Prevalence of asthma in Saudi adults: findings from a national household survey, 2013

BMC Pulmonary Medicine

Ali H. Mokdad¹  Abdullah A. Al Rabeeah²  Mohammad A. AlMazroa²  Ziad A. Memish²  Mohammed Basulaiman²  Mohammad Al Saeedi²  Hannah Kravitz¹  Marwa Tuffaha¹  Farah Daoud¹  Charbel El Bcheraoui¹  Maziar Moradi-Lakeh¹ 

[1] Institute for Health Metrics and Evaluation, University of Washington, 2301 Fifth Ave., Suite 600, Seattle 98121, WA, USA;Ministry of Health of the Kingdom of Saudi Arabia, Assadah, Al Murabba, Riyadh 12613, Saudi Arabia

关键词: Saudi Arabia;    Asthma management;    Asthma attack;    Prevalence;    Asthma;   

Others  :  1222575
DOI  :  10.1186/s12890-015-0080-5

 received in 2015-06-09, accepted in 2015-07-21,  发布年份 2015

【 摘 要 】

Background

There are not enough data on the epidemiology of asthma in the Kingdom of Saudi Arabia (KSA). We analyzed data from a national household survey conducted in KSA in 2013 to estimate prevalence, associated risk factors and control measurements of asthma.

Methods

The Saudi Health Interview Survey was a cross-sectional national multistage survey of 10,735 individuals aged 15 years or older. The survey included a detailed household questionnaire and a physical exam. We used self-reported clinical diagnosis of asthma to assess prevalence of asthma.

Results

The prevalence of asthma in KSA was 4.05 % (95 % confidence interval [CI]: 3.54–4.62 %). Asthma was less frequent in individuals with higher education but higher in former smokers and obese individuals. Around 76.7 % of asthma patients (95 % CI: 70.6–82.0 %) experienced an asthmatic attack, and 61.6 % (95 % CI: 54.4–68.4 %) visited a hospital/emergency room because of asthma during the past year. Asthma attack was less frequent in older patients (odds ratio [OR] = 0.78, 95 %CI: 0.59–0.96 for each decade of life). Current use of medication for asthma was highly associated with asthma attacks (OR = 9.14, 95 % CI: 3.29–25.38). Asthma attack was also more frequent in individuals who were exposed to secondhand smoking (OR = 2.17, 95 %CI: 1.05–4.45) and those who were obese (OR = 3.01, 95 %CI: 1.34–6.78).

Conclusion

Saudi Arabia has a relatively low prevalence of diagnosed asthma; however, many of the patients with known asthma do not have it under good control. Our study calls for programs to inform patients about the importance and proper means of controlling their condition. Implementing and monitoring of clinical guidelines can also help to improve asthma control among patients as well as identify undiagnosed cases.

【 授权许可】

   
2015 Moradi-Lakeh et al.

【 图 表 】

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【 参考文献 】

• [1]GBD Compare. http://viz. healthmetricsandevaluation.org/gbd-compare/ webcite
• [2]Memish ZA, Jaber S, Mokdad AH, AlMazroa MA, Murray CJL, Al Rabeeah AA. Burden of disease, injuries, and risk factors in the Kingdom of Saudi Arabia, 1990–2010. Prev Chronic Dis. 2014; 11: Article ID E169
• [3]Al Frayh AR, Shakoor Z, Fakhri SAM, Koshak EA, Al Nameem S, Al Ageb A, Kamfar HA. A 17-year trend for the prevalence of asthma and allergic diseases among children in Saudi Arabia. Curr Pediatr Res. 2004; 8:1-5.
• [4]Al-Moamary MS, Alhaider SA, Al-Hajjaj MS, Al-Ghobain MO, Idrees MM, Zeitouni MO, Al-Harbi AS, Al Dabbagh MM, Al-Matar H, Alorainy HS. The Saudi initiative for asthma–2012 update: guidelines for the diagnosis and management of asthma in adults and children. Ann Thorac Med. 2012; 7:175.
• [5]Al Frayh AR, al Nahdi M, Bener AR, Jawadi TQ. Epidemiology of asthma and allergic rhinitis in two coastal regions of Saudi Arabia. Allerg Immunol (Leipz). 1989; 21:389-93.
• [6]Al Frayh AR, Shakoor Z, Gad El Rab MO, Hasnain SM. Increased prevalence of asthma in Saudi Arabia. Ann Allergy Asthma Immunol. 2001; 86:292-6.
• [7]Hijazi N, Abalkhail B, Seaton A. Asthma and respiratory symptoms in urban and rural Saudi Arabia. Eur Respir J. 1998; 12:41-4.
• [8]Al-Ghamdi BR, Mahfouz AA, Abdelmoneim I, Khan MY, Daffallah AA. Altitude and bronchial asthma in south-western Saudi Arabia. East Mediterr Health J. 2008; 14:17-23.
• [9]Al Ghobain MO, Al-Hajjaj MS, Al Moamary MS. Asthma prevalence among 16- to 18-year-old adolescents in Saudi Arabia using the ISAAC questionnaire. BMC Public Health. 2012; 12:239. BioMed Central Full Text
• [10]The Asthma Insights and Reality in the Kingdom of Saudi Arabia (AIRKSA) study. 2007.
• [11]GINA Report, Global Strategy for Asthma Management and Prevention Documents/Resources GINA. http://www. ginasthma.org/documents/4 webcite
• [12]Tug T, Acik Y. Prevalence of asthma, asthma-like and allergic symptoms in the urban and rural adult population in Eastern Turkey. Asian Pac J Allergy Immunol. 2002; 20:209-15.
• [13]Ekici A, Ekici M, Kocyigit P, Karlidag A. Prevalence of self-reported asthma in urban and rural areas of Turkey. J Asthma. 2012; 49:522-6.
• [14]Mohammad Y, Shaaban R, Yassine F, Allouch J, Daaboul N, Bassam AA-Z, Mohammad A, Taha D, Sabba S, Dyban G, Al-Sheih K, Balleh H, Ibrahim M, Al Khaer H, Dayoub M, Halloum R, Fadhil I, Abbas AF, Khouri A, Khaltaev N, Bousquet J, Khaddouj M, Suleiman I, Meri M, Bakir M, Naem A, Said H, Al-Dmeirawi F, Mayhoub H, Dib G. Executive summary of the multicenter survey on the prevalence and risk factors of chronic respiratory diseases in patients presenting to primary care centers and emergency rooms in Syria. J Thorac Dis. 2012; 4:203-5.
• [15]Mahboub BH, Al-Hammadi S, Rafique M, Sulaiman N, Pawankar R, Al Redha AI, Mehta AC. Population prevalence of asthma and its determinants based on European Community Respiratory Health Survey in the United Arab Emirates. BMC Pulm Med. 2012; 12:4. BioMed Central Full Text
• [16]Johansson SGO, Haahtela T. World Allergy Organization guidelines for prevention of allergy and allergic asthma. Int Arch Allergy Immunol. 2004; 135:83-92.
• [17]El Bcheraoui C, Tuffaha M, Daoud F, AlMazroa M, Al Saeedi M, Memish Z, et. al. Low uptake of periodic health examinations in the Kingdom of Saudi Arabia, 2013. J Family Med Prim Care. 2015;4:342-6.
• [18]Peat JK. Prevention of asthma. Eur Respir J. 1996; 9:1545-55.
• [19]Arshad SH. Primary prevention of asthma and allergy. J Allergy Clin Immunol. 2005; 116:3-14.
• [20]Moscato G, Pala G, Boillat MA, Folletti I, Gerth van Wijk R, Olgiati-Des Gouttes D, Perfetti L, Quirce S, Siracusa A, Walusiak-Skorupa J, Tarlo SM. EAACI position paper: prevention of work-related respiratory allergies among pre-apprentices or apprentices and young workers. Allergy. 2011; 66:1164-73.
• [21]Abudahish A, Bella H. Adherence of primary care physicians in Aseer region, Saudi Arabia to the National Protocol for the Management of Asthma. East Mediterr Health J. 2010; 16:171-5.
• [22]Wahabi HA, Alziedan RA. Reasons behind non-adherence of healthcare practitioners to pediatric asthma guidelines in an emergency department in Saudi Arabia. BMC Health Serv Res. 2012; 12:226. BioMed Central Full Text
• [23]Wang Z, Chen C, Niu T, Wu D, Yang J, Wang B, Fang Z, Yandava CN, Drazen JM, Weiss ST, Xu X. Association of asthma with β2-adrenergic receptor gene polymorphism and cigarette smoking. Am J Respir Crit Care Med. 2001; 163:1404-9.
• [24]Troisi RJ, Speizer FE, Rosner B, Trichopoulos D, Willett WC. Cigarette smoking and incidence of chronic bronchitis and asthma in women. CHEST J. 1995; 108:1557-61.
• [25]Thomson NC, Chaudhuri R, Livingston E. Asthma and cigarette smoking. Eur Respir J. 2004; 24:822-33.
• [26]Moradi-Lakeh M, El Bcheraoui C, Tuffaha M, Daoud F, Al Saeedi M, Basulaiman M et al.. Tobacco consumption in the Kingdom of Saudi Arabia, 2013: findings from a national survey. BMC Public Health. 2015; 15:611. BioMed Central Full Text
• [27]Alangari AA, Riaz M, Mahjoub MO, Malhis N, Al-Tamimi S, Al-Modaihsh A. The effect of sand storms on acute asthma in Riyadh, Saudi Arabia. Ann Thorac Med. 2015; 10:29-33.
• [28]Goudie AS. Desert dust and human health disorders. Environ Int. 2014; 63:101-13.
• [29]Masoli M, Fabian D, Holt S, Beasley R. The global burden of asthma: executive summary of the GINA Dissemination Committee Report. Allergy. 2004; 59:469-78.