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Incidence of Lower Respiratory Tract Infections and Atopic Conditions in Boys and Young Male Adults: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2015-2016.

de Lusignan, S; Correa, A; Pebody, R; Yonova, I; Smith, G; Byford, R; Pathirannehelage, SR; McGee, C; Elliot, AJ; Hriskova, M; et al. de Lusignan, S; Correa, A; Pebody, R; Yonova, I; Smith, G; Byford, R; Pathirannehelage, SR; McGee, C; Elliot, AJ; Hriskova, M; Ferreira, FI; Rafi, I; Jones, S (2018) Incidence of Lower Respiratory Tract Infections and Atopic Conditions in Boys and Young Male Adults: Royal College of General Practitioners Research and Surveillance Centre Annual Report 2015-2016. JMIR Public Health Surveill, 4 (2). e49. ISSN 2369-2960 https://doi.org/10.2196/publichealth.9307
SGUL Authors: Rafi, Imran

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Abstract

BACKGROUND: The Royal College of General Practitioners Research and Surveillance Centre comprises more than 150 general practices, with a combined population of more than 1.5 million, contributing to UK and European public health surveillance and research. OBJECTIVE: The aim of this paper was to report gender differences in the presentation of infectious and respiratory conditions in children and young adults. METHODS: Disease incidence data were used to test the hypothesis that boys up to puberty present more with lower respiratory tract infection (LRTI) and asthma. Incidence rates were reported for infectious conditions in children and young adults by gender. We controlled for ethnicity, deprivation, and consultation rates. We report odds ratios (OR) with 95% CI, P values, and probability of presenting. RESULTS: Boys presented more with LRTI, largely due to acute bronchitis. The OR of males consulting was greater across the youngest 3 age bands (OR 1.59, 95% CI 1.35-1.87; OR 1.13, 95% CI 1.05-1.21; OR 1.20, 95% CI 1.09-1.32). Allergic rhinitis and asthma had a higher OR of presenting in boys aged 5 to 14 years (OR 1.52, 95% CI 1.37-1.68; OR 1.31, 95% CI 1.17-1.48). Upper respiratory tract infection (URTI) and urinary tract infection (UTI) had lower odds of presenting in boys, especially those older than 15 years. The probability of presenting showed different patterns for LRTI, URTI, and atopic conditions. CONCLUSIONS: Boys younger than 15 years have greater odds of presenting with LRTI and atopic conditions, whereas girls may present more with URTI and UTI. These differences may provide insights into disease mechanisms and for health service planning.

Item Type: Article
Additional Information: ©Simon de Lusignan, Ana Correa, Richard Pebody, Ivelina Yonova, Gillian Smith, Rachel Byford, Sameera Rankiri Pathirannehelage, Christopher McGee, Alex J. Elliot, Mariya Hriskova, Filipa IM Ferreira, Imran Rafi, Simon Jones. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 30.04.2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Public Health and Surveillance, is properly cited. The complete bibliographic information, a link to the original publication on http://publichealth.jmir.org, as well as this copyright and license information must be included.
Keywords: asthma, bronchitis, common cold, conjunctivitis, gastroenteritis, general practice, medical record system, Computerized, pharyngitis, population surveillance, rhinitis, urinary tract infections, population surveillance, medical record system, Computerized, general practice, pharyngitis, common cold, rhinitis, bronchitis, conjunctivitis, asthma, urinary tract infections, gastroenteritis
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: JMIR Public Health Surveill
ISSN: 2369-2960
Language: eng
Dates:
DateEvent
30 April 2018Published
14 February 2018Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 29712621
Web of Science ID: WOS:000526815500001
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/113051
Publisher's version: https://doi.org/10.2196/publichealth.9307

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