Download - Main points
International medical students project (IMSP)
Results of the questionaireAsthma and Allergies 2002
Szczecin (Poland), Lund (Sweden), Greifswald (Germany)
• Questionaire• Results
– Asthma– Chronical Bronchitis and Emphysema– Allergic eczema– Hay fever– Respiratory symtoms due to different exposures– Smoking habits
• Discussion
Main points
Questionaire
• revised version of the British Medical Research Council Questionaire (1960)– Sweden 1998– Estonia, Finnland, Sweden 1998
• planned april 2002• participants 595• statistical methods:
2- Test– Considered significant p < 0,05
Questionaire
Sweden 215
Germany 210
Poland 170
• Self-reported Asthma (no significant differentces)
– Germany 10%– Sweden 7,4%– Poland 5,9%
• Diagnosed with Asthma by a Physician (Differences not significant):– Germany 9%– Sweden 5,6%– Poland 6,5%
ResultsAsthma
• Self-reported CBE (p < 0,05):
• Diagnosed with CBE by a Physician (p < 0,07):
ResultsChronical Bronchitis and Emphysema
Germany Sweden Poland
4,8
95,2 97,6
2,40,9
99,1
Germany Sweden Poland
6,2
93,8 97,6
2,40,9
99,1
• Self-reported (p < 0,001):
ResultsAllergic Eczema
Germany Sweden Poland
31,4
68,6 95,9
4,121,4
78,6
• Self-reported (p < 0,035):
ResultsHay-fever:
Germany Sweden Poland
20,5
79,5 80,6
19,429,3
70,7
• Differences between gender:
Female vsMale
Germany 16,9% 27,9%Sweden 25% 32,6%Poland 20,2% 17,8%
ResultsHay-fever
• Symtomes (not significant):
– On effort 8-16%– In cold weather 8%– In cold and foggy weather 0.6-6%– Car exhaust fumes 5-8%– By stress 3-7%
• Difference between gender?
ResultsRespiratory symtoms due to different exposures
and circumstances
• From dust (p < 0,01):
ResultsRespiratory symtoms due to different exposures
and circumstances
Germany Sweden Poland
18,1
81,9 85,9
14,1
missing
• By cigarette or tobacco smoke (p < 0,05):
ResultsRespiratory symtoms due to different exposures
and circumstances
Germany Sweden Poland
21,4
78,6 85,9
14,112,1
87,9
• By strong smelling scents, parfumes etc. (p < 0,001):
ResultsRespiratory symtoms due to different exposures
and circumstances
Germany Sweden Poland
10,5
89,5 95,9
4,11,9
98,1
• By pollen (p = 0,01):
ResultsRespiratory symtoms due to different exposures
and circumstances
Germany Sweden Poland
12,4
87,6 95,9
4,17
93
• By furred animals (p = 0,011):
ResultsRespiratory symtoms due to different exposures
and circumstances
Germany Sweden Poland
9,5
90,5 97,6
2,45,1
94,9
• No significance:
– less then 5 cigarettes per day 5-12%– ex-smokers 9-17%
ResultsSmoking habits
• Smokers (p<0,01):
ResultsSmoking habits
Germany Sweden Poland
19,5
80,5 91,8
8,214,4
85,6
• 5-14 cigarettes per day (p<0,01):
ResultsSmoking habits
Germany Sweden Poland
7,6
92,4 90,6
9,41,9
98,1
• >14 cigarettes per day (p<0,01):
ResultsSmoking habits
Germany Sweden Poland
1,9
98,1 94,7
5,30,4
99,6
• Exposed to smoke at home (p<0,001):
ResultsSmoking habbits
13
Germany Sweden Poland
38,1
61,9
missing
87
• Special profile of study
• Results in comparison to other studies
Discussion
01020304050607080
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
• Participant`s age
DiscussionProfile of the study
• Social status
• Income
• Differences Eastern and Western Europe
DiscussionProfile of the study
• Differences East / West Germany
– Lifestyle differences (nutrition, housing conditions)– Environmental factors (travel habits, air pollution)– Access to child- and healthcare
DiscussionProfile of the study
• Differences between East and West Germany in 1991 and 1995
DiscussionProfile of the study
012345
1991 1995012345
1991 1995
Asthma attack prevalence Diagnosed with Asthma
% %
• Higher life standard assosiated positively with hay fever, atopy (and eczema)
• Lower life standard assosiated with – worse management of Asthma– higher exacerbation rates of Asthma– increased Asthma mortality
DiscussionProfile of the study
• Higher life standard assosiated positively with hay fever, atopy (and eczema)
• Lower life standard assosiated with – worse management of Asthma– higher exacerbation rates of Asthma– increased Asthma mortality
DiscussionProfile of the study
• Climate
DiscussionProfile of the study