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Prevalence and Features of Asthma in Young Adults in Urban Areas of Argentina
Authors:Sergio J Arias  Hugo Neffen  Juan Carlos Bossio  Carina A Calabrese  Alejandro J Videla  Gustavo A Armando  Joseph M Antó
Affiliation:1. Instituto Nacional de Enfermedades Respiratorias Dr. Emilio Coni, Administración Nacional de Laboratorios e Institutos de Salud (ANLIS) Carlos Malbran, Ministerio de Salud de la Nación, Santa Fe, Argentina;2. Centro de Alergia, Inmunología y Enfermedades Respiratorias, Santa Fe, Argentina;3. Programa Nacional de Prevención y Control de Enfermedades Respiratorias Crónicas, Dirección de Promoción de la Salud y Control de Enfermedades No Transmisibles, Ministerio de Salud de la Nación Argentina, Buenos Aires, Argentina;4. Servicio de Neumonología, Hospital Universitario Austral, Pilar, Argentina;5. Instituto de Salud Global de Barcelona (ISGlobal), Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain;6. Hospital del Mar Medical Research Institute, Barcelona, Spain;7. Universitat Pompeu Fabra (UPF), Barcelona, Spain;8. Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
Abstract:

Objective

To investigate the burden of asthma in a young adult population in urban areas of Argentina.

Design

A nationwide telephone survey in subjects aged 20–44 years was performed in urban areas in Argentina. The European Community Respiratory Health Survey questionnaire was used. Asthma was defined as an exacerbation in the last year or use of asthma medications.

Results

In total, 1521 subjects responded (62.4% females, mean age 33 years), of whom 91 were classified as asthmatics (5.9%, 95% CI 4.7–7.1). Prevalence adjusted for age, sex and education level was 6.4% (95% CI 5.1–7.7). Wheezing was reported by 13.9% (95% CI 15.6–12.2) and a diagnosis of asthma by 9.5% (95% CI 8.0–11.0). Among individuals with a diagnosis of asthma (n=154), 71.3% had undergone spirometry. Among those treated (n=77), 51.9% used medications daily and 46.8% as a rescue measure. Of those reporting an exacerbation in the last year (n=60), 55% had attended an emergency department and 23% were admitted. Asthma was associated with rhinitis (OR 11.1, 95% CI 6.2–19.9) and family history (OR 3.6, 95% CI 2.3–5.5).

Conclusion

Asthma prevalence in young adults in Argentina is similar to Europe. Although attacks and admissions were common, regular use of medications was reported by half of those treated. These results may be useful for other Latin American countries.
Keywords:Asthma  Prevalence of asthma  Asthma in young adults  Asma  Prevalencia de asma  Asma en adultos jóvenes
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