中华临床免疫和变态反应杂志2017,Vol.11Issue(4):358-364,7.DOI:10.3969/j.issn.1673-8705.2017.04.008
北京市城区及农村儿童食物过敏患病率比较
Comparison of Prevalence of Childhood Food Allergy between Urban and Rural Area in Beijing
摘要
Abstract
Objective To investigate the difference of prevalence and clinical characteristics of childhood food allergy between urban and rural area of Beijing .Methods 0-14 years-old children were sampling from primary and middle schools , kindergartens and communities by using cluster random sam-pling in urban and rural area of Beijing .A short screening questionnaire was finished by parents of every child.The parents were asked to complete a long detailed questionnaire related to clinical manifestation and diagnosis of food allergy , who had reported previous experience of allergic symptoms of their children related to food intake in the screening questionnaires .The diagnosis of food allergy was made by doctors , basing on symptoms and medical recordings .Comparison of the prevalence and clinical characteristics of childhood food allergy between urban and rural area of Beijing was performed .Results Screening ques-tionnaires were finished by 13073 children in urban area and 7113 children in rural area , and diagnosis of food allergy was made for 423 children from urban area and 76 from rural area .The prevalence of food allergy of children in urban area was much higher than in rural area (3.24%vs.1.07%, χ2=89.743, P<0.001 ) .The prevalence of food allergy of boys was higher than of girls in both urban and rural area . The prevalence of food allergy was 3.55%and 2.88%in boys and girls (χ2=4.567 , P=0.033 ) from ur-ban area respectively , whereas 1.30%and 0.82%in boys and girls (χ2=3.965 , P=0.046 ) from rural area respectively .The prevalence of food allergy of school-age children ( 3.72%) and preschool children ( 3.18%) was higher than that infants ( 1.60%) in urban area , but the differences were not significant statistically among different age groups in rural area .The most common allergenic food were fruits , fol-lowed by fish and shrimp in children under 14 years.Cutaneous symptoms and oral allergy symptoms were predominant clinical manifestations in both urban and rural area .Conclusions The prevalence of food al-lergy of children under 14 years in urban area was higher than in rural area of Beijing .The most common allergenic food and clinical manifestations were similar among children in both urban and rural area .关键词
食物过敏/儿童/患病率Key words
food allergy/child/prevalence分类
医药卫生引用本文复制引用
邵明军,沙莉,刘传合,朱雯靓,李硕,罗雁青,李敬光,吴永宁,陈育智..北京市城区及农村儿童食物过敏患病率比较[J].中华临床免疫和变态反应杂志,2017,11(4):358-364,7.基金项目
卫生部科研公益性行业专项(200902009-21) (200902009-21)