Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016
<p><strong>Background:</strong> The Royal College of General Practitioners Research and Surveillance Centre comprises more than 150 general practices, with a combined population of more than 1.5 million, contributing to UK and European public health surveillance and research.</p...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
JMIR Publications
2018
|
| _version_ | 1826260769141948416 |
|---|---|
| author | De Lusignan, S Correa, A Pebody, R Yonova, I Smith, G Byford, R Pathirannehelage, SR McGee, C Elliot, AJ Hriskova, M Ferreira, FI Rafi, I Jones, S |
| author_facet | De Lusignan, S Correa, A Pebody, R Yonova, I Smith, G Byford, R Pathirannehelage, SR McGee, C Elliot, AJ Hriskova, M Ferreira, FI Rafi, I Jones, S |
| author_sort | De Lusignan, S |
| collection | OXFORD |
| description | <p><strong>Background:</strong> The Royal College of General Practitioners Research and Surveillance Centre comprises more than 150 general practices, with a combined population of more than 1.5 million, contributing to UK and European public health surveillance and research.</p> <p><strong>Objective:</strong> The aim of this paper was to report gender differences in the presentation of infectious and respiratory conditions in children and young adults.</p> <p><strong>Methods:</strong> Disease incidence data were used to test the hypothesis that boys up to puberty present more with lower respiratory tract infection (LRTI) and asthma. Incidence rates were reported for infectious conditions in children and young adults by gender. We controlled for ethnicity, deprivation, and consultation rates. We report odds ratios (OR) with 95% CI, P values, and probability of presenting.</p> <p><strong>Results:</strong> Boys presented more with LRTI, largely due to acute bronchitis. The OR of males consulting was greater across the youngest 3 age bands (OR 1.59, 95% CI 1.35-1.87; OR 1.13, 95% CI 1.05-1.21; OR 1.20, 95% CI 1.09-1.32). Allergic rhinitis and asthma had a higher OR of presenting in boys aged 5 to 14 years (OR 1.52, 95% CI 1.37-1.68; OR 1.31, 95% CI 1.17-1.48). Upper respiratory tract infection (URTI) and urinary tract infection (UTI) had lower odds of presenting in boys, especially those older than 15 years. The probability of presenting showed different patterns for LRTI, URTI, and atopic conditions.</p> <p><strong>Conclusions:</strong> Boys younger than 15 years have greater odds of presenting with LRTI and atopic conditions, whereas girls may present more with URTI and UTI. These differences may provide insights into disease mechanisms and for health service planning.</p> |
| first_indexed | 2024-03-06T19:10:57Z |
| format | Journal article |
| id | oxford-uuid:16c0c362-2fc3-49b0-b96e-c9905961a1cc |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:10:57Z |
| publishDate | 2018 |
| publisher | JMIR Publications |
| record_format | dspace |
| spelling | oxford-uuid:16c0c362-2fc3-49b0-b96e-c9905961a1cc2022-03-26T10:33:13ZIncidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:16c0c362-2fc3-49b0-b96e-c9905961a1ccEnglishSymplectic Elements at OxfordJMIR Publications2018De Lusignan, SCorrea, APebody, RYonova, ISmith, GByford, RPathirannehelage, SRMcGee, CElliot, AJHriskova, MFerreira, FIRafi, IJones, S<p><strong>Background:</strong> The Royal College of General Practitioners Research and Surveillance Centre comprises more than 150 general practices, with a combined population of more than 1.5 million, contributing to UK and European public health surveillance and research.</p> <p><strong>Objective:</strong> The aim of this paper was to report gender differences in the presentation of infectious and respiratory conditions in children and young adults.</p> <p><strong>Methods:</strong> Disease incidence data were used to test the hypothesis that boys up to puberty present more with lower respiratory tract infection (LRTI) and asthma. Incidence rates were reported for infectious conditions in children and young adults by gender. We controlled for ethnicity, deprivation, and consultation rates. We report odds ratios (OR) with 95% CI, P values, and probability of presenting.</p> <p><strong>Results:</strong> Boys presented more with LRTI, largely due to acute bronchitis. The OR of males consulting was greater across the youngest 3 age bands (OR 1.59, 95% CI 1.35-1.87; OR 1.13, 95% CI 1.05-1.21; OR 1.20, 95% CI 1.09-1.32). Allergic rhinitis and asthma had a higher OR of presenting in boys aged 5 to 14 years (OR 1.52, 95% CI 1.37-1.68; OR 1.31, 95% CI 1.17-1.48). Upper respiratory tract infection (URTI) and urinary tract infection (UTI) had lower odds of presenting in boys, especially those older than 15 years. The probability of presenting showed different patterns for LRTI, URTI, and atopic conditions.</p> <p><strong>Conclusions:</strong> Boys younger than 15 years have greater odds of presenting with LRTI and atopic conditions, whereas girls may present more with URTI and UTI. These differences may provide insights into disease mechanisms and for health service planning.</p> |
| spellingShingle | De Lusignan, S Correa, A Pebody, R Yonova, I Smith, G Byford, R Pathirannehelage, SR McGee, C Elliot, AJ Hriskova, M Ferreira, FI Rafi, I Jones, S Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016 |
| title | Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016 |
| title_full | Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016 |
| title_fullStr | Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016 |
| title_full_unstemmed | Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016 |
| title_short | Incidence of lower respiratory tract infections and atopic conditions in boys and young male adults: Royal College of General Practitioners Research and Surveillance Centre Annual report 2015-2016 |
| title_sort | incidence of lower respiratory tract infections and atopic conditions in boys and young male adults royal college of general practitioners research and surveillance centre annual report 2015 2016 |
| work_keys_str_mv | AT delusignans incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT correaa incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT pebodyr incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT yonovai incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT smithg incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT byfordr incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT pathirannehelagesr incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT mcgeec incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT elliotaj incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT hriskovam incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT ferreirafi incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT rafii incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 AT joness incidenceoflowerrespiratorytractinfectionsandatopicconditionsinboysandyoungmaleadultsroyalcollegeofgeneralpractitionersresearchandsurveillancecentreannualreport20152016 |