Prevalence of respiratory symptoms in migrant children to Italy: The results of SIDRIA-2 study

Allergy: European Journal of Allergy and Clinical Immunology
Volume 62, Issue 3, 2007, Pages 293-300

Prevalence of respiratory symptoms in migrant children to Italy: The results of SIDRIA-2 study (Article)

Migliore E.* , Pearce N. , Bugiani M. , Galletti G. , Biggeri A. , Bisanti L. , Caranci N. , Dell'Orco V. , De Sario M. , Sestini P. , Piffer S. , Viegi G. , Forastiere F. , Galassi C. , Ciccone G. , Mirabelli D. , Berti G. , Cadum E. , Piccioni P. , Russo A. , Rusconi F. , Bellasio M. , Gianelle V. , Battisti L. , Kaisermann D. , Gentilini M. , Giannella G. , Talassi F. , Frasca G. , Biocca M. , De Munari E. , Chellini E. , Lombardi E. , Gabellini C. , Grechi D. , Petronio M.G. , Simoni M. , Agabiti N. , Pistelli R. , Corbo G. , Bonci E. , Indinnimeo L. , Armenio L. , Brunetti L. , Cavone M. , Lospalluti M.L. , Massagli M. , Polieri G. , Rizzi D. , Rana F.R. , Rana M. , La Grutta S.

^a Cancer Epidemiology Unit, San Giovanni Battista Hospital, Center for Cancer Prevention Piemonte (CPO), Turin, Italy, CPO, Turin, Italy, Servizio di Epidemiologia dei Tumori, AO San Giovanni Battista, CPO Piemonte, Via Santena 7, 10126 Torino, Italy
^b Centre for Public Health Research, Massey University, Wellington Campus, New Zealand, Cancer Epidemiology Unit, Department of Biomedical Sciences and Human Oncology, University of Turin, Turin, Italy
^c Unit of Pneumology and Allergology CPA-ASL 4, Turin, Italy, CPA, ASL 4, Turin, Italy
^d Cancer Epidemiology Unit, San Giovanni Battista Hospital, Center for Cancer Prevention Piemonte (CPO), Turin, Italy
^e Department of Statistics, University of Florence, Florence, Italy, University, Florence, Italy
^f Epidemiology Unit, Local Health Authority, Milan, Italy, ASL, Milan, Italy
^g Epidemiology Unit, ASL 5, Turin, Italy, ASR, Emilia Romagna, Italy
^h Department of Prevention, Rome G Local Health Authority, Rome, Italy, ASL RM/G, Rome, Italy
ⁱ Department of Epidemiology, Rome E Local Health Authority, Rome, Italy, ASL RM/E, Rome, Italy
^j Institute of Respiratory Diseases, University of Siena, Siena, Italy, University, Siena, United States
^k Epidemiology Unit, Provincial Health Authority, Trento, Italy, APSS, Trento, Italy
^l CNR Institute of Clinical Physiology, Pisa, Italy, CNR, Pisa, Italy
^m Department of Epidemiology, Rome E Local Health Authority, Rome, Italy, ASL RM/E, Rome, Italy
ⁿ Cancer Epidemiology Unit, San Giovanni Battista Hospital, Center for Cancer Prevention Piemonte (CPO), Turin, Italy, ASR, Emilia Romagna, Italy
^o Cancer Epidemiology Unit, San Giovanni Battista Hospital, Center for Cancer Prevention Piemonte (CPO), Turin, Italy, CPO, Turin, Italy
^p CPO, Turin, Italy
^q ARPA, Turin, Italy
^r ARPA, Turin, Italy
^s CPA, ASL 4, Turin, Italy
^t ASL, Milan, Italy
^u University, Milan, Italy
^v University, Milan, Italy
^w ARPA, Milan, Italy
^x APSS, Trento, Italy
^y APSS, Trento, Italy
^z APSS, Trento, Italy
^a ASL, Mantova, Italy
^b ASL, Mantova, Italy
^c ASR, Emilia Romagna, Italy
^d ASR, Emilia Romagna, Italy
^e ARPA, Emilia Romagna, Italy
^f CSPO, Florence, Italy
^g AOU Meyer, Florence, Italy
^h University, Florence, Italy
ⁱ ARPAT, Florence, Italy
^j ASL, Empoli, United States
^k CNR, Pisa, Italy
^l ASL RM/E, Rome, Italy
^m Catholic University, Rome, Italy
ⁿ Catholic University, Rome, Italy
^o University, Rome, Italy
^p University, Rome, Italy
^q University, Bari, Italy
^r University, Bari, Italy
^s University, Bari, Italy
^t University, Bari, Italy
^u University, Bari, Italy
^v University, Bari, Italy
^w University, Bari, Italy
^x University, Bari, Italy
^y University, Bari, Italy
^z ARNAS, IBIMCNR, Palermo, Italy

Abstract

Background: Epidemiological studies have documented large international variations in the prevalence of asthma, and 'westernization' seems to play an important role in the development of the disease. The aims of this study were to compare the prevalence of respiratory symptoms in migrant and nonmigrant children resident in Italy, and to examine the effect of length of time living in Italy. Methods: Data were collected in a large cross-sectional study (SIDRIA-2) performed in 12 Italian centres, using standardized parental questionnaires. For the 29 305 subjects included in the analysis (6-7 and 13-14 years old), information about place of birth and parental nationality was available. Results: There were 1012 children (3%) born outside of Italy, mainly in East Europe. Lifetime asthma and current wheeze were generally significantly less common among children born abroad than among children born in Italy (lifetime asthma: 5.4% and 9.7% respectively, P < 0.001; current wheeze: 5.2% and 6.9%, respectively, P = 0.04). Lower risks for lifetime asthma (prevalence odds ratio, POR = 0.39; 95% CI: 0.23-0.66) and current wheeze (POR = 0.72; 95% CI: 0.47-1.10) were found for children who had lived in Italy <5 years, while migrant children who had lived in Italy for 5 years or more had risks very similar to Italian children. Conclusions: Migrant children have a lower prevalence of asthma symptoms than children born in Italy. Prevalence increased with the number of years of living in Italy, suggesting that exposure to environmental factors may play an important role in the development of asthma in childhood. © 2007 The Authors.

Author Keywords

Migration Place of birth Asthma Children and adolescents Respiratory symptoms

Index Keywords

information processing Europe risk human birthplace priority journal Time Factors wheezing statistical significance Cross-Sectional Studies Confidence interval cross-sectional study Humans information Adolescent asthma Risk Factors environmental exposure questionnaire prevalence Article Questionnaires Respiratory Sounds Emigration and Immigration lifespan Italy Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33847008065&doi=10.1111%2fj.1398-9995.2007.01238.x&partnerID=40&md5=ba903530a1c190f64c70da3296927a93

DOI: 10.1111/j.1398-9995.2007.01238.x

ISSN: 01054538

Cited by: 39

Original Language: English