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The association bet...
The association between asthma and rhinitis is stable over time despite diverging trends in prevalence
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- Bjerg, Anders, 1982 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Krefting Research Centre,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
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- Eriksson, Jonas, 1984 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Krefting Research Centre,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
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- Olafsdottir, Inga Sif (author)
- Uppsala universitet,Lungmedicin och allergologi
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- Middelveld, R. (author)
- Karolinska Institutet
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- Franklin, Karl (author)
- Umeå universitet,Kirurgi
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- Forsberg, Bertil (author)
- Umeå universitet,Yrkes- och miljömedicin,Arcum
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- Larsson, K. (author)
- Karolinska Institutet
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- Torén, Kjell, 1952 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin,Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine
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- Dahlen, S. E. (author)
- Karolinska Institutet
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- Janson, Christer (author)
- Uppsala universitet,Lungmedicin och allergologi
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(creator_code:org_t)
- Elsevier BV, 2015
- 2015
- English.
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In: Respiratory Medicine. - : Elsevier BV. - 0954-6111 .- 1532-3064. ; 109:3, s. 312-319
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Abstract
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- Background: Despite the well-known association between asthma and rhinitis, in Swedish adults the prevalence of rhinitis rose from 22% to 31% between 1990 and 2008 while asthma prevalence was unchanged. We tested whether the association of rhinitis with asthma was stable over time using the same population-based databases. Methods: Two surveys of adults (20-44 years) living in three regions of Sweden, carried out in 1990 (n = 8982) and 2008 (n = 9156) were compared. Identical questions regarding respiratory symptoms, asthma and rhinitis were used. Asthmatic wheeze: Wheeze with breathlessness apart from colds. Current asthma: Asthma attacks and/or asthma medication use. Results: Subjects with rhinitis had level time trends in asthmatic wheeze, current asthma and most nocturnal respiratory symptoms between 1990 and 2008, adjusted for age, sex, area and smoking. Any wheeze however decreased slightly. In never-smokers asthma symptoms were similarly associated with rhinitis in 1990 and 2008: any wheeze OR 4.0 vs. 4.4 (p = 0.339); asthmatic wheeze OR 6.0 vs. 5.9 (p = 0.937); and current asthma OR 9.6 vs. 7.7 (p = 0.213). In the whole population there were decreases in the asthma symptoms most closely associated to smoking, which decreased by half 1990-2008. Conversely current asthma, which was strongly associated with rhinitis and not with smoking, increased (p < 0.001). Conclusions: The association of rhinitis with asthma was stable between 1990 and 2008. The pattern in the time trends of asthma outcomes strongly suggests that decreased smoking counterbalanced the driving effect of increased rhinitis on asthma prevalence. The findings illustrate the public health benefits of decreased smoking. (c) 2015 Elsevier Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Keyword
- Asthma
- Rhinitis
- Wheeze
- Smoking
- Epidemiology
- Adults
- RESPIRATORY HEALTH SURVEY
- ALLERGIC RHINITIS
- QUESTIONNAIRE SURVEY
- COPENHAGEN-ALLERGY
- DIAGNOSED ASTHMA
- RISK-FACTOR
- HAY-FEVER
- SYMPTOMS
- ADULTS
- SWEDEN
- Cardiac & Cardiovascular Systems
- Respiratory System
- Asthma
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Bjerg, Anders, 1 ...
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Eriksson, Jonas, ...
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Olafsdottir, Ing ...
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Middelveld, R.
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Franklin, Karl
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Forsberg, Bertil
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Larsson, K.
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Torén, Kjell, 19 ...
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Dahlen, S. E.
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Janson, Christer
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Occupational Hea ...
- Articles in the publication
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Respiratory Medi ...
- By the university
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University of Gothenburg
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Uppsala University
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Umeå University
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Karolinska Institutet