An epidemiological study of asthma and its risk factors in school going children in Bhavnagar city, Gujarat, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20182150Keywords:
Asthma, Prevalence, Gender, Passive smoking, Multiple logistic regression, Adjusted odds ratioAbstract
Background: Asthma is a common disease worldwide with significant ethnic and regional variations. This study will provide evidence about the prevalence of asthma and will highlight level of problem in community. The objective of the study was to estimate prevalence of asthma and determine the presence of environmental risk factors among children with asthma.
Methods: This study was conducted in school-going children of standard 5 to 8 in Bhavnagar city in 2015. Sample size was 1428. All schools of Bhavnagar city were listed and required number of schools were selected randomly and approached for consent. Study forms were filled up by personal interview and physical examination followed by house to house visits. Data entry and analysis were done using software Epi info 7. Chi square test was calculated. Multiple logistic regression was carried out by backward step-wise Likelihood Ratio (LR) method. Adjusted OR for significant variable was then calculated.
Results: Total prevalence of asthma was 9% (129/1428). Out of these, 61.18% were female and 38.82% were male children. It was found 36.43% in age group of 11 years and 47.3% in children of lower socio economic class. The adjusted odds ratio for male gender was 0.631 and for smoking were 2.353.
Conclusions: Female children are 1.58 times more likely to develop asthma than male children. Children whose family members smoke are 2.35 times more likely to develop asthma.
References
Asthma guidelines.pdf. Available at: http://www.indiachest.org/pdf_files/Asthma%20guidelines.pdf. Accessed on 31 July 2015.
Available at: http://sphinxsai.com/vol3.no2/pharm/ pharmpdf/PT=49(934-937)AJ11.pdf. Accessed on 1 August 2015.
Masoli M, Fabian D, Holt S, Beasley R, Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee Report. Allergy. 2004;59(5):469–78.
WHO. Bronchial asthma. WHO. Available at: http://www.who.int/mediacentre/factsheets/fs206/en/ Accessed on 13 September 2015.
George CE, Chopra H, Garg SK, Bano T, Jain S, Kumar A. Early childhood determinants of bronchial asthma: a cross-sectional study from western Uttar Pradesh. Int J Contemp Pediatr. 2014;1:160-3.
Lai CKW, Beasley R, Crane J, Foliaki S, Shah J, Weiland S, et al. Global variation in the prevalence and severity of asthma symptoms: phase three of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 2009;64(6):476–83.
Sharma CM. Prevalence of asthma in school children of rural areas of Kanpur, Uttar Pradesh. JEMDS. 2013;29(2):5298-01.
Iact07i1p15.pdf. Available at: http://medind.nic.in/ iac/t07/i1/iact07i1p15.pdf Accessed on 26 August 2015.
Jain A. Prevalence of Bronchial Asthma in Rural Indian Children: A Cross Sectional Study from South India. Indian J Pediatr. 2010;77(1):31–5.
Kumar GS, Roy G, Subitha L, Sahu SK. Prevalence of bronchial asthma and its associated factors among school children in urban Puducherry, India. J Nat Sci Biol Med. 2014;5(1):59–62.
Prevalence of Asthma in Urban School Children in Jaipur, Rajasthan. Available at: http://www. indianpediatrics.net/oct2012/oct-835-836.htm. Accessed on 13 April 2014.
Cheraghi M, Dadgarinejad A, Salvi S, Cheraghi M, Dadgarinejad A, Salvi S. A Cross-Sectional Study to Find Prevalence and Risk Factors for Childhood Asthma. 2012;2012:361456.
Al-Dawood KM. Schoolboys with bronchial asthma in Al-Khobar City, Saudi Arabia: are they at increased risk of school absenteeism? J Asthma Off J Assoc Care Asthma. 2002;39(5):413–20.
Moncayo AL, Vaca M, Oviedo G, Erazo S, Quinzo I, Fiaccone RL, et al. Risk factors for atopic and non-atopic asthma in a rural area of Ecuador. Thorax. 2010;65(5):409–16.
Shibi Chakravarthy RBS. Prevalence of bronchial asthma in urban and rural children in Tamil Nadu, India. Natl Med J India. 2002;15(5):260–3.
Stout JW, White LC, Redding GJ, Morray BH, Martinez PE, Gergen PJ. Differences in asthma prevalence between samples of American Indian and Alaska Native children. Public Health Rep Wash DC 1974. 2001;116(1):51–7.
Pokharel PK, Kabra SK, Kapoor SK, Pandey RM. Risk factors associated with bronchial asthma in school going children of rural Haryana. Indian J Pediatr. 2001;68(2):103–6.