Prevalence of Childhood Allergic Diseases in Central Taiwan over the Past 15 Years
Article Outline
Background
The prevalence of asthma, allergic rhinitis and atopic eczema in children from the developed and developing countries has been increasing.
Methods
Three epidemiological surveys of the prevalence of bronchial asthma, allergic rhinitis and atopic eczema in schoolchildren in Taichung, located in central Taiwan, were conducted in 1987, 1994, and 2002. The first questionnaire was used before the International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire was developed; the last two surveys were modified using ISAAC questionnaires.
Results
A total of 37,801, 75,960, and 11,580 children were studied in 1987, 1994 and 2002, respectively. The prevalence of allergic diseases had increased in the past two decades. Results indicate that the prevalence of bronchial asthma had risen, from 2.19% in 1987, and 3.54% in 1994, to 6.99% in 2002. Regardless of sex, the prevalence of bronchial asthma decreased with increasing age. The prevalence of allergic rhinitis was 5.1% in 1987, 12.46% in 1987, and 27.59% in 2002, and the prevalence of atopic eczema was 1.10% in 1987, 1.88% in 1994, and 3.35% in 2002.
Conclusion
There has been a significant increase in the prevalence of bronchial asthma, allergic rhinitis and atopic dermatitis in Taichung schoolchildren from 1987 to 2002.
Key Words: allergic rhinitis , asthma , atopic eczema , ISAAC , prevalence
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References
- . National prevalence of respiratory allergic disorders . Resp Med . 2004;98:398–403
- . The characteristics of bronchial asthma among a young adult population . Chest . 1995;108:24–27
- . Prevalence rates of asthma in developing countries and their comparison with those in Europe and North America . Chest . 1997;91(Suppl):97–103
- . Prevalence of childhood asthma in Taipei, Taiwan, and other Asian Pacific Countries . J Asthma . 1988;25:73–82
- . Effects of changing risk factors on increasing asthma prevalence in southern Taiwan . Paediatr Perinat Epidemiol . 2003;17:3–9
- . Effect of age on allergen response of allergic patients in southern Taiwan . Kaohsiung J Med Sci . 2004;20:323–329
- . The prevalence, severity and seasonal variation of asthma, rhinitis and eczema in Taiwanese schoolchildren . Pediatr Allergy Immunol . 2005;16:408–415
- . Prevalence and severity of symptoms of asthma, rhinitis, and eczema in 13-to 14-year-old children in Taipei, Taiwan . Ann Allergy Asthma Immunol . 2005;95:579–585
- . Changing prevalence of asthma in Taiwanese adolescents: two surveys 6 years apart . Pediatr Allergy Immunol . 2005;16:157–164
- . Worldwide variations in the prevalence of asthma symptoms: the International Study of Asthma and Allergies in Childhood (ISAAC) . Eur Respir J . 1998;12:315–335
- . Asthma, rhinitis and eczema in Maltese 13-15 year-old schoolchildren–prevalence, severity and associated factors [ISAAC] . Clin Exp Allergy . 1998;28:1089–1099
- . Prevalence rates of asthma in developing countries and their comparison with those in Europe and North America . Chest . 1987;91:S97–103
- . Hay fever among Japanese . Arch Otolaryngol . 1934;20:668–676
- . Mite asthma and residency . Am Rev Respir Dis . 1983;128:231–235
- . Genetics of asthma: conference summary . Am J Respir Crit Care Med . 1997;156:S69–S71
- . Respiratory symptoms and atopy in Aberdeen schoolchildren: evidence from two surveys 25 years apart . BMJ . 1992;304:873–875
- . Prevalence of asthma in Melbourne schoolchildren: changes over 26 years . BMJ . 1991;302:1116–1118
- . Time trend of asthma prevalence among school children in Taiwan: ISAAC phase I and III surveys . Pediatr Allergy Immunol . 2007;18:188–195
- . Risk factors for pediatric asthma. Contributions of poverty, race, and urban residence . Am J Respir Crit Care Med . 2000;162:873–877
- . The relationship of air pollution to the prevalence of allergic diseases in Taichung and Chu-Shan in 2002 . J Microbiol Immunol Infect . 2005;38:123–126
- Role of urbanization and air pollution in adolescent asthma: a mass screening in Taiwan . J Formos Med Assoc . 2001;100:649–655
- Pulmonary function changes in children associated with fine particulate matter . Environ Res . 1993;63:26–38
- . Air pollution and respiratory health among children with asthmatic or cough symptoms . Am J Respir Crit Care Med . 1997;156:546–552
- Air pollution, weather, and associated risk factors related to asthma prevalence and attack rate . Environ Res . 2007;104:402–409
- Climate, traffic-related air pollutants, and asthma prevalence in middle-school children in Taiwan . Environ Health Perspect . 1999;107:1001–1006
- . Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society. Health effects of outdoor air pollution . Am J Respir Crit Care Med . 1996;153:3–5
- . Exacerbations of childhood asthma and ozone pollution in Atlanta . Environ Res . 1994;65:56–68
- . Traffic related air pollution as a determinant of asthma among Taiwanese school children . Thorax . 2005;60:467–473
- . Asthma and allergy–disorders of civilization? . QJM . 1998;91:171–184
- . Changes in asthma prevalence: two surveys 15 years apart . Arch Dis Child . 1989;64:1452–1456
- . Secular change in the occurrence of atopic dermatitis . Acta Derm Venereol Suppl (Stockh) . 1992;176:7–12
- . The occurrence of atopic dermatitis in North Europe: an international questionnaire study . J Am Acad Dermatol . 1996;34:760–764
- . The prevalence and descriptive epidemiology of atopic dermatitis in Singapore school children . Br J Dermatol . 2002;146:101–106
- . Asthma, allergy and atopy in three southeast Asian populations . Thorax . 1994;49:1205–1210
- Prevalence of childhood and adolescent atopic dermatitis in Japanese population: comparison with the frequency examined 20 years ago . Acta Derma Venereol (Stockh) . 1998;78:293–294
- . Prevalence and relationship between allergic diseases and infectious diseases . J Microbiol Immunol Infect . 2001;34:57–62
- . Prevalence of asthma, rhinitis, and eczema from ISAAC survey of schoolchildren in central Taiwan . J Asthma . 2005;42:833–837
- . Prevalence and severity of symptoms of asthma, allergic rhinitis, and eczema in 10-to 15-year-old schoolchildren in central Taiwan . Asian Pac J Allergy Immunol . 2007;25:1–5
- . Prevalence and risk factors of childhood asthma, rhinitis and eczema in Hong Kong . J Paediatr Child Health . 1998;34:47–52
- . Childhood eczema: disease of the advantaged? . BMJ . 1994;308:1132–1135
- . Association between indoor and outdoor air pollution and adolescent asthma from 1995 to 1996 in Taiwan . Environ Res . 1999;81:239–247
PII: S1875-9572(09)60025-5
doi:10.1016/S1875-9572(09)60025-5
© 2009 Taiwan Pediatric Association. Published by Elsevier Inc. All rights reserved.
