_Jews_and_Arabs:_results_from_a_national_survey_of_schoolchildren_in_Israel_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1081-1206(10)62040-6 DB - PRIME DP - Unbound Medicine ER -