Recent studies have indicated that atopic sensitisation is uncommon while respiratory symptoms are common among schoolchildren in Eastern Europe.
Risk factors for respiratory symptoms and atopic sensitisation were evaluated in a cross sectional study involving 2594 schoolchildren (10-12 years) from Sweden (n=665), Poland (n=410), and Estonia (n=1519).
The measurements included parental questionnaires and skin prick tests with eight standardised allergens.
Multiple logistic analyses demonstrated that atopic heredity was a significant independent risk factor for respiratory symptoms and atopic sensitisation in all the countries.
Current dampness and maternal smoking were related to respiratory symptoms whereas domestic crowding, male gender, and passive smoking during infancy were related to atopic sensitisation.
In conclusion, there were small differences in the pattern of risk factors between Eastern and Western Europe.
The only exception was environmental tobacco smoke being a risk factor only in Eastern Europe.
The study also suggests that factors related to domestic crowding protect against atopic sensitisation in Estonia and Poland.
A higher standard of living with less crowding may give rise to an increasing prevalence of atopic sensitisation also in Eastern Europe.
Mots-clés Pascal : Epidémiologie, Europe Est, Europe, Enfant, Homme, Symptomatologie, Appareil respiratoire pathologie, Atopie, Sensibilisation, Facteur risque, Statut socioéconomique, Etude comparative, Europe Ouest, Immunopathologie, Allergie
Mots-clés Pascal anglais : Epidemiology, Eastern Europe, Europe, Child, Human, Symptomatology, Respiratory disease, Atopy, Sensitization, Risk factor, Socioeconomic status, Comparative study, Western Europe, Immunopathology, Allergy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0384020
Code Inist : 002B06C02. Création : 01/03/1996.