In Towns there is a Higher Prevalence of Asthmatic Symptoms in Children
than in Rural Areas
Vondra V., Reisová M., Braniš M., Malý M., Kotěšovec F., Vitnerová N., Skorkovský J.,
Nožička J., Koláčný J.
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Summary:
The authors assessed the prevalence of symptoms of bronchial asthma by means of a standardized
questionnaire used in the international survey PEACE (Pollution Effect on Asthmatic Children in
Europe). The questions about complaints were addressed to children aged 6-13 years (the questi-
onnaires were completed with the parents assistance). In urban areas 5669 children participated
from Prague 5, i.e. 35 % of all elementary school children, in Teplice 2489 (21% children), in rural
areas: in the Benešov district 5619, i.e. 61 % children, in the Prachatice district 1983, i.e. 37 %
children. The response rate of questionnaires in the urban areas was 86-88 %, in rural areas 93 %.
In urban areas the annual prevalence of wheezing in the chest or dyspnoea or possibly both
symptoms was within the range of 3.8-13.8 % and differed significantly from the prevalence in
rural areas where it was 2.4-3.6 %. The most frequent symptom was nocturnal dry cough without
a cold (in urban areas 14.1-36.7 %, in rural areas 6.0-10.6 %). Rural areas differed from urban ones
by a lower contamination of the atmosphere, a lower density of the population as well as some
parameters caused by a different lifestyle.
Key words:
Prevalence - Asthma symptoms - Children, age 6-13 years.
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