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Vol. 45. Issue 5.
Pages 487-495 (September - October 2017)
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Vol. 45. Issue 5.
Pages 487-495 (September - October 2017)
Original Article
DOI: 10.1016/j.aller.2017.02.010
Trends in prevalence and risk factors of allergic rhinitis symptoms in primary schoolchildren six years apart in Budapest
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M. Sultésza,
Corresponding author
sultmon@gmail.com

Corresponding author.
, I. Balogha, G. Katonaa, G. Mezeib, A. Hirschbergc, G. Gálffyd
a Department of Oto-Rhino-Laryngology, Heim Pál Children's Hospital, 86 Üllői út, Budapest H-1089, Hungary
b Division of Allergo-Pulmonology, First Department of Paediatrics, Semmelweis University, 53-54 Bókay János u, Budapest H-1083, Hungary
c Department of Oto-Rhino-Laryngology and Maxillofacial Surgery, Saint John's Hospital, 1-3 Diós árok, Budapest H-1125, Hungary
d Department of Pulmonology, Semmelweis University Budapest, 1/c Diós árok, Budapest H-1125, Hungary
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Tables (2)
Table 1. Prevalence of allergic rhinitis symptoms in children aged 6–12 years in Budapest in 2007 and 2013.
Table 2. Factors affecting allergic rhinitis symptoms in 2007 and 2013.
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Abstract
Background

Few data are available concerning the time trends and risk factors associated with allergic rhinitis (AR) in schoolchildren in Hungary.

Methods

At an interval of six years, parents of 6–12-year-old children completed identical ISAAC-based and additional questionnaires related to possible risk factors.

Results

Response rate was 62.8% with 6335 questionnaires distributed in 2007, and 52.9% with 6441 questionnaires in 2013. The prevalence of current AR symptoms (subjects presenting clinical symptoms of AR in the past 12 months, but had yet to be diagnosed by physician) increased significantly from 14.9% to 23.5% (p<0.001). There was no significant change in the prevalence of physician-diagnosed AR (11.6–11.2%). In multivariate analysis, gender (OR 0.733; CI 0.642–0.931), a family history of atopy (OR 2.017; CI 1.669–2.436), frequent upper respiratory tract infections (OR 2.033; CI 1.659–2.492), long-lasting disease before the appearance of the allergy (OR 2.119; CI 1.311–3.428), feather bedding (OR 0.773; CI 0.599–0.996) and living in a green area (OR 1.367; CI 1.133–1.650) were found to be significant risk factors of cumulative AR in 2013. In both of the groups with (p<0.000) or without (p<0.003) AR the families with a history of atopy used feather bedding less frequently than families without atopy.

Conclusion

Although the prevalence of physician-diagnosed AR has not shown significant changes during the studied interval, the significant increase of the current AR symptoms suggests growing prevalence of AR among children in Budapest. Our results revealed new aspects of bedding customs in atopic families.

Keywords:
Allergic rhinitis
Bedding
Children
Prevalence
Risk factors
Trend

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