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International medical students project (IMSP) Results of the questionaire Asthma and Allergies 2002 Szczecin (Poland), Lund (Sweden), Greifswald (Germany). Questionaire Results Asthma Chronical Bronchitis and Emphysema Allergic eczema Hay fever Respiratory symtoms due to different exposures

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  1. International medical students project (IMSP)Results of the questionaireAsthma and Allergies 2002Szczecin (Poland), Lund (Sweden), Greifswald (Germany)

  2. Questionaire Results Asthma Chronical Bronchitis and Emphysema Allergic eczema Hay fever Respiratory symtoms due to different exposures Smoking habits Discussion Main points

  3. revised version of the British Medical Research Council Questionaire (1960) Sweden 1998 Estonia, Finnland, Sweden 1998 planned april 2002 participants 595 statistical methods: 2- Test Considered significant p < 0,05 Questionaire

  4. Questionaire Sweden 215 Poland 170 Germany 210

  5. Self-reported Asthma (no significant differentces) Germany 10% Sweden 7,4% Poland 5,9% Diagnosed with Asthma by a Physician (Differences not significant): Germany 9% Sweden 5,6% Poland 6,5% ResultsAsthma

  6. Self-reported CBE (p < 0,05): Diagnosed with CBE by a Physician (p < 0,07): Germany Sweden Poland 99,1 95,2 97,6 Germany Sweden Poland 4,8 0,9 2,4 99,1 93,8 97,6 6,2 0,9 2,4 ResultsChronical Bronchitis and Emphysema

  7. Self-reported (p < 0,001): Germany Sweden Poland 78,6 68,6 95,9 31,4 21,4 4,1 ResultsAllergic Eczema

  8. Self-reported (p < 0,035): Germany Sweden Poland 70,7 79,5 80,6 20,5 29,3 19,4 ResultsHay-fever:

  9. Differences between gender: Female vs Male Germany 16,9% 27,9% Sweden 25% 32,6% Poland 20,2% 17,8% ResultsHay-fever

  10. Symtomes (not significant): On effort 8-16% In cold weather 8% In cold and foggy weather 0.6-6% Car exhaust fumes 5-8% By stress 3-7% Difference between gender? ResultsRespiratory symtoms due to different exposures and circumstances

  11. From dust (p < 0,01): Germany Sweden Poland 81,9 85,9 missing 18,1 14,1 ResultsRespiratory symtoms due to different exposures and circumstances

  12. By cigarette or tobacco smoke (p < 0,05): Germany Sweden Poland 87,9 78,6 85,9 21,4 12,1 14,1 ResultsRespiratory symtoms due to different exposures and circumstances

  13. By strong smelling scents, parfumes etc. (p < 0,001): Germany Sweden Poland 98,1 89,5 95,9 10,5 1,9 4,1 ResultsRespiratory symtoms due to different exposures and circumstances

  14. By pollen (p = 0,01): Germany Sweden Poland 93 87,6 95,9 12,4 7 4,1 ResultsRespiratory symtoms due to different exposures and circumstances

  15. By furred animals (p = 0,011): Germany Sweden Poland 94,9 90,5 97,6 9,5 5,1 2,4 ResultsRespiratory symtoms due to different exposures and circumstances

  16. No significance: less then 5 cigarettes per day 5-12% ex-smokers 9-17% ResultsSmoking habits

  17. Smokers (p<0,01): Germany Sweden Poland 85,6 80,5 91,8 19,5 14,4 8,2 ResultsSmoking habits

  18. 5-14 cigarettes per day (p<0,01): Germany Sweden Poland 98,1 92,4 90,6 7,6 1,9 9,4 ResultsSmoking habits

  19. >14 cigarettes per day (p<0,01): Germany Sweden Poland 99,6 98,1 94,7 1,9 0,4 5,3 ResultsSmoking habits

  20. Exposed to smoke at home (p<0,001): Germany Sweden Poland 87 61,9 missing 38,1 ResultsSmoking habbits 13

  21. Special profile of study Results in comparison to other studies Discussion

  22. Participant`s age DiscussionProfile of the study

  23. Social status Income Differences Eastern and Western Europe DiscussionProfile of the study

  24. Differences East / West Germany Lifestyle differences (nutrition, housing conditions) Environmental factors (travel habits, air pollution) Access to child- and healthcare DiscussionProfile of the study

  25. Differences between East and West Germany in 1991 and 1995 Asthma attack prevalence Diagnosed with Asthma % % DiscussionProfile of the study

  26. Higher life standard assosiated positively with hay fever, atopy (and eczema) Lower life standard assosiated with worse management of Asthma higher exacerbation rates of Asthma increased Asthma mortality DiscussionProfile of the study

  27. Higher life standard assosiated positively with hay fever, atopy (and eczema) Lower life standard assosiated with worse management of Asthma higher exacerbation rates of Asthma increased Asthma mortality DiscussionProfile of the study

  28. Climate DiscussionProfile of the study

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