Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Clinical and Translational Allergy
Published in: Clinical and Translational Allergy 1/2011

Open Access 01-12-2011 | Research

Allergic rhinitis in northern vietnam: increased risk of urban living according to a large population survey

Authors: Hoàng Thị Lâm, Nguyễn Văn Tường, Linda Ekerljung, Eva Rönmark, Bo Lundbäck

Published in: Clinical and Translational Allergy | Issue 1/2011

Login to get access

Abstract

Background

Little is known about prevalence and risk factors of allergic rhinitis and chronic nasal symptoms among adults in Vietnam. We aimed to estimate the prevalence, risk factor patterns and co-morbidities of allergic rhinitis and chronic nasal symptoms in one urban and one rural area in northern Vietnam.

Methods

A cross-sectional questionnaire survey was conducted from August 2007 to January 2008 in urban Hoankiem and rural Bavi in Hanoi among adults aged 21-70 years. Of 7008 randomly selected subjects, 91.7% participated in Bavi and 70.3% in Hoankiem.

Results

Allergic rhinitis ever or chronic nasal symptoms were reported by 50.2%. The prevalence of allergic rhinitis ever was considerably higher in Hoankiem compared to Bavi, 29.6% vs 10.0% (p < 0.001). Allergic rhinitis ever and chronic nasal symptoms were both significantly associated with asthma and respiratory symptoms, respectively (p < 0.001). Exposure to gas, dust or fumes at work was significantly associated with allergic rhinitis ever, OR 1.57 (95% CI 1.34 - 1.84), nasal blocking, OR 1.90 (95% CI 1.68 - 2.15) and runny nose, OR 1.32 (95% CI 1.17 - 1.49), while somewhat surprisingly no association with smoking was found. Female sex was a significant risk factor for both nasal blocking and runny nose.

Conclusions

Allergic rhinitis ever was considerably more common in the urban area. Nasal blocking and runny nose was each reported by about one third of the studied sample with no major urban-rural difference. Further, exposure to air pollution at work was significantly associated with allergic rhinitis ever, nasal blocking and runny nose.
Appendix
Available only for authorised users
Literature
1.
Bousquet J, Kauffmann F, Demoly P, Leynaert B, Bousquet PJ, Demenais F, Lenzen G, Burney PG, Zuberbier T, Van Cauwenberge P: [GA2LEN (Global Allergy and Asthma European Network).]. Rev Mal Respir. 2009, 26: 577-586.CrossRefPubMed
2.
Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK, Williams H: Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006, 368: 733-743. 10.1016/S0140-6736(06)69283-0.CrossRefPubMed
3.
Al-Riyami BM, Al-Rawas OA, Al-Riyami AA, Jasim LG, Mohammed AJ: A relatively high prevalence and severity of asthma, allergic rhinitis and atopic eczema in schoolchildren in the Sultanate of Oman. Respirology. 2003, 8: 69-76. 10.1046/j.1440-1843.2003.00426.x.CrossRefPubMed
4.
Hedlund U, Ronmark E, Eriksson K, Lundback B, Jarvholm B: Occupational exposure to dust, gases and fumes, a family history of asthma and impaired respiratory health. Scand J Work Environ Health. 2008, 34: 381-386.CrossRefPubMed
5.
Braun-Fahrlander C, Gassner M, Grize L, Neu U, Sennhauser FH, Varonier HS, Vuille JC, Wuthrich B: Prevalence of hay fever and allergic sensitization in farmer's children and their peers living in the same rural community. SCARPOL team. Swiss Study on Childhood Allergy and Respiratory Symptoms with Respect to Air Pollution. Clin Exp Allergy. 1999, 29: 28-34. 10.1046/j.1365-2222.1999.00479.x.CrossRefPubMed
6.
Eriksson J, Ekerljung L, Lotvall J, Pullerits T, Wennergren G, Ronmark E, Toren K, Lundback B: Growing up on a farm leads to lifelong protection against allergic rhinitis. Allergy. 2010, 65: 1397-1403. 10.1111/j.1398-9995.2010.02397.x.CrossRefPubMed
7.
Ronmark E, Perzanowski M, Platts-Mills T, Lundback B: Different sensitization profile for asthma, rhinitis, and eczema among 7-8-year-old children: report from the Obstructive Lung Disease in Northern Sweden studies. Pediatr Allergy Immunol. 2003, 14: 91-99. 10.1034/j.1399-3038.2003.00042.x.CrossRefPubMed
8.
Seth D, Secord E, Kamat D: Allergic rhinitis. Clin Pediatr (Phila). 2007, 46: 401-407. 10.1177/0009922806298703.CrossRef
9.
Liam CK, Loo KL, Wong CM, Lim KH, Lee TC: Skin prick test reactivity to common aeroallergens in asthmatic patients with and without rhinitis. Respirology. 2002, 7: 345-350. 10.1046/j.1440-1843.2002.00409.x.CrossRefPubMed
10.
Bousquet J, Khaltaev N, Cruz AA: Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008, 63 (Suppl 86): 8-160.CrossRefPubMed
11.
Bauchau V, Durham SR: Prevalence and rate of diagnosis of allergic rhinitis in Europe. Eur Respir J. 2004, 24: 758-764. 10.1183/09031936.04.00013904.CrossRefPubMed
12.
Lotvall J, Ekerljung L, Ronmark EP, Wennergren G, Linden A, Ronmark E, Toren K, Lundback B: West Sweden Asthma Study: prevalence trends over the last 18 years argues no recent increase in asthma. Respir Res. 2009, 10: 94-10.1186/1465-9921-10-94.PubMedCentralCrossRefPubMed
13.
Zhang L, Han D, Huang D, Wu Y, Dong Z, Xu G, Kong W, Bachert C: Prevalence of self-reported allergic rhinitis in eleven major cities in china. Int Arch Allergy Immunol. 2009, 149: 47-57. 10.1159/000176306.CrossRefPubMed
14.
Park HS, Choi GS, Cho JS, Kim YY: Epidemiology and current status of allergic rhinitis, asthma, and associated allergic diseases in Korea: ARIA Asia-Pacific workshop report. Asian Pac J Allergy Immunol. 2009, 27: 167-171.PubMed
15.
Teeratakulpisarn J, Wiangnon S, Kosalaraksa P, Heng S: Surveying the prevalence of asthma, allergic rhinitis and eczema in school-children in Khon Kaen, Northeastern Thailand using the ISAAC questionnaire: phase III. Asian Pac J Allergy Immunol. 2004, 22: 175-181.PubMed
16.
Nga NN, Chai SK, Bihn TT, Redding G, Takaro T, Checkoway H, Son PH, Van DK, Keifer M, Trung le V, Barnhart S: ISAAC-based asthma and atopic symptoms among Ha Noi school children. Pediatr Allergy Immunol. 2003, 14: 272-279. 10.1034/j.1399-3038.2003.00043.x.CrossRefPubMed
17.
Lam HT, Ronmark E, Tuong NV, Ekerljung L, Kim Chuc NT, Lundback B: Increase in asthma and a high prevalence of bronchitis: Results from a population study among adults in urban and rural Vietnam. Respir Med. 2010
18.
Chuc NT, Diwan V: FilaBavi, a demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health Suppl. 2003, 62: 3-7.CrossRefPubMed
19.
Pallasaho P, Lundback B, Meren M, Kiviloog J, Loit HM, Larsson K, Laitinen LA: Prevalence and risk factors for asthma and chronic bronchitis in the capitals Helsinki, Stockholm, and Tallinn. Respir Med. 2002, 96: 759-769. 10.1053/rmed.2002.1308.CrossRefPubMed
20.
Lundback B, Nystrom L, Rosenhall L, Stjernberg N: Obstructive lung disease in northern Sweden: respiratory symptoms assessed in a postal survey. Eur Respir J. 1991, 4: 257-266.PubMed
21.
Ronmark E, Lundback B, Jonsson E, Jonsson AC, Lindstrom M, Sandstrom T: Incidence of asthma in adults--report from the Obstructive Lung Disease in Northern Sweden Study. Allergy. 1997, 52: 1071-1078. 10.1111/j.1398-9995.1997.tb00178.x.CrossRefPubMed
22.
Meren M, Jannus-Pruljan L, Loit HM, Polluste J, Jonsson E, Kiviloog J, Lundback B: Asthma, chronic bronchitis and respiratory symptoms among adults in Estonia according to a postal questionnaire. Respir Med. 2001, 95: 954-964. 10.1053/rmed.2001.1188.CrossRefPubMed
23.
Sibbald B, Rink E: Epidemiology of seasonal and perennial rhinitis: clinical presentation and medical history. Thorax. 1991, 46: 895-901. 10.1136/thx.46.12.895.PubMedCentralCrossRefPubMed
24.
Jones NS, Smith PA, Carney AS, Davis A: The prevalence of allergic rhinitis and nasal symptoms in Nottingham. Clin Otolaryngol Allied Sci. 1998, 23: 547-554. 10.1046/j.1365-2273.1998.2360547.x.CrossRefPubMed
25.
26.
Nihlen U, Montnemery P, Andersson M, Persson CG, Nyberg P, Lofdahl CG, Greiff L: Specific nasal symptoms and symptom-provoking factors may predict increased risk of developing COPD. Clin Physiol Funct Imaging. 2008, 28: 240-250. 10.1111/j.1475-097X.2008.00800.x.CrossRefPubMed
27.
Eriksson J, Ekerljung L, Pullerits T, Holmberg K, Ronmark E, Lotvall J, Lundback B: Prevalence of Chronic Nasal Symptoms in West Sweden: Risk Factors and Relation to Self-Reported Allergic Rhinitis and Lower Respiratory Symptoms. Int Arch Allergy Immunol. 2010, 154: 155-163.CrossRefPubMed
28.
Wang XS, Tan TN, Shek LP, Chng SY, Hia CP, Ong NB, Ma S, Lee BW, Goh DY: The prevalence of asthma and allergies in Singapore; data from two ISAAC surveys seven years apart. Arch Dis Child. 2004, 89: 423-426. 10.1136/adc.2003.031112.PubMedCentralCrossRefPubMed
29.
Chiang LC, Chen YH, Hsueh KC, Huang JL: Prevalence and severity of symptoms of asthma, allergic rhinitis, and eczema in 10- to 15-year-old schoolchildren in central Taiwan. Asian Pac J Allergy Immunol. 2007, 25: 1-5.PubMed
30.
Quah BS, Wan-Pauzi I, Ariffin N, Mazidah AR: Prevalence of asthma, eczema and allergic rhinitis: two surveys, 6 years apart, in Kota Bharu, Malaysia. Respirology. 2005, 10: 244-249. 10.1111/j.1440-1843.2005.00645.x.CrossRefPubMed
31.
Lindgren A, Stroh E, Nihlen U, Montnemery P, Axmon A, Jakobsson K: Traffic exposure associated with allergic asthma and allergic rhinitis in adults. A cross-sectional study in southern Sweden. Int J Health Geogr. 2009, 8: 25-10.1186/1476-072X-8-25.PubMedCentralCrossRefPubMed
32.
Hwang BF, Jaakkola JJ, Lee YL, Lin YC, Guo YL: Relation between air pollution and allergic rhinitis in Taiwanese schoolchildren. Respir Res. 2006, 7: 23-10.1186/1465-9921-7-23.PubMedCentralCrossRefPubMed
33.
Mosges R, Klimek L: Today's allergic rhinitis patients are different: new factors that may play a role. Allergy. 2007, 62: 969-975. 10.1111/j.1398-9995.2007.01440.x.CrossRefPubMed
34.
Filipiak B, Heinrich J, Schafer T, Ring J, Wichmann HE: Farming, rural lifestyle and atopy in adults from southern Germany--results from the MONICA/KORA study Augsburg. Clin Exp Allergy. 2001, 31: 1829-1838. 10.1046/j.1365-2222.2001.01246.x.CrossRefPubMed
35.
Nicolaou N, Siddique N, Custovic A: Allergic disease in urban and rural populations: increasing prevalence with increasing urbanization. Allergy. 2005, 60: 1357-1360. 10.1111/j.1398-9995.2005.00961.x.CrossRefPubMed
36.
Matsuno O, Miyazaki E, Takenaka R, Ando M, Ito T, Sawabe T, Shigenaga T, Ito K, Sugisaki K, Kumamoto T: Links between bronchial asthma and allergic rhinitis in the Oita Prefecture, Japan. J Asthma. 2006, 43: 165-167. 10.1080/02770900500499053.CrossRefPubMed
37.
Pereira C, Valero A, Loureiro C, Davila I, Martinez-Cocera C, Murio C, Rico P, Palomino R: Iberian study of aeroallergens sensitisation in allergic rhinitis. Eur Ann Allergy Clin Immunol. 2006, 38: 186-194.PubMed
38.
Ibiapina Cda C, Sarinho ES, Camargos PA, Andrade CR, Cruz Filho AA: Allergic rhinitis: epidemiological aspects, diagnosis and treatment. J Bras Pneumol. 2008, 34: 230-240.PubMed
39.
Toren K, Olin AC, Hellgren J, Hermansson BA: Rhinitis increase the risk for adult-onset asthma--a Swedish population-based case-control study (MAP-study). Respir Med. 2002, 96: 635-641. 10.1053/rmed.2002.1319.CrossRefPubMed
40.
Romieu I, Riojas-Rodriguez H, Marron-Mares AT, Schilmann A, Perez-Padilla R, Masera O: Improved biomass stove intervention in rural Mexico: impact on the respiratory health of women. Am J Respir Crit Care Med. 2009, 180: 649-656. 10.1164/rccm.200810-1556OC.CrossRefPubMed
41.
Smith-Sivertsen T, Diaz E, Pope D, Lie RT, Diaz A, McCracken J, Bakke P, Arana B, Smith KR, Bruce N: Effect of reducing indoor air pollution on women's respiratory symptoms and lung function: the RESPIRE Randomized Trial, Guatemala. Am J Epidemiol. 2009, 170: 211-20. 10.1093/aje/kwp100.CrossRefPubMed
Metadata
Title
Allergic rhinitis in northern vietnam: increased risk of urban living according to a large population survey
Authors
Hoàng Thị Lâm
Nguyễn Văn Tường
Linda Ekerljung
Eva Rönmark
Bo Lundbäck
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Clinical and Translational Allergy / Issue 1/2011
Electronic ISSN: 2045-7022
DOI
https://doi.org/10.1186/2045-7022-1-7

Other articles of this Issue 1/2011

Clinical and Translational Allergy 1/2011 Go to the issue

Research

Comparing the effects of two inhaled glucocorticoids on allergen-induced bronchoconstriction and markers of systemic effects, a randomised cross-over double-blind study

Research

Indoleamine 2,3-dioxygenase expression in patients with allergic rhinitis: a case-control study

Research

Risk of allergic reactions to wine, in milk, egg and fish-allergic patients

Research

Exhaled nitric oxide decreases after positive food-allergen challenge

Research

Sensitization to cereals and peanut evidenced by skin prick test and specific IgE in food-tolerant, grass pollen allergic patients

Position article and guidelines

Diagnostic tools in Rhinology EAACI position paper