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A population-based ...
A population-based cohort of adults with asthma: mortality and participation in a long-term follow-up
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- Backman, Helena (author)
- Umeå universitet,Yrkes- och miljömedicin,Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University
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- Hedman, Linnea (author)
- Luleå tekniska universitet,Umeå universitet,Yrkes- och miljömedicin,Department of Health Sciences, Luleå University, Luleå, Sweden,The OLIN unit ; Arcum,Omvårdnad
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- Stridsman, Caroline (author)
- Luleå tekniska universitet,Omvårdnad
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- Jansson, Sven-Arne (author)
- Umeå universitet,Yrkes- och miljömedicin,Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, The OLIN Unit, Umeå University
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- Lindberg, Anne (author)
- Umeå universitet,Medicin,Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University
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- Lundbäck, Bo, 1948 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Krefting Research Centre,Institute of Medicine,Krefting Research Centre, Institute of Medicine, University of Gothenburg
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- Rönmark, Eva (author)
- Umeå universitet,Yrkes- och miljömedicin,Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine/the OLIN unit, Umeå University
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(creator_code:org_t)
- 2017-06-16
- 2017
- English.
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In: European Clinical Respiratory Journal. - : Informa UK Limited. - 2001-8525. ; 4
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Abstract
Subject headings
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- Background and objective: Asthma is a major public health concern. The aim of this study was to characterize a large population-based cohort of adults with asthma, and to study factors associated with all-cause mortality and non-participation in a long-term follow-up. Design: Random and stratified samples from five population-based cohorts were clinically examined during 1986-2001, and all subjects with asthma were included in the study (n = 2055, age 19-72 years, 55% women). Independent associations between different risk factors and (i) mortality and (ii) non-participation in a clinical follow-up in 2012-2014 were estimated. Results: In 1986-2001, 95% reported any wheeze and/or attacks of shortness of breath in the past 12 months, and/or asthma medication use. Over the up to 28 years of follow-up time, the cumulative mortality was 22.7%. Male gender, current smoking, and lower forced expiratory volume in 1 sec of predicted (FEV1% of predicted) were independent risk factors for mortality, while obesity was associated with non-participation in the follow-up. Older ages, ischemic heart disease, and low socioeconomic status were associated with both mortality and non-participation. Conclusions: The risk factors associated with mortality in this adult population-based asthma cohort were similar to those commonly identified in general population samples, i.e. male gender, current smoking, and lower FEV1% of predicted, while obesity was associated with non-participation in a long-term follow-up. Ischemic heart disease, low socioeconomic status, and older ages were associated with both mortality and non-participation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (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 -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Public health
- risk factors
- natural history
- obesity
- ischemic heart disease
- socioeconomic status
- OBSTRUCTIVE LUNG-DISEASE
- RESPIRATORY HEALTH SURVEY
- NORTHERN SWEDEN
- ONSET ASTHMA
- BRONCHIAL RESPONSIVENESS
- POSTAL QUESTIONNAIRE
- GENERAL-POPULATION
- PULMONARY-DISEASE
- 1
- 075 OUTPATIENTS
- REMISSION
- Public health
- Nursing
Publication and Content Type
- ref (subject category)
- art (subject category)
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