Asthma in developing worlds

Rosado‐Pinto, J.; Morais‐Almeida, M.

doi:10.1002/ppul.70055

Cited by 10 publications

(7 citation statements)

References 11 publications

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“…Studies in affluent countries have used various definitions for childhood asthma, such as hospitalisation for asthma, 7 doctordiagnosed asthma 9 and parental reported asthma. 8 In LMICs social, financial, cultural and health system barriers exist for asthma diagnosis and subsequent health service use, 33 therefore using measures such as doctor diagnosed asthma or hospitalization for asthma may not yield accurate estimates of asthma prevalence in the context of the current study population. The caregiver report of asthma may arguably be influenced by income level, where wealthier caregivers have better medical understanding and thus are more likely to report this condition.…”

Section: Limitations Of the Datamentioning

confidence: 99%

Association between Caesarean Delivery and Childhood Asthma in India and Vietnam

Lavin

Franklin

Preen

2016

Paediatric Perinatal Epid

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Section: Limitations Of the Datamentioning

confidence: 99%

Association between Caesarean Delivery and Childhood Asthma in India and Vietnam

Lavin

Franklin

Preen

2016

Paediatric Perinatal Epid

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“…Sa˜o Vincente it is the seventh largest and the second most populated island with 67000 inhabitants (census of 2000). The prevalence of asthma in children is around 10% (12) and there are no published data for other CRD.…”

mentioning

confidence: 99%

Under‐report and underdiagnosis of chronic respiratory diseases in an African country

Martins

Rosado‐Pinto

Teixeira³

et al. 2009

Allergy

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Background: Chronic respiratory diseases (CRD) are greatly underestimated. The aim of this study was to assess the burden associated with reported CRD and chronic obstructive pulmonary disease, as defined on the basis of various standardized criteria, by estimating their point prevalence in a sample of individuals attending the Primary Health Care (PHC) level and Emergency Room (ER) Departments in Cape Verde (CV) archipelago. The second aim of the study was to identify factors related to airways obstruction and reported CRD in this population.Methods: A cross‐sectional study was carried out in CV during 2 weeks. Outpatients aged more than 20 years seeking care at PHC level and ER answered a standardized questionnaire and were subjected to spirometry, independently of their complaint. Two criteria for airways obstruction were taken into account: forced expiratory volume (FEV1) <80% of the predicted value and FEV1/forced vital capacity (FVC) ratio <0.70.Results: A total of 274 individuals with a satisfactory spirometry were included. 22% of the individuals had a FEV1 < 80%. Individuals older than 46 years had a higher risk of having airways obstruction. Asthma diagnosis (11%) had a clear association with airways obstruction. Smoking was a risk factor for a lower FEV1. Working in a dust place and cooking using an open fire were both related to chronic bronchitis and asthma diagnosis.Conclusion: Under‐report and underdiagnosis of chronic respiratory conditions seem to be a reality in CV just as in other parts of the world. To improve diagnosis, our results reinforce the need of performing a spirometry.

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“…This is much lower than the prevalence of wheezing reported among the more urban and affluent ISAAC participants in other Latin American countries (Mallol, Sole, Asher et al, 2000). Given the relative absence of epidemiologic studies in rural, poor, indigenous populations in Latin America, one cannot assume that asthma prevalence is increasing at the same pace in lesserdeveloped countries as in developed countries (Rosado-Pinto & Morais-Almeida, 2004).…”

Section: Introductionmentioning

confidence: 85%

Nxwisen, ntzarrin or ntzo’lin? Mapping children's respiratory symptoms among indigenous populations in Guatemala

Thompson

Dı́az

Jenny

et al. 2007

Social Science & Medicine

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Estimating the prevalence of asthma is an epidemiologic challenge, particularly in rural areas of lesser-developed countries characterized by low literacy and poor access to health care. To avoid under-or over-reporting of symptoms, questionnaires must use terminology familiar to participants and that accurately describes the triad of cough, wheeze and breathlessness characteristic of asthma. In preparation for a large longitudinal cohort study entitled Chronic Respiratory Effects of Early Childhood Exposure to Respirable Particulate Matter (CRECER) that will examine the effects of variable early lifetime woodsmoke exposure on the respiratory health of Mam-speaking children residing in communities in the western highlands of Guatemala, we conducted individual interviews (n=18) and five focus groups (n=46) with indigenous women from 17 of these communities to elicit and define local Mam and Spanish terms for common respiratory symptoms used to describe their own and their children's respiratory symptoms. Focus group participants were also shown an International Study of Asthma and Allergies in Childhood (ISAAC) video of wheezing children and adults. We developed a conceptual framework that can be used as an efficient model for future studies investigating health and/or disease terminology in isolated communities, an integral step in the development of standardized questionnaires. Among this Mam-speaking population, wheeze was best described as: nxwisen or ntzarrin, "breathing sounds that are heard in the neck but come from the chest." The variation in understanding of terms between women with and without children with a history of wheeze (such that for those without wheezing children some terms were virtually unrecognized), has important implications for large-scale populations surveys within countries and comparative surveys such as ISAAC. It is important to use linguistically and culturally appropriate

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Asthma in developing worlds

Cited by 10 publications

References 11 publications

Association between Caesarean Delivery and Childhood Asthma in India and Vietnam

Association between Caesarean Delivery and Childhood Asthma in India and Vietnam

Under‐report and underdiagnosis of chronic respiratory diseases in an African country

Nxwisen, ntzarrin or ntzo’lin? Mapping children's respiratory symptoms among indigenous populations in Guatemala

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