PMID- 14749924
OWN - NLM
STAT- MEDLINE
DCOM- 20040629
LR  - 20181113
IS  - 0340-6199 (Print)
IS  - 0340-6199 (Linking)
VI  - 163
IP  - 3
DP  - 2004 Mar
TI  - Wheeze and urban variation in South Asia.
PG  - 145-7
AB  - Typically, urban South Asia is characterised by narrow streets, heavy traffic, 
      visible haze, unplanned city architecture and the use of kerosene or wood-burning 
      stoves at home. However, some urban areas in South Asia are clean and modern, 
      with concrete housing, vehicle emission regulations and use of smoke-free 
      household fuel. The purpose of this study was to compare wheeze prevalence in 
      13-14-year-olds between two South Asian cities (Galle, Chandigarh), representing 
      each of the above two archetypes. The validated one-page International Study on 
      Asthma and Allergies in Childhood (ISAAC) questionnaire for 13-14-year-olds was 
      used for the study. Of 1814 distributed questionnaires, 1737 (95.8%) were 
      completed correctly and returned (Galle: n=1162; Chandigarh: n=575). Crude 
      prevalence rates, and prevalence odds ratios (with 95% two-sided confidence 
      intervals (CI) for comparison of prevalence rates), were calculated. The 
      prevalence rate for wheezing in Galle (28.7%) was higher than in Chandigarh 
      (12.5%). The prevalence odds ratios (Galle versus Chandigarh) for lifetime 
      wheezing (2.3; 1.8-2.9), wheezing in the previous year (2.1; 1.6-2.7), 
      exercise-related wheeze (4.8; 3.5-6.7) and physician-diagnosed wheeze (1.7; 
      1.2-2.3) demonstrated significant differences in wheeze prevalence between the 
      two cities ( P<0.05). The numbers of 13-14-year-olds experiencing less than 12 
      wheezing episodes per year or sleep disturbance due to wheeze of less than 1 
      night per week were also significantly higher for Galle than Chandigarh. There is 
      a higher prevalence of wheeze in 13-14-year-old children living in an 
      old-fashioned, congested city than in a clean and modern city in South Asia.
FAU - Mistry, Rikki
AU  - Mistry R
AD  - Tayside Institute of Child Health, Ninewells Hospital and Medical School, DD1 
      9SY, Dundee, Scotland, UK.
FAU - Wickramasingha, Nandanee
AU  - Wickramasingha N
FAU - Ogston, Simon
AU  - Ogston S
FAU - Singh, Meenu
AU  - Singh M
FAU - Devasiri, Vasantha
AU  - Devasiri V
FAU - Mukhopadhyay, Somnath
AU  - Mukhopadhyay S
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20040129
PL  - Germany
TA  - Eur J Pediatr
JT  - European journal of pediatrics
JID - 7603873
SB  - IM
MH  - Adolescent
MH  - Air Pollution/*adverse effects
MH  - Female
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Odds Ratio
MH  - Prevalence
MH  - Respiratory Hypersensitivity/*epidemiology/etiology
MH  - *Respiratory Sounds
MH  - Sri Lanka/epidemiology
MH  - Urban Population
EDAT- 2004/01/30 05:00
MHDA- 2004/06/30 05:00
CRDT- 2004/01/30 05:00
PHST- 2003/08/12 00:00 [received]
PHST- 2003/12/04 00:00 [accepted]
PHST- 2004/01/30 05:00 [pubmed]
PHST- 2004/06/30 05:00 [medline]
PHST- 2004/01/30 05:00 [entrez]
AID - 10.1007/s00431-003-1393-6 [doi]
PST - ppublish
SO  - Eur J Pediatr. 2004 Mar;163(3):145-7. doi: 10.1007/s00431-003-1393-6. Epub 2004 
      Jan 29.