TY - JOUR
T1 - Prevalence, associated factors, and impact of adolescent asthma in Taiwan
T2 - Global Asthma Network phase I survey
AU - Su, Kuan Wen
AU - Yan, Dah Chin
AU - Ou, Liang Shiou
AU - Lin, Li Lun
AU - Wu, Chao Yi
AU - Huang, Shu Jung
AU - Yao, Tsung Chieh
AU - Yeh, Kuo Wei
AU - Huang, Jing Long
N1 - © 2023 The Author(s).
PY - 2023/7
Y1 - 2023/7
N2 - BACKGROUND: The prevalence of asthma in Taiwan was increasing in the past 30 years, causing a great impact on adolescent health. This study aimed to investigate the current prevalence, impact, and associated factors of asthma in Taiwanese adolescents.MATERIAL AND METHODS: Parents or guardians provided passive consent at home prior to the survey. Adolescents aged 13-14 years completed a questionnaire survey in 2017 in Taipei, Taiwan. The prevalence, impact, and associated factors of asthma were analyzed. We also compared the asthma prevalence with the prevalence in 1995 and 2001.RESULTS: We analyzed 3474 validated questionnaires. The prevalence of physician-diagnosed asthma was 12.4%. The prevalence of current wheezing was 9.2% in 2017, which was 5.2% in 1995 and 7.0% in 2001. 3.3% of 13-14-year-old adolescents had severe asthma symptoms. Asthma significantly impacted the lives of adolescents. Of the students with asthma, 10.9% had school absenteeism, 16.5% urgently needed to see a doctor, 9.5% went to the emergency department, and 3.5% were admitted to hospitals within the preceding 12 months. The associated factors for physician-diagnosed asthma in Taiwanese adolescents were male (prevalence ratio [PR], 1.38; 95% confidence interval [CI], 1.05-1.83;
p = 0.02), maternal history of asthma (PR, 2.61; 95% CI, 1.69-4.02;
p < 0.01), and recent paracetamol use at least once per month (PR, 2.60; 95% CI, 1.24-5.42;
p = 0.01). The associated factors for school absenteeism were nocturnal cough (PR, 1.99; 95% CI, 1.16-3.41;
p = 0.01), current wheezing (PR, 7.52; 95% CI, 4.39-12.9;
p < 0.01), and recent paracetamol use (at least once per month, PR, 3.16; 95% CI, 1.10-9.06;
p = 0.03; at least once per year, PR, 2.19; 95% CI, 1.25-3.83;
p < 0.01).
CONCLUSIONS: The prevalence of physician-diagnosed asthma was 12.4%. Asthma substantially impacted the lives of adolescents. Reducing nocturnal cough, wheezing frequency, and paracetamol usage might help decrease school absenteeism.
AB - BACKGROUND: The prevalence of asthma in Taiwan was increasing in the past 30 years, causing a great impact on adolescent health. This study aimed to investigate the current prevalence, impact, and associated factors of asthma in Taiwanese adolescents.MATERIAL AND METHODS: Parents or guardians provided passive consent at home prior to the survey. Adolescents aged 13-14 years completed a questionnaire survey in 2017 in Taipei, Taiwan. The prevalence, impact, and associated factors of asthma were analyzed. We also compared the asthma prevalence with the prevalence in 1995 and 2001.RESULTS: We analyzed 3474 validated questionnaires. The prevalence of physician-diagnosed asthma was 12.4%. The prevalence of current wheezing was 9.2% in 2017, which was 5.2% in 1995 and 7.0% in 2001. 3.3% of 13-14-year-old adolescents had severe asthma symptoms. Asthma significantly impacted the lives of adolescents. Of the students with asthma, 10.9% had school absenteeism, 16.5% urgently needed to see a doctor, 9.5% went to the emergency department, and 3.5% were admitted to hospitals within the preceding 12 months. The associated factors for physician-diagnosed asthma in Taiwanese adolescents were male (prevalence ratio [PR], 1.38; 95% confidence interval [CI], 1.05-1.83;
p = 0.02), maternal history of asthma (PR, 2.61; 95% CI, 1.69-4.02;
p < 0.01), and recent paracetamol use at least once per month (PR, 2.60; 95% CI, 1.24-5.42;
p = 0.01). The associated factors for school absenteeism were nocturnal cough (PR, 1.99; 95% CI, 1.16-3.41;
p = 0.01), current wheezing (PR, 7.52; 95% CI, 4.39-12.9;
p < 0.01), and recent paracetamol use (at least once per month, PR, 3.16; 95% CI, 1.10-9.06;
p = 0.03; at least once per year, PR, 2.19; 95% CI, 1.25-3.83;
p < 0.01).
CONCLUSIONS: The prevalence of physician-diagnosed asthma was 12.4%. Asthma substantially impacted the lives of adolescents. Reducing nocturnal cough, wheezing frequency, and paracetamol usage might help decrease school absenteeism.
KW - Adolescent
KW - Asthma
KW - Asthma/epidemiology
KW - Cross-sectional studies
KW - Disease attributes
KW - Epidemiology/asthma/prevalence
KW - Humans
KW - Taiwan
UR - http://www.scopus.com/inward/record.url?scp=85165070816&partnerID=8YFLogxK
U2 - 10.1016/j.waojou.2023.100794
DO - 10.1016/j.waojou.2023.100794
M3 - 文章
C2 - 37497258
AN - SCOPUS:85165070816
SN - 1939-4551
VL - 16
SP - 100794
JO - World Allergy Organization Journal
JF - World Allergy Organization Journal
IS - 7
M1 - 100794
ER -