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Epidemiology and burden of rhinitis and rhinoconjunctivitis in 9- to 11-year-old children.
Am J Rhinol Allergy. 2010 Sep-Oct; 24(5):364-70.AJ

Abstract

BACKGROUND

Rhinoconjunctivitis (RC) is regarded as the most common chronic disease of childhood; however, the currently available epidemiological studies on prevalence, burden, and risk factors of RC are insufficient. This analysis aimed to investigate potential risk factors, symptom frequency, and burden of RC.

METHODS

Using the International Study of Asthma and Allergies in Childhood Phase II questionnaires, 6963 elementary school children aged 9-11 years were surveyed in five different city centers of Turkey. All participants were skin-prick tested with common aeroallergens.

RESULTS

The prevalence of ever rhinitis, physician-diagnosed rhinitis, current rhinitis, and current RC were 51.6, 31.0, 43.5, and 23.1%, respectively; 19.8% of children with RC symptoms were atopic to at least one allergen. Among students with RC symptoms, 42.2, 23.9, 35.8, and 28.2% reported moderate-severe interference of daily activities, at least 1 day of absence from school, visit to a health care professional, and any drug usage for rhinitis, respectively. Nasal decongestants and oral antihistamines were the most frequently used treatment. Approximately 70% of RC patients reported perennial symptoms and 42.8% were classified as mild to intermittent. Multivariate logistic regression analysis revealed family history of asthma and/or allergic rhinitis (odds ratio [OR] = 1.863; confidence interval, [CI] = 1.583-2.191; p < 0.001), living in a house with mold and dampness in the 1st year of life (OR = 1.651; CI = 1.356-2.01; p < 0.001), maternal smoking in pregnancy (OR = 1.425; CI = 1.089-1.864; p = 0.011), low monthly income (OR = 1.685; CI = 1.422-1.998; p = 0.001), current wheezing (OR = 2.543; CI = 2.151-3.006; p = 0.001), and current atopic eczema (OR = 2.503; CI = 1.96-3.196; p = 0.001) as significant risk factors for current RC.

CONCLUSION

Along with the high prevalence of RC in childhood, underdiagnosis and undertreatment of the disease are also frequent. The socioeconomic burden of the disease can be reduced by increasing awareness and proper diagnosis/treatment.

Authors+Show Affiliations

Hacettepe University, Ankara, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20579411

Citation

Civelek, Ersoy, et al. "Epidemiology and Burden of Rhinitis and Rhinoconjunctivitis in 9- to 11-year-old Children." American Journal of Rhinology & Allergy, vol. 24, no. 5, 2010, pp. 364-70.
Civelek E, Yavuz ST, Boz AB, et al. Epidemiology and burden of rhinitis and rhinoconjunctivitis in 9- to 11-year-old children. Am J Rhinol Allergy. 2010;24(5):364-70.
Civelek, E., Yavuz, S. T., Boz, A. B., Orhan, F., Yuksel, H., Uner, A., Cakir, B., & Sekerel, B. E. (2010). Epidemiology and burden of rhinitis and rhinoconjunctivitis in 9- to 11-year-old children. American Journal of Rhinology & Allergy, 24(5), 364-70. https://doi.org/10.2500/ajra.2010.24.3484
Civelek E, et al. Epidemiology and Burden of Rhinitis and Rhinoconjunctivitis in 9- to 11-year-old Children. Am J Rhinol Allergy. 2010 Sep-Oct;24(5):364-70. PubMed PMID: 20579411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Epidemiology and burden of rhinitis and rhinoconjunctivitis in 9- to 11-year-old children. AU - Civelek,Ersoy, AU - Yavuz,Suleyman Tolga, AU - Boz,Aysen Bingol, AU - Orhan,Fazil, AU - Yuksel,Hasan, AU - Uner,Abdurrahman, AU - Cakir,Banu, AU - Sekerel,Bulent E, Y1 - 2010/06/24/ PY - 2010/6/29/entrez PY - 2010/6/29/pubmed PY - 2011/4/26/medline SP - 364 EP - 70 JF - American journal of rhinology & allergy JO - Am J Rhinol Allergy VL - 24 IS - 5 N2 - BACKGROUND: Rhinoconjunctivitis (RC) is regarded as the most common chronic disease of childhood; however, the currently available epidemiological studies on prevalence, burden, and risk factors of RC are insufficient. This analysis aimed to investigate potential risk factors, symptom frequency, and burden of RC. METHODS: Using the International Study of Asthma and Allergies in Childhood Phase II questionnaires, 6963 elementary school children aged 9-11 years were surveyed in five different city centers of Turkey. All participants were skin-prick tested with common aeroallergens. RESULTS: The prevalence of ever rhinitis, physician-diagnosed rhinitis, current rhinitis, and current RC were 51.6, 31.0, 43.5, and 23.1%, respectively; 19.8% of children with RC symptoms were atopic to at least one allergen. Among students with RC symptoms, 42.2, 23.9, 35.8, and 28.2% reported moderate-severe interference of daily activities, at least 1 day of absence from school, visit to a health care professional, and any drug usage for rhinitis, respectively. Nasal decongestants and oral antihistamines were the most frequently used treatment. Approximately 70% of RC patients reported perennial symptoms and 42.8% were classified as mild to intermittent. Multivariate logistic regression analysis revealed family history of asthma and/or allergic rhinitis (odds ratio [OR] = 1.863; confidence interval, [CI] = 1.583-2.191; p < 0.001), living in a house with mold and dampness in the 1st year of life (OR = 1.651; CI = 1.356-2.01; p < 0.001), maternal smoking in pregnancy (OR = 1.425; CI = 1.089-1.864; p = 0.011), low monthly income (OR = 1.685; CI = 1.422-1.998; p = 0.001), current wheezing (OR = 2.543; CI = 2.151-3.006; p = 0.001), and current atopic eczema (OR = 2.503; CI = 1.96-3.196; p = 0.001) as significant risk factors for current RC. CONCLUSION: Along with the high prevalence of RC in childhood, underdiagnosis and undertreatment of the disease are also frequent. The socioeconomic burden of the disease can be reduced by increasing awareness and proper diagnosis/treatment. SN - 1945-8932 UR - https://www.unboundmedicine.com/medline/citation/20579411/Epidemiology_and_burden_of_rhinitis_and_rhinoconjunctivitis_in_9__to_11_year_old_children_ L2 - https://journals.sagepub.com/doi/10.2500/ajra.2010.24.3484?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -