Trends in the asthma burden among children and adolescents in China from 1990-2019

ZHANG Siying; GAO Zongshi; WU Lihong; TIAN Beibei; LIU Meng; TAO Fangbiao; WU Xiulong

doi:10.16835/j.cnki.1000-9817.2022.01.028

Volume 43 Issue 1

Jan. 2022

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ZHANG Siying, GAO Zongshi, WU Lihong, TIAN Beibei, LIU Meng, TAO Fangbiao, WU Xiulong. Trends in the asthma burden among children and adolescents in China from 1990-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(1): 123-128. doi: 10.16835/j.cnki.1000-9817.2022.01.028

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ZHANG Siying, GAO Zongshi, WU Lihong, TIAN Beibei, LIU Meng, TAO Fangbiao, WU Xiulong. Trends in the asthma burden among children and adolescents in China from 1990-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(1): 123-128. doi: 10.16835/j.cnki.1000-9817.2022.01.028

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Trends in the asthma burden among children and adolescents in China from 1990-2019

doi: 10.16835/j.cnki.1000-9817.2022.01.028

1.
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health across Life Cycle, Hefei (230032), China

Received Date: 2021-10-25
Rev Recd Date: 2021-11-21
Publish Date: 2022-01-25

Abstract

Abstract

Objective To explore trends in the asthma burden among Chinese children and adolescents 1-19 years old during 1990-2019. Methods Based on data from the 2019 Global Burden of Disease Study, joinpoint regression was used to analyze the dynamic changes in the gender-and age-specific asthma burden, and the asthma burden in China was compared with countries that have different socio-demographic indices(SDI). In addition, trends in asthma burden attributed to different risk factors were also investigated. Results The asthma burden decreased slightly from 1990 to 1996 [annual percent change (APC)=-1.7%], then rapidly decreased from 1996 to 2005 (APC=-5.7%). The age-standardized disability adjusted life years (DALYs) rate decreased from 158.55/100 000 to 88.59/100 000 in patients 1-19 years of age. From 2005 to 2017, the DALYs rate for asthma increased slowly, then rapidly. In 2017, the DALYs rate peaked at 176.18/100 000, then decreased to 126.79/100 000 in 2019. The burden of asthma in boys was higher than girls, and the DALYs rate for asthma in the group 5-9 years of age was higher than the remaining age groups. Furthermore, the age-standardized DALYs rate for asthma among Chinese children and adolescents was relatively low among countries with a different SDI. In addition, the DALYs rate attributed to high body mass index increased in all age groups in China. Specifically, the average APC (AAPC) was 2.9% in group 1-4 years of age and the AAPC was 4.2% in the remaining age groups. The DALYs rate attributed to occupational asthmagens in the group 15-19 years of age decreased from 1990 to 2019 and the AAPC was -2.5%. Conclusion The asthma burden was relatively low among Chinese children and adolescents, and there were gender and age differences. The gender-and age-specific DALYs rate for asthma had a tendency to decrease, increase, then decrease. More attention should be paid to boys and the group 5-9 years of age, and strengthen the intervention of obesity and occupational asthmagens.
- Asthma,
- Regression analysis,
- Child,
- Adolescent

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References(34)

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