Institute of Epidemiology and Social Medicine, University of Munster, Germany.
OBJECTIVE: To assess time trends in symptoms of asthma, allergic rhinitis, and
atopic eczema among children in Munster, Germany. METHODS: Two cross-sectional
surveys 5-years apart (1994/1995, 1999/2000) using ISAAC core written and video
questionnaires and applying the ISAAC protocol. Two main age groups (6-7 and
13-14 year olds) were designated with information collected by parental and
self-report for both age groups, respectively. A school-based sample of 7744
participants in the 1994/1995 survey and 7962 participants in the 1999/2000
survey was recruited. In the first and second surveys, response rates for the
6-7 year olds were 81 and 82%, respectively, while for the 13-14 year olds
response rates were 94% in both. Analyses focus on the change in 12-month
prevalence of symptoms of asthma, rhinitis, and eczema. RESULTS: There is a
tendency towards an increase in current symptoms for all three conditions and in
both age groups, but more so among girls. Indices of diagnosis either remained
the same or increased in parallel to the increase in symptoms. Indices of
severity also showed a homogenous increase in the 5-year study period.
CONCLUSIONS: Our study shows that symptoms of asthma, rhinitis, and eczema are
increasing, reflecting a change in the morbidity of these conditions in our
population.
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