The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria
Background: Allergic disorders have become a major public health concern worldwide. No Nigerian study has examined the epidemiology of allergic diseases among women. Aim: To document the prevalence, risk factors and the changes in the symptoms of allergic disorders during pregnancy. Settings an...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/6422/12661_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
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| author | Adewale Samson Adeyemi Adeolu Oladayo Akinboro Philip Babatunde Adebayo Moses O. Tanimowo Olugbenga Edward Ayodele |
| author_facet | Adewale Samson Adeyemi Adeolu Oladayo Akinboro Philip Babatunde Adebayo Moses O. Tanimowo Olugbenga Edward Ayodele |
| author_sort | Adewale Samson Adeyemi |
| collection | DOAJ |
| description | Background: Allergic disorders have become a major public
health concern worldwide. No Nigerian study has examined the
epidemiology of allergic diseases among women.
Aim: To document the prevalence, risk factors and the changes in
the symptoms of allergic disorders during pregnancy.
Settings and Design: Cross-sectional study conducted at the
booking and antenatal clinics of LAUTECH Teaching Hospital and
Millennium Development Goals (MDG) Clinic of the Comprehensive
Health Center, Oja Igbo, Ogbomoso, Nigeria.
Materials and Methods: Study enrolled 432 women from two
public hospitals. Sociodemographic and clinical history were
obtained and allergic disorders were diagnosed using ISAAC
questionnaires.
Results: The prevalence of wheezing, eczema and rhinitis in
pregnancy are 7.5%, 4.0% and 5.8% respectively. The prevalence
of wheezing and eczema was slightly higher among the pregnant
in past 12 months. Wheeze worsened in 70% (18/26), improved
in 15% (2/26), and stable in 15% (2/26). Eczema worsened in
50% (7/14), improved in 7.1% (1/14) and stable in 42.9% (6/14),
while allergic rhinitis worsened in 50% (11/22), improved in 22.7%
(5/22) and stabilized in 27.3 % (6/22). In multivariate analysis, the
risk of allergic diseases in pregnancy was increase 2 times by
low income earning (CI: 1.2 – 2.1, p = 0.002), low level education
(OR=0.6, CI: 0.3 – 0.9, p=0.011) and by family history of asthma,
OR-4.3, CI – 1.3 – 13.9, p=0.015. Family history of asthma increase
the chances of asthma by 18.7 times, CI-2.3 – 152.2, p=0.006,
while the odd of eczema was increased 9.1 times (CI-2.7 – 30.6,
p<0.001) and 2.4 times (CI: 1.2 – 4.7, p=0.008) by second hand
home smoking and low-family income respectively. The risk of
allergic rhinitis were raised 1.8 times by low family income (CI
1.1 – 2.8, p=0.013) and 3.9 times by family history of rhinitis (OR=
3.9, CI 1.2 – 12.7, p=0.024).
Conclusion: Prevalence of wheezing and eczema are higher in
pregnancy probably due to exacerbation induced by pregnancy.
Social and genetic factors are important risk factors for allergic
disorders in pregnancy. |
| first_indexed | 2024-12-10T18:26:37Z |
| format | Article |
| id | doaj.art-42902844cb2245e384b5e43753ba13aa |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T18:26:37Z |
| publishDate | 2015-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-42902844cb2245e384b5e43753ba13aa2022-12-22T01:38:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-09-0199OC01OC0710.7860/JCDR/2015/12661.6422The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, NigeriaAdewale Samson Adeyemi0Adeolu Oladayo Akinboro1Philip Babatunde Adebayo2Moses O. Tanimowo3Olugbenga Edward Ayodele4Associate Professor, Department of Obstetrics and Gynaecology, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria.Lecturer, Dermatology Unit, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria.Lecturer, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria.Associate Professor, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Osogbo, Osun State, Nigeria.Professor, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo State, Nigeria.Background: Allergic disorders have become a major public health concern worldwide. No Nigerian study has examined the epidemiology of allergic diseases among women. Aim: To document the prevalence, risk factors and the changes in the symptoms of allergic disorders during pregnancy. Settings and Design: Cross-sectional study conducted at the booking and antenatal clinics of LAUTECH Teaching Hospital and Millennium Development Goals (MDG) Clinic of the Comprehensive Health Center, Oja Igbo, Ogbomoso, Nigeria. Materials and Methods: Study enrolled 432 women from two public hospitals. Sociodemographic and clinical history were obtained and allergic disorders were diagnosed using ISAAC questionnaires. Results: The prevalence of wheezing, eczema and rhinitis in pregnancy are 7.5%, 4.0% and 5.8% respectively. The prevalence of wheezing and eczema was slightly higher among the pregnant in past 12 months. Wheeze worsened in 70% (18/26), improved in 15% (2/26), and stable in 15% (2/26). Eczema worsened in 50% (7/14), improved in 7.1% (1/14) and stable in 42.9% (6/14), while allergic rhinitis worsened in 50% (11/22), improved in 22.7% (5/22) and stabilized in 27.3 % (6/22). In multivariate analysis, the risk of allergic diseases in pregnancy was increase 2 times by low income earning (CI: 1.2 – 2.1, p = 0.002), low level education (OR=0.6, CI: 0.3 – 0.9, p=0.011) and by family history of asthma, OR-4.3, CI – 1.3 – 13.9, p=0.015. Family history of asthma increase the chances of asthma by 18.7 times, CI-2.3 – 152.2, p=0.006, while the odd of eczema was increased 9.1 times (CI-2.7 – 30.6, p<0.001) and 2.4 times (CI: 1.2 – 4.7, p=0.008) by second hand home smoking and low-family income respectively. The risk of allergic rhinitis were raised 1.8 times by low family income (CI 1.1 – 2.8, p=0.013) and 3.9 times by family history of rhinitis (OR= 3.9, CI 1.2 – 12.7, p=0.024). Conclusion: Prevalence of wheezing and eczema are higher in pregnancy probably due to exacerbation induced by pregnancy. Social and genetic factors are important risk factors for allergic disorders in pregnancy.https://jcdr.net/articles/PDF/6422/12661_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfallergic disorderspregnancyogbomoso |
| spellingShingle | Adewale Samson Adeyemi Adeolu Oladayo Akinboro Philip Babatunde Adebayo Moses O. Tanimowo Olugbenga Edward Ayodele The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria Journal of Clinical and Diagnostic Research allergic disorders pregnancy ogbomoso |
| title | The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria |
| title_full | The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria |
| title_fullStr | The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria |
| title_full_unstemmed | The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria |
| title_short | The Prevalence, Risk Factors and Changes in Symptoms of Self Reported Asthma, Rhinitis and Eczema Among Pregnant Women in Ogbomoso, Nigeria |
| title_sort | prevalence risk factors and changes in symptoms of self reported asthma rhinitis and eczema among pregnant women in ogbomoso nigeria |
| topic | allergic disorders pregnancy ogbomoso |
| url | https://jcdr.net/articles/PDF/6422/12661_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
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