International medical students project (IMSP) Results of the questionaire Asthma and Allergies 2002 Szczecin (Poland), Lund (Sweden), Greifswald (Germany)

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


6,2

93,8 97,6

2,40,9

99,1

• Self-reported (p < 0,001):

ResultsAllergic Eczema


31,4

68,6 95,9

4,121,4

78,6

• Self-reported (p < 0,035):

ResultsHay-fever:


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):


and circumstances


18,1

81,9 85,9

14,1

missing

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


and circumstances


21,4

78,6 85,9

14,112,1

87,9

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


and circumstances


10,5

89,5 95,9

4,11,9

98,1

• By pollen (p = 0,01):


and circumstances


12,4

87,6 95,9

4,17

93

• By furred animals (p = 0,011):


and circumstances


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):



19,5

80,5 91,8

8,214,4

85,6

• 5-14 cigarettes per day (p<0,01):



7,6

92,4 90,6

9,41,9

98,1

• >14 cigarettes per day (p<0,01):



1,9

98,1 94,7

5,30,4

99,6

• Exposed to smoke at home (p<0,001):

ResultsSmoking habbits

13


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


• Differences East / West Germany

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


• Differences between East and West Germany in 1991 and 1995


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


• 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


• Climate


Documents

International medical students project (IMSP) Results of the questionaire Asthma and Allergies 2002 Szczecin (Poland), Lund (Sweden), Greifswald (Germany)