Geographical Differences of Risk of Asthma and Allergic Rhinitis according to Urban/Rural Area: a Systematic Review and Meta-analysis of Cohort Studies.
Several studies have demonstrated an association between the risk asthma/allergic rhinitis and the environment. However, to date, no systematic review or meta-analysis has investigated these factors. We conducted a systematic review and meta-analysis to assess the association between urban/rural liv...
| Publicado en: | Journal of Urban Health Vol. 100; no. 3; pp. 478 - 493 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jun2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=164720833&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 164720833 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Jun2023 vid: 100 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 164720833 10.1007/s11524-023-00735-w ppf: 478 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.2MB tig: atl: Geographical Differences of Risk of Asthma and Allergic Rhinitis according to Urban/Rural Area: a Systematic Review and Meta-analysis of Cohort Studies. aug: au: Song, Mincheol Hwang, Seohyeon Son, Eunjeong Yeo, Hye Ju Cho, Woo Hyun Kim, Tae Woo Kim, Kihun Lee, Dongjun Kim, Yun Hak affil: Department of Medicine, Pusan National University, Yangsan, Republic of Korea Division of Respiratory and Allergy, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea Department of Biomedical Informatics, School of Medicine, Pusan National University, Yangsan, Republic of Korea Department of Anatomy, School of Medicine, Pusan National University, Yangsan, Republic of Korea Department of Convergence Medicine, School of Medicine, Pusan National University, 50612, Yangsan, Republic of Korea su: Rural geography Allergic rhinitis Asthma in children Respiratory diseases Asthma sug: subj: Rural geography Allergic rhinitis Asthma in children Respiratory diseases Asthma keyword: Meta-analysis Rural Systematic review Urban Meta-analysis Rural Systematic review Urban ab: Several studies have demonstrated an association between the risk asthma/allergic rhinitis and the environment. However, to date, no systematic review or meta-analysis has investigated these factors. We conducted a systematic review and meta-analysis to assess the association between urban/rural living and the risk of asthma and allergic rhinitis. We searched the Embase and Medline databases for relevant articles and included only cohort studies to observe the effects of time-lapse geographical differences. Papers containing information on rural/urban residence and respiratory allergic diseases were eligible for inclusion. We calculated the relative risk (RR) and 95% confidence interval (CI) using a 2 × 2 contingency table and used random effects to pool data. Our database search yielded 8388 records, of which 14 studies involving 50,100,913 participants were finally included. The risk of asthma was higher in urban areas compared to rural areas (RR, 1.27; 95% CI, 1.12–1.44, p < 0.001), but not for the risk of allergic rhinitis (RR, 1.17; 95% CI, 0.87–1.59, p = 0.30). The risk of asthma in urban areas compared to rural areas was higher in the 0–6 years and 0–18 years age groups, with RRs of 1.21 (95% CI, 1.01–1.46, p = 0.04) and 1.35 (95% CI, 1.12–1.63, p = 0.002), respectively. However, there was no significant difference in the risk of asthma between urban and rural areas for children aged 0–2 years, with a RR of 3.10 (95% CI, 0.44–21.56, p = 0.25). Our study provides epidemiological evidence for an association between allergic respiratory diseases, especially asthma, and urban/rural living. Future research should focus on identifying the factors associated with asthma in children living in urban areas. The review was registered in PROSPERO (CRD42021249578). pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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