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Epidemiology

The current prevalence of asthma, allergic rhinitis, and eczema related symptoms in school-aged children in Costa Rica

, MD, MSc, , MD, MSc, , MD, MSc, , MD, , MPH, , MD, , MV, MSc, PhD & , MD, PhD show all
Pages 360-368 | Received 29 Dec 2017, Accepted 19 Mar 2018, Published online: 25 Apr 2018
 

ABSTRACT

Objective: Asthma prevalence in Costa Rica is among the highest worldwide. We aimed to determine the prevalence of asthma among school-age children in the Central Highland Area of Costa Rica. Methods: Cross-sectional study using the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was performed. Parents or guardians of children aged 6–13 years completed written questionnaires. Results: Total of 2817 school-aged children returned these questionnaires (74.1% return rate). The prevalence of asthma, rhinitis, and eczema was 21.9%, 42.6%, and 19.2%, respectively. The co-existence of the 3 diseases was seen in 22.6% of children with asthma. Boys had a slightly higher prevalence of these conditions, and younger children had higher prevalence of asthma and eczema, but lower prevalence of rhinitis than older children. The use of acetaminophen and antibiotics in the first 12 months of life showed a significant association with the prevalence of asthma, rhinitis, and eczema. Wheezing with exercise, dry cough at night, and ever rhinitis was highly associated with asthma symptoms in the last 12 months. In contrast, no association was found between children exposed to smoking at home. Frequent traffic next to the house was reported more frequently by the parents of children with asthma, although no significant association was found. Conclusion: The prevalence of asthma showed a significant decrease compared to previous studies. However, there was an unexpected high prevalence of rhinitis. Exposure to acetaminophen and antibiotic during the first year of life was highly associated with asthma symptoms.

Acknowledgements

None.

Declaration of interest

All authors have no conflict of interest to report.

Additional information

Funding

No funding to declare.

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