Publication date: Available online 15 November 2016
Source:Allergologia et Immunopathologia
Author(s): A. Arnedo-Pena, Mª A. Romeu-Gracia, J.B. Bellido-Blasco, N. Meseguer-Ferrer, E. Silvestre-Silvestre, F. Conde, S. Fernández-González, Mª A. Dubon, M. Ortuño-Forcada, J. Fabregat-Puerto, C. Fenollosa-Amposta, L. Segura-Navas, Mª R. Pac-Sa, L. Museros-Recatala, A. Vizcaino, R. Tosca-Segura
BackgroundThe objective of this study was to estimate the incidence of Allergic Rhinitis (AR) in young adults and its risk or protective factors.MethodsA population-based prospective cohort study was carried out in 2012. The cohort participated in the International Study of Asthma and Allergy in Childhood in Castellon in 1994 and 2002. A telephone survey was conducted using the same questionnaires. A new case of AR was defined as the participants free of the disease in 2002, who self-reported suffering from AR or taking medications for AR in the period 2002–2012.ResultsOf the 1805 schoolchildren in the cohort in 2002, 1435 young adults (23–25 years old) participated (follow-up 79.1%) in 2012; 743 were female and 692 male; their mean age was 24.9±0.6 years. Two hundred new cases of AR occurred in 1259 participants free of the disease with an incidence of 17.3 per 1000 person–years, and the incidence increased from 2002 (RR=1.42; 95% CI 1.15–1.75). The risk factors of AR adjusted by age and gender were sinusitis (RR=1.77; 95% CI 1.16–2.68), atopic dermatitis (RR=1.51; 95% CI 1.11–2.06) and constant exposure to truck traffic (RR=1.88; 95% CI 1.12–3.17). For male participants, the risk factors were asthma, sinusitis and atopic dermatitis, and for females bronchitis was a risk factor and presence of older siblings a protective factor.ConclusionsAn increase in AR incidence was observed. Sinusitis, atopic dermatitis and constant exposure to truck traffic were the risk factors of the AR with some differences by gender.
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