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董晓慧, 安立新, 关媛媛, 张莉华, 罗潇, 刘美娜. 儿童与成人特应性疾病影响因素分析[J]. 中国公共卫生, 2014, 30(11): 1411-1414. DOI: 10.11847/zgggws2014-30-11-15
引用本文: 董晓慧, 安立新, 关媛媛, 张莉华, 罗潇, 刘美娜. 儿童与成人特应性疾病影响因素分析[J]. 中国公共卫生, 2014, 30(11): 1411-1414. DOI: 10.11847/zgggws2014-30-11-15
DONG Xiao-hui, AN Li-xin, GUAN Yuan-yuan.et al, . Allergen positive rate and influencing factors of atopic diseases in children and adults[J]. Chinese Journal of Public Health, 2014, 30(11): 1411-1414. DOI: 10.11847/zgggws2014-30-11-15
Citation: DONG Xiao-hui, AN Li-xin, GUAN Yuan-yuan.et al, . Allergen positive rate and influencing factors of atopic diseases in children and adults[J]. Chinese Journal of Public Health, 2014, 30(11): 1411-1414. DOI: 10.11847/zgggws2014-30-11-15

儿童与成人特应性疾病影响因素分析

Allergen positive rate and influencing factors of atopic diseases in children and adults

  • 摘要: 目的 分析儿童与成人特应性疾病的过敏原阳性率和影响因素,为制定预防措施提供依据。方法 采用简单随机抽样方法对2011年5—11月在哈尔滨医科大学附属第一医院过敏反应科就诊的855名患者进行问卷调查和血清特异性IgE检测,采用Fisher确切概率法比较儿童与成人特应性疾病患者过敏原阳性率的差异,logistic回归分析儿童与成人特应性疾病的影响因素。结果 过敏原牛奶、鱼和蟹在儿童和成人特应性疾病患者间阳性率差异有统计学意义(均P<0.05);儿童特应性疾病影响因素为生活地区(OR=0.398,95%CI=0.163~0.974)和生冷食物食用频率≥4次/周(OR=2.755,95%CI=1.184~6.410);成年女性特应性疾病的影响因素为生活地区(OR=0.393,95%CI=0.220~0.702)、油炸食物食用频率为2~3次/周(OR=2.172,95%CI=1.266~3.726)及≥4次/周(OR=2.217,95%CI=1.038~4.735)。结论 儿童与成人患者间存在差异的过敏原为牛奶、鱼和蟹;与城市地区相比,农村地区儿童及成年女性不易患有特应性疾病;儿童每周摄入生冷食物≥4次易发生特应性疾病,成年女性每周摄入油炸食物≥2次易发生特应性疾病。

     

    Abstract: Objective To compare the positive rate of allergens between children and adults with atopic diseases and analyze the influencing factors of atopic diseases for making preventive measures.Methods The participants were selected from outpatients in allergy department with simple random sampling.All the participants completed a questionnaire and the test for specific serum IgE antibodies to common allergens.Fisher's exact probability was used to analyze the difference in positive rate of allergens between children and adults.At the same time,we investigated the risk factors of atopic diseases by using univariate and multivariate logistic regression model.Results The differences in positive rate for cow milk,fish and crab were significant between children and adults with atopic diseases.Residential area(odds ratioOR=0.398,95% confidence interval95%CI:0.163-0.974) and the intake of raw or cold food more than three times per week(OR=2.755,95%CI:1.184-6.410)were significant factors in children.Residential area(OR=0.393,95%CI:0.220-0.702),the intake of fried food two or three times per week(OR=2.172,95%CI:1.266-3.726) and more than three times per week(OR=2.217,95%CI:1.038-4.735)were significant factors in the adult females.However,these factors were not significant in adult males.Conclusion When compared with the adult patients,the children with atopic diseases seem to be more sensitive to allergen of cow milk and fish and less sensitive to crab.Living in the urban area is a common risk factor both in children and adult females.Intake of raw or cold food more than three times per week is a risk factor in children and intake of fried food more than two times per week is a risk factor in adult females.

     

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