Advertisement

Environmental Science and Pollution Research

, Volume 25, Issue 3, pp 2184–2193 | Cite as

Prevalence of asthma and associated factors among male late adolescents in Tabriz, Iran

  • Mohammad Ghanbari Ghozikali
  • Khalil Ansarin
  • Kazem Naddafi
  • Ramin Nabizadeh Nodehi
  • Kamyar Yaghmaeian
  • Mohammad Sadegh Hassanvand
  • Masud Yunesian
Research Article

Abstract

Asthma is an important chronic disease all over the world. The aim of this study was to determine the prevalence of asthma in a population of male late adolescents and its association with some contributing risk factors in northwest of Iran. This cross-sectional study was carried out in selected high schools of Tabriz, Iran, in 2016. The asthma prevalence and patient background information were examined using a questionnaire that prepared by the ISAAC. One hundred forty-two out of 1134 subjects (12.4%) identified to have asthma, 23.3% had history of current wheeze, and 16.3% had wheezing in the previous year. Family history of asthma was present in 17.1% of the participants; prevalence of active smoking in the study subjects was 3.1%; 25.1% of all subjects had exposure to secondhand tobacco smoke and keeping pets at home was present in 9.1%. Excess weight (overweight and obesity) was positively associated with prevalence of asthma (p < 0.001). No statistically significant associations were observed between asthma and father’s education level (p = 0.570), mother’s education level (p = 0.584), type of birth subjects (p = 0.571), and time spent outdoors during a full day (p = 0.863). Our results suggest that family history of asthma and atopy, exposure to secondhand tobacco smoke, active smoking, amount of automobile traffic around subjects’ home, and keeping pets at homes are important risk factors for asthma, while time spent outdoors, educations of parents, and delivery type (normal vaginal delivery vs. C-section) subjects are not. Therefore, decreased of exposure to some environmental risk factors could be effective to reduce rate of the prevalence of asthma and wheeze.

Keywords

Asthma Late adolescents ISAAC Prevalence 

Notes

Acknowledgements

The authors are also grateful to the administrations of Ferdowsi, Vahdat, and Fatholmobin Schools in Tabriz for their cooperation.

Funding

The authors wish to thank the Institute for Environmental Research (IER) of Tehran University of Medical Sciences for financially and technically supporting this research (grant number IR.TUMS.SPH.REC.1396.2170).

Compliance with ethical standards

This study was approved by the research ethics committee of Tehran University of Medical Sciences.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. Altug H, Gaga EO, Dogeroglu T, ozden o, ornektekin S, Brunekreef B et al (2013) Effects of air pollution on lung function and symptoms of asthma, rhinitis and eczema in primary school children. Environ Sci Pollut Res 20(9):6455–6467CrossRefGoogle Scholar
  2. Anandan C, Nurmatov U, Van Schayck OCP, Sheikh A (2010) Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy 65(2):152–167CrossRefGoogle Scholar
  3. Asher I, Pearce N (2014) Global burden of asthma among children. Int J Tuberc Lung Dis 18(11):1269–1278CrossRefGoogle Scholar
  4. Bedolla-Barajas M, Morales-Romero J, Robles-Figueroa M, Fregoso-Fregoso M (2013) Asthma in late adolescents of Western Mexico: prevalence and associated factors. Arch Bronconeumol (Engl Ed) 49(2):47–53CrossRefGoogle Scholar
  5. Behera D, Sehgal IS (2015) Bronchial asthma—issues for the developing world. Indian J Med Res 141(4):380CrossRefGoogle Scholar
  6. Busse WW, Lemanske RF, Gern JE (2010) Role of viral respiratory infections in asthma and asthma exacerbations. Lancet 376(9743):826–834CrossRefGoogle Scholar
  7. Carr TF, Beamer PI, Rothers J, Stern DA, Gerald LB, Rosales CB et al (2017) Prevalence of asthma in school children on the Arizona-Sonora border. J Allergy Clin Immunol Pract 5(1):114–120. e112CrossRefGoogle Scholar
  8. Couriel J (2003) Asthma in adolescence. Paediatr Respir Rev 4(1):47–54CrossRefGoogle Scholar
  9. Dong GH, Ding HL, Ma YN, Jin J, Cao Y, Zhao YD et al (2008) Asthma and asthma-related symptoms in 16 789 Chinese children in relation to pet keeping and parental atopy. J Investig Allergol Clin Immunol 18(3):207–213Google Scholar
  10. Douwes J, Pearce N (2014) Epidemiology of respiratory allergies and asthma. In: Handbook of epidemiology, 2nd edn. Springer, Germany, pp 2263–2319Google Scholar
  11. Fagan JK, Scheff PA, Hryhorczuk D, Ramakrishnan V, Ross M, Persky V (2001) Prevalence of asthma and other allergic diseases in an adolescent population: association with gender and race. Ann Allergy Asthma Immunol 86(2):177–184CrossRefGoogle Scholar
  12. Fan J, Li S, Fan C, Bai Z, Yang K (2016) The impact of PM2. 5 on asthma emergency department visits: a systematic review and meta-analysis. Environ Sci Pollut Res 23(1):843–850CrossRefGoogle Scholar
  13. Ghozikali MG, Mosaferi M, Safari GH, Jaafari J (2015) Effect of exposure to O3, NO2, and SO2 on chronic obstructive pulmonary disease hospitalizations in Tabriz, Iran. Environ Sci Pollut Res 22(4):2817–2823CrossRefGoogle Scholar
  14. Huurre TM, Aro HM, Jaakkola JJK (2004) Incidence and prevalence of asthma and allergic rhinitis: a cohort study of Finnish adolescents. J Asthma 41(3):311–317CrossRefGoogle Scholar
  15. Idris IB, Ghazi HF, Zhie KH, Khairuman KA, Yahya SK, Zaim FAA et al (2016) Environmental air pollutants as risk factors for asthma among children seen in pediatric clinics in UKMMC, Kuala Lumpur. Ann Glob Health 82(1):202–208CrossRefGoogle Scholar
  16. Kara E, Ozdilek HG, Kara EE (2013) Ambient air quality and asthma cases in Nigde, Turkey. Environ Sci Pollut Res 20(6):4225–4234CrossRefGoogle Scholar
  17. Lawson JA, Chu LM, Rennie DC, Hagel L, Karunanayake CP, Pahwa P et al (2017) Prevalence, risk factors, and clinical outcomes of atopic and nonatopic asthma among rural children. Ann Allergy Asthma Immunol 118(3):304–310Google Scholar
  18. Liebhart J, Malolepszy J, Wojtyniak B, Pisiewicz K, Plusa T, Gladysz U (2007) Prevalence and risk factors for asthma in Poland: results from the PMSEAD study. J Investig Allergol Clin Immunol 17(6):367Google Scholar
  19. Lu KD, Billimek J, Bar-Yoseph R, Radom-Aizik S, Cooper DM, Anton-Culver H (2016) Sex differences in the relationship between fitness and obesity on risk for asthma in adolescents. J Pediatr 176:36–42CrossRefGoogle Scholar
  20. Mancilla-Hernandez E, Medina-Avalos MA, Barnica-Alvarado RH, Soto-Candia D, Guerrero-Venegas R, Zecua-Najera Y (2014) Prevalence of asthma and determination of symptoms as risk indicators. Rev Alerg Mex (Tecamachalco, Puebla, Mexico: 1993) 62(4):271–278Google Scholar
  21. Mannino DM, Homa DM, Redd SC (2002) Involuntary smoking and asthma severity in children: data from the Third National Health and Nutrition Examination Survey. CHEST J 122(2):409–415CrossRefGoogle Scholar
  22. Masoli M, Fabian D, Holt S, Beasley R (2004) The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy 59(5):469–478CrossRefGoogle Scholar
  23. Milgrom H (2006) Childhood asthma: breakthroughs and challenges. Adv Pediatr 53(1):55–100CrossRefGoogle Scholar
  24. Network GA (2014) The global asthma report: retrieved from http://www.globalasthmareport.org
  25. Pauwels RA, Rabe KF (2004) Burden and clinical features of chronic obstructive pulmonary disease (COPD). Lancet 364(9434):613–620CrossRefGoogle Scholar
  26. Peters SP, Ferguson G, Deniz Y, Reisner C (2006) Uncontrolled asthma: a review of the prevalence, disease burden and options for treatment. Respir Med 100(7):1139–1151CrossRefGoogle Scholar
  27. Reddel HK, Bateman ED, Becker A, Boulet L-P, Cruz AA, Drazen JM et al (2015) A summary of the new GINA strategy: a roadmap to asthma control. Eur Respir J 46(3):622–639CrossRefGoogle Scholar
  28. Santos-Fernandez WJ, Jones-Turcios GS, Avila-Valle GL, Portillo-Canales S, Orellana-Aragon E, Mayorga A et al (2016) Comparison of the prevalence of bronchial asthma in school-aged children and adolescents on Roatan Island and in other coastal communities in Honduras. Revista Medica del Hospital General de Mexico 79(3):124–135CrossRefGoogle Scholar
  29. Shakurnia AH, Assar S, Afra M, Latifi M (2010) Prevalence of asthma among schoolchildren in Ahvaz, Islamic Republic of Iran. East Mediterr Health J 16(6):651Google Scholar
  30. Sharma HP, Hansel NN, Matsui E, Diette GB, Eggleston P, Breysse P (2007) Indoor environmental influences on children’s asthma. Pediatr Clin N Am 54(1):103–120CrossRefGoogle Scholar
  31. Sweileh WM, Al-Jabi SW, Sa’ed HZ, Sawalha AF (2014) Bronchial asthma and chronic obstructive pulmonary disease: research activity in Arab countries. Multidiscip Respir Med 9(1):38CrossRefGoogle Scholar
  32. Yoshihara S, Munkhbayarlakh S, Makino S, Ito C, Logii N, Dashdemberel S et al (2016) Prevalence of childhood asthma in Ulaanbaatar, Mongolia in 2009. Allergol Int 65(1):62–67CrossRefGoogle Scholar
  33. Zafari Z, Lynd LD, FitzGerald JM, Sadatsafavi M (2014) Economic and health effect of full adherence to controller therapy in adults with uncontrolled asthma: a simulation study. J Allergy Clin Immunol 134(4):908–915 e903CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Department of Environmental Health Engineering, School of Public HealthTehran University of Medical SciencesTehranIran
  2. 2.Tuberculosis and Lung Disease Research CenterTabriz University of Medical SciencesTabrizIran
  3. 3.Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER)Tehran University of Medical SciencesTehranIran
  4. 4.Research Methodology and Data Analysis Department, Institute for Environmental Research (IER)Tehran University of Medical SciencesTehranIran

Personalised recommendations