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Differences in diagnostic patterns of obstructive airway disease between areas and sex in Sweden and Finland - the Nordic EpiLung study.

Artikel i vetenskaplig tidskrift
Författare Malin Axelsson
Pinja Ilmarinen
Helena Backman
Linda Ekerljung
Linnea Hedman
Arnulf Langhammer
Anne Lindberg
Ari Lindqvist
Bright I Nwaru
Paula Pallasaho
Anssi Sovijärvi
Iida Vähätalo
Hannu Kankaanranta
Hanna Hisinger-Mölkänen
Päivi Piirilä
Eva Rönmark
Publicerad i The Journal of asthma : official journal of the Association for the Care of Asthma
Sidor 1-12
ISSN 1532-4303
Publiceringsår 2020
Publicerad vid Krefting Research Centre
Sidor 1-12
Språk en
Länkar dx.doi.org/10.1080/02770903.2020.17...
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämneskategorier Hälsovetenskaper, Klinisk medicin

Sammanfattning

Objective: To investigate the current prevalence of physician-diagnosed obstructive airway diseases by respiratory symptoms and by sex in Sweden and Finland.Method: In 2016, a postal questionnaire was answered by 34,072 randomly selected adults in four study areas: Västra Götaland and Norrbotten in Sweden, and Seinäjoki-Vaasa and Helsinki in Finland.Results: The prevalence of asthma symptoms was higher in Norrbotten (13.2%), Seinäjoki-Vaasa (14.8%) and Helsinki (14.4%) than in Västra Götaland (10.7%), and physician-diagnosed asthma was highest in Norrbotten (13.0%) and least in Västra Götaland (10.1%). Chronic productive cough was most common in the Finnish areas (7.7-8.2% versus 6.3-6.7%) while the prevalence of physician-diagnosed chronic bronchitis (CB) or chronic obstructive pulmonary disease (COPD) varied between 1.7 and 2.7% in the four areas. Among individuals with respiratory symptoms, the prevalence of asthma was most common in Norrbotten, while a diagnosis of COPD or CB was most common in Västra Götaland and Seinäjoki-Vaasa. More women than men with respiratory symptoms reported a diagnosis of asthma in Sweden and Seinäjoki-Vaasa but there were no sex differences in Helsinki. In Sweden, more women than men with symptoms of cough or phlegm reported a diagnosis of CB or COPD, while in Finland the opposite was found.Conclusion: The prevalence of respiratory symptoms and corresponding diagnoses varied between and within the countries. The proportion reporting a diagnosis of obstructive airway disease among individuals with respiratory symptoms varied, indicating differences in diagnostic patterns both between areas and by sex.

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