非洲学龄前和学龄儿童的哮喘和喘息患病率:荟萃分析

R. M. Rodney, K. V. Kuku, J. S. Joyce
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摘要

在非洲,哮喘和喘息是儿童的主要健康问题。以前缺乏对非洲学龄前和学龄儿童哮喘和喘息患病率的研究。因此,本荟萃分析旨在估算哮喘和喘息在非洲婴儿和 0 个月至 8 岁儿童中的流行率。我们对 Academic Search Complete、MEDLINE、CINAHL、Scopus、Web of Science、PubMed 和 Web of Science 进行了全面的电子检索,以查找 2012 年 1 月至 2023 年 7 月间发表的论文。我们只审查了以英文发表的研究。两位综述作者分别对研究报告进行了检查、数据提取和评估。我们使用了固定效应模型和 STATA 17 软件。我们研究了来自非洲的 10 篇论文,这些论文探讨了学龄前和学龄儿童哮喘和/或喘息的发病率。哮喘发病率从 1.70% 到 20.85%(n = 7 134 名参与者)不等,荟萃分析显示总体发病率为 4.41%(95% CI:3.95-4.87),无异质性(I2 < 0)。喘息的历史患病率从 4.71% 到 67.72%(n = 8769 名参与者)不等,荟萃分析显示总体患病率为 22.91%(95% CI:22.12-23.70),无异质性(I2 < 0),且未观察到不同研究之间存在显著差异。
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Prevalence of asthma and wheeze among preschool and school‐aged children in Africa: A meta‐analysis
In Africa, asthma and wheezing are major health issues for children. There is a dearth of prior research examining the prevalence of asthma and wheezing in both preschool and school‐aged African children. Therefore, this meta‐analysis aimed to estimate the prevalence of asthma and wheezing in African infants and children aged 0 month to 8 years.We conducted a thorough electronic search of Academic Search Complete, MEDLINE, CINAHL, Scopus, Web of Science, PubMed, and Web of Science to find papers published between January 2012 and July 2023. We reviewed only research that was published in English. Independently, two review authors examined the studies, extracted the data, and evaluated the research studies. A fixed effects model and STATA 17 software were used. Using I2, heterogeneity was assessed.We considered 10 papers from Africa that examined the prevalence of asthma and/or wheezing in preschool and school‐aged children. Asthma prevalence ranged from 1.70% to 20.85% (n = 7 134 total participants), with a meta‐analysis showing an overall prevalence of 4.41% (95% CI: 3.95–4.87), with no heterogeneity (I2 < 0). The historical prevalence rate of wheezing ranged from 4.71% to 67.72% (n = 8769 total participants), with a meta‐analysis revealing an overall prevalence of 22.91% (95% CI: 22.12–23.70), with no heterogeneity (I2 < 0) and no significant differences observed between studies.Asthma and wheezing are prevalent among African preschool and school‐aged children, highlighting the need for comprehensive and localized research to address this public health issue.
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