Clinical Respiratory Journal
Volume 13, Issue 9, 2019, Pages 560-566

Rural to urban migration contributes to the high burden of asthma in the urban area (Article)

Ponte E.V.* , Lima A. , Almeida P.C.A. , de Jesus J.P.V. , Souza-Machado A. , Barreto M.L. , Cruz Á.A.
  • a Departamento de Clínica Médica, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil
  • b Núcleo de Excelência em Asma, Universidade Federal da Bahia, Salvador, Brazil
  • c Núcleo de Excelência em Asma, Universidade Federal da Bahia, Salvador, Brazil
  • d Núcleo de Excelência em Asma, Universidade Federal da Bahia, Salvador, Brazil
  • e Núcleo de Excelência em Asma, Universidade Federal da Bahia, Salvador, Brazil
  • f Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil
  • g Núcleo de Excelência em Asma, Universidade Federal da Bahia, Salvador, Brazil

Abstract

Introduction: It is unknown whether rural-urban migration contributes to worse the burden of asthma in the cities. Objectives: The aim of this study was to evaluate whether subjects with asthma that migrated from rural areas to a large urban center in Brazil have more severe disease than asthmatic subjects that was born and always lived in the urban area. Methods: This is a case-control study. We enrolled two groups of subjects with asthma currently living in a large urban center in Brazil: 486 subjects with moderate-severe asthma and 432 subjects with mild asthma. Results: Rural-urban migrants had higher odds of moderate-severe asthma [adjusted OR 1.57, 95% CI (1.18-2.01)] and uncontrolled symptoms of asthma [adjusted OR 1.80, 95% CI (1.16-2.76)] than urban-born subjects. Conclusions: Rural-urban migrants in Brazil have more severe asthma than urban-born subjects. Our results suggest that rural-urban migration is associated with the high burden of asthma in the urban area. © 2019 John Wiley & Sons Ltd

Author Keywords

Case-control study uncontrolled symptoms inhaled corticosteroids Treatment Environment

Index Keywords

urban area rural area human controlled study priority journal Urbanization migrant male asthma environmental factor clinical evaluation female risk factor environmental exposure high risk population Article disease control major clinical study adult migration airway obstruction Brazil disease severity disease burden case control study
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070770041&doi=10.1111%2fcrj.13058&partnerID=40&md5=cd787ea9aec526d7e7fc1524ba10d764
DOI: 10.1111/crj.13058
ISSN: 17526981
Original Language: English