0181/2015 - Prevalência e fatores associados à asma em escolares de Montes Claros, MG, Brasil. Asthma prevalence and associated factors in students from Montes Claros, MG, Brazil
• Paula Quadros Marques - Marques, Paula Quadros - Universidade Estadual de Montes Claros, Mestrado Profissional em Cuidados Primários - <paulaqmarques@yahoo.com.br>
Investigou-se a prevalência de asma e fatores relacionados ao seu desenvolvimento em escolares de 6 a 14 anos residentes em área central e periférica da cidade de Montes Claros, MG e cadastrados no programa Estratégia da Saúde da Família. Na primeira etapa, aplicou-se o questionário escrito padrão do através de questionários do ISSAC (International Study of Asthma and Allergies in Childhood) para coleta de dados pessoais, renda e prevalência de asma, rinite alérgica e eczema (N=1131). Na segunda etapa (estudo do tipo caso-controle) dividiu-se a amostra em asmáticos (A; N=172) e não asmáticos (NA; N=379) avaliar-se potenciais fatores associados à ocorrência de asma na população utilizando-se o questionário complementar do ISAAC fase II. Realizou-se também teste cutâneo de hipersensibilidade imediata (TCHI) e parasitológico. As razões de probabilidade (RP) estimadas por análise multivariada mostraram que os casos de asma estavam relacionados à frequência a jardim de infância (RP=1,67), tabagismo intradomiciliar (RP=1,53), antecedente familiar (RP=3,02), rinite (RP=3,35) e resposta positiva ao TCHI (RP=2,48). Conclui-se que na população estudada a prevalência da asma não está apenas relacionada à predisposição genética, mas também é associada ao histórico do indivíduo, sua condição social, exposição a poluentes como fumaça de tabaco e resposta positiva a alérgenos.
Palavras-chave:
Asma
Alérgenos
Rinite
Eczema
Abstract:
It investigated the prevalence of asthma and factors associated to its development in students aged 6 to 14 years old, living in the metropolitan and suburban areas of Montes Claros, MG, and attending the program Estratégia da Saúde da Família. In the first phase, the standard ISSAC (International Study of Asthma and Allergies in Childhood) questionnaire was administered to obtain data on personal characteristics, income and prevalence of asthma, rhinitis and eczema (N=1131). In the second phase (case-control study), the subjects were divided into asthmatic (A; N=230) and non-asthmatic (NA; N=379) groups and the factors that can be associated to asthma development were assessed using the complimentary (phase II) ISAAC questionnaire. The subjects were also subjected to immediate hypersensitivity skin test (TCHI) and parasitological examination. The odds ratios (OR) estimated by multivariate analysis showed that asthma prevalence was associated with attendance in kindergarten (OR=1.67), residents smoking at home (OR=1.53), family history (OR=3.02), rhinitis (OR=3.35) and positive response to the TCHI test (OR=2.48). In conclusion, asthma prevalence in the population studied is associated not only with genetic predisposition but also individual history, social condition, exposure to pollutants such as tobacco smoke and positive response to allergens.
Asthma prevalence and associated factors in students from Montes Claros, MG, Brazil
Resumo (abstract):
It investigated the prevalence of asthma and factors associated to its development in students aged 6 to 14 years old, living in the metropolitan and suburban areas of Montes Claros, MG, and attending the program Estratégia da Saúde da Família. In the first phase, the standard ISSAC (International Study of Asthma and Allergies in Childhood) questionnaire was administered to obtain data on personal characteristics, income and prevalence of asthma, rhinitis and eczema (N=1131). In the second phase (case-control study), the subjects were divided into asthmatic (A; N=230) and non-asthmatic (NA; N=379) groups and the factors that can be associated to asthma development were assessed using the complimentary (phase II) ISAAC questionnaire. The subjects were also subjected to immediate hypersensitivity skin test (TCHI) and parasitological examination. The odds ratios (OR) estimated by multivariate analysis showed that asthma prevalence was associated with attendance in kindergarten (OR=1.67), residents smoking at home (OR=1.53), family history (OR=3.02), rhinitis (OR=3.35) and positive response to the TCHI test (OR=2.48). In conclusion, asthma prevalence in the population studied is associated not only with genetic predisposition but also individual history, social condition, exposure to pollutants such as tobacco smoke and positive response to allergens.
Coelho, Magna Adaci de Quadros, Solé, D, Siveira, M.F, Marques, Paula Quadros, Pinho, L.. Prevalência e fatores associados à asma em escolares de Montes Claros, MG, Brasil.. Cien Saude Colet [periódico na internet] (2015/ago). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-e-fatores-associados-a-asma-em-escolares-de-montes-claros-mg-brasil/15253?id=15253&id=15253
