Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart

Objectives:The International Study of Asthma and Allergies in Children (ISAAC) highlighted the presence of wide variations in asthma prevalence between and within countries. The aim of this study was to determine the changes in the prevalence of asthma and its symptoms across the different regions o...

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Main Authors: Omar A Al-Rawas, Bazdawi M Al-Riyami, Hussein Al-Kindy, Abdullah A Al-Maniri, Asya A Al-Riyami
Format: Article
Language:English
Published: Sultan Qaboos University 2008-07-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1351
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author Omar A Al-Rawas
Bazdawi M Al-Riyami
Hussein Al-Kindy
Abdullah A Al-Maniri
Asya A Al-Riyami
author_facet Omar A Al-Rawas
Bazdawi M Al-Riyami
Hussein Al-Kindy
Abdullah A Al-Maniri
Asya A Al-Riyami
author_sort Omar A Al-Rawas
collection DOAJ
description Objectives:The International Study of Asthma and Allergies in Children (ISAAC) highlighted the presence of wide variations in asthma prevalence between and within countries. The aim of this study was to determine the changes in the prevalence of asthma and its symptoms across the different regions of Oman. Methods: Two cross-sectional surveys were conducted as part of ISAAC phases I (1995) and III (2001) in two age groups (6-7 and 13-14 years) from nation-wide samples of Omani school children, with 7,067 participants in 1995 (3,893 young and 3,174 older group) and 7,879 participants in 2001 (4,126 young and 3,753 older group). Results: Over the period of six years, the Sharqiya (Eastern) region continued to have the highest prevalence of self-reported asthma diagnosis and all asthma symptoms in both age groups, with a significant increase in the prevalence of wheeze in the past 12 months (from 8.7% to 13.8%; p=0.002) and asthma diagnosis (from 13.8% to 17.8 %; p=0.046) in the young group, and a significant increase in night cough (from 21.6% to 27.8%; p=0.039) in the older group. All other regions had lower prevalence rates in 1995 in both age groups, and showed either no significant change or a decline in one or two of the self-reported asthma symptoms. The prevalence of asthma diagnosis among wheezy children remained unchanged across all regions. In addition, asthma under-diagnosis remains a problem with only 60% of children with severe wheeze reporting asthma diagnosis in both surveys. Conclusion: The geographic variation in the prevalence of self-reported of asthma symptoms among Omani school children persists with further increase in the Sharqiya region. The findings also suggest under-diagnosis and/or poor recognition of asthma which had not improved over time.
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spelling doaj.art-d7757cf08a7c4a54bc3ea36efb7499fd2022-12-21T21:21:05ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282008-07-01821571691279Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years ApartOmar A Al-Rawas0Bazdawi M Al-Riyami1Hussein Al-Kindy2Abdullah A Al-Maniri3Asya A Al-Riyami4Departments of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of OmanDepartments of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of OmanDepartments of Child Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of OmanDepartments of Family Medicine and Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of OmanDepartment of Resarch Studies, Ministry of Health, Muscat, Sultanate of OmanObjectives:The International Study of Asthma and Allergies in Children (ISAAC) highlighted the presence of wide variations in asthma prevalence between and within countries. The aim of this study was to determine the changes in the prevalence of asthma and its symptoms across the different regions of Oman. Methods: Two cross-sectional surveys were conducted as part of ISAAC phases I (1995) and III (2001) in two age groups (6-7 and 13-14 years) from nation-wide samples of Omani school children, with 7,067 participants in 1995 (3,893 young and 3,174 older group) and 7,879 participants in 2001 (4,126 young and 3,753 older group). Results: Over the period of six years, the Sharqiya (Eastern) region continued to have the highest prevalence of self-reported asthma diagnosis and all asthma symptoms in both age groups, with a significant increase in the prevalence of wheeze in the past 12 months (from 8.7% to 13.8%; p=0.002) and asthma diagnosis (from 13.8% to 17.8 %; p=0.046) in the young group, and a significant increase in night cough (from 21.6% to 27.8%; p=0.039) in the older group. All other regions had lower prevalence rates in 1995 in both age groups, and showed either no significant change or a decline in one or two of the self-reported asthma symptoms. The prevalence of asthma diagnosis among wheezy children remained unchanged across all regions. In addition, asthma under-diagnosis remains a problem with only 60% of children with severe wheeze reporting asthma diagnosis in both surveys. Conclusion: The geographic variation in the prevalence of self-reported of asthma symptoms among Omani school children persists with further increase in the Sharqiya region. The findings also suggest under-diagnosis and/or poor recognition of asthma which had not improved over time.https://journals.squ.edu.om/index.php/squmj/article/view/1351asthma, prevalencechildrenadolescentsoman.
spellingShingle Omar A Al-Rawas
Bazdawi M Al-Riyami
Hussein Al-Kindy
Abdullah A Al-Maniri
Asya A Al-Riyami
Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart
Sultan Qaboos University Medical Journal
asthma, prevalence
children
adolescents
oman.
title Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart
title_full Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart
title_fullStr Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart
title_full_unstemmed Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart
title_short Regional Variation in the Prevalence of Asthma Symptoms among Omani School Children : Comparisons from Two Nationwide Cross-sectional Surveys Six Years Apart
title_sort regional variation in the prevalence of asthma symptoms among omani school children comparisons from two nationwide cross sectional surveys six years apart
topic asthma, prevalence
children
adolescents
oman.
url https://journals.squ.edu.om/index.php/squmj/article/view/1351
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