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


6,2

93,8 97,6

2,40,9

99,1

• Self-reported (p < 0,001):

ResultsAllergic Eczema


31,4

68,6 95,9

4,121,4

78,6

• Self-reported (p < 0,035):

ResultsHay-fever:


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):


and circumstances


18,1

81,9 85,9

14,1

missing

• By cigarette or tobacco smoke (p < 0,05):


and circumstances


21,4

78,6 85,9

14,112,1

87,9

• By strong smelling scents, parfumes etc. (p < 0,001):


and circumstances


10,5

89,5 95,9

4,11,9

98,1

• By pollen (p = 0,01):


and circumstances


12,4

87,6 95,9

4,17

93

• By furred animals (p = 0,011):


and circumstances


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):



19,5

80,5 91,8

8,214,4

85,6

• 5-14 cigarettes per day (p<0,01):



7,6

92,4 90,6

9,41,9

98,1

• >14 cigarettes per day (p<0,01):



1,9

98,1 94,7

5,30,4

99,6

• Exposed to smoke at home (p<0,001):

ResultsSmoking habbits

13


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


• Differences East / West Germany

– Lifestyle differences (nutrition, housing conditions)– Environmental factors (travel habits, air pollution)– Access to child- and healthcare


• Differences between East and West Germany in 1991 and 1995


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


• Climate


main points

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