International medical students project (IMSP) Results of the questionaire Asthma and Allergies 2002...

International medical students project (IMSP)

Results of the questionaireAsthma and Allergies 2002

Szczecin (Poland), Lund (Sweden), Greifswald (Germany)

• Questionaire• Results

– Asthma– Chronical Bronchitis and Emphysema– Allergic eczema– Hay fever– Respiratory symtoms due to different exposures– Smoking habits

• Discussion

Main points

Questionaire

• revised version of the British Medical Research Council Questionaire (1960)– Sweden 1998– Estonia, Finnland, Sweden 1998

• planned april 2002• participants 595• statistical methods:

2- Test– Considered significant p < 0,05

Questionaire

Sweden 215

Germany 210

Poland 170

• Self-reported Asthma (no significant differentces)

– Germany 10%– Sweden 7,4%– Poland 5,9%

• Diagnosed with Asthma by a Physician (Differences not significant):– Germany 9%– Sweden 5,6%– Poland 6,5%

ResultsAsthma

• Self-reported CBE (p < 0,05):

• Diagnosed with CBE by a Physician (p < 0,07):

ResultsChronical Bronchitis and Emphysema

Germany Sweden Poland

4,8

95,2 97,6

2,40,9

99,1

Germany Sweden Poland

6,2

93,8 97,6

2,40,9

99,1

• Self-reported (p < 0,001):

ResultsAllergic Eczema

Germany Sweden Poland

31,4

68,6 95,9

4,121,4

78,6

• Self-reported (p < 0,035):

ResultsHay-fever:

Germany Sweden Poland

20,5

79,5 80,6

19,429,3

70,7

• Differences between gender:

Female vsMale

Germany 16,9% 27,9%

Sweden 25% 32,6%

Poland 20,2% 17,8%

ResultsHay-fever

• Symtomes (not significant):

– On effort 8-16%– In cold weather 8%– In cold and foggy weather 0.6-6%– Car exhaust fumes 5-8%– By stress 3-7%

• Difference between gender?

ResultsRespiratory symtoms due to different exposures

and circumstances

• From dust (p < 0,01):

ResultsRespiratory symtoms due to different exposures

and circumstances

Germany Sweden Poland

18,1

81,9 85,9

14,1

missing

• By cigarette or tobacco smoke (p < 0,05):

ResultsRespiratory symtoms due to different exposures

and circumstances

Germany Sweden Poland

21,4

78,6 85,9

14,112,1

87,9

• By strong smelling scents, parfumes etc. (p < 0,001):

ResultsRespiratory symtoms due to different exposures

and circumstances

Germany Sweden Poland

10,5

89,5 95,9

4,11,9

98,1

• By pollen (p = 0,01):

ResultsRespiratory symtoms due to different exposures

and circumstances

Germany Sweden Poland

12,4

87,6 95,9

4,17

93

• By furred animals (p = 0,011):

ResultsRespiratory symtoms due to different exposures

and circumstances

Germany Sweden Poland

9,5

90,5 97,6

2,45,1

94,9

• No significance:

– less then 5 cigarettes per day 5-12%– ex-smokers 9-17%

ResultsSmoking habits

• Smokers (p<0,01):

ResultsSmoking habits

Germany Sweden Poland

19,5

80,5 91,8

8,214,4

85,6

• 5-14 cigarettes per day (p<0,01):

ResultsSmoking habits

Germany Sweden Poland

7,6

92,4 90,6

9,41,9

98,1

• >14 cigarettes per day (p<0,01):

ResultsSmoking habits

Germany Sweden Poland

1,9

98,1 94,7

5,30,4

99,6

• Exposed to smoke at home (p<0,001):

ResultsSmoking habbits

13

Germany Sweden Poland

38,1

61,9

missing

87

• Special profile of study

• Results in comparison to other studies

Discussion

01020304050607080

18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39

• Participant`s age

DiscussionProfile of the study

• Social status

• Income

• Differences Eastern and Western Europe

DiscussionProfile of the study

• Differences East / West Germany

– Lifestyle differences (nutrition, housing conditions)– Environmental factors (travel habits, air pollution)– Access to child- and healthcare

DiscussionProfile of the study

• Differences between East and West Germany in 1991 and 1995

DiscussionProfile of the study

012345

1991 1995

012345

1991 1995

Asthma attack prevalence Diagnosed with Asthma

% %

• Higher life standard assosiated positively with hay fever, atopy (and eczema)

• Lower life standard assosiated with – worse management of Asthma– higher exacerbation rates of Asthma– increased Asthma mortality

DiscussionProfile of the study

• Higher life standard assosiated positively with hay fever, atopy (and eczema)

• Lower life standard assosiated with – worse management of Asthma– higher exacerbation rates of Asthma– increased Asthma mortality

DiscussionProfile of the study

• Climate

DiscussionProfile of the study