Prevalence of asthma and allergies in children from the Greek-Cypriot and Turkish-Cypriot communities in Cyprus: a bi-communal cross-sectional study

dc.contributor.authorLamnisos, Demetris
dc.contributor.authorMoustaki, Maria
dc.contributor.authorKolokotroni, Ourania
dc.contributor.authorKoksoy, Huseyin
dc.contributor.authorFaiz, Muharrem
dc.contributor.authorArifoglu, Kenan
dc.contributor.authorMilton, Donald K
dc.contributor.authorMiddleton, Nicos
dc.contributor.authorYiallouros, Panayiotis K
dc.date.accessioned2021-09-27T19:42:40Z
dc.date.available2021-09-27T19:42:40Z
dc.date.issued2013-06-16
dc.description.abstractThe Greek-Cypriot (G/C) and Turkish-Cypriot (T/C) communities have lived apart since 1974, with the former presumably adopting a more westernized way of life. We estimated the prevalence of asthma and allergies among children in the two communities and investigated differences in socio-demographic and lifestyle risk factors. The ISAAC questionnaire was completed by 10156 children aged 7–8 and 13–14 years. Relative differences in asthma and allergic symptoms between the two communities were expressed as odds ratios (OR), estimated in multivariable logistic regression models before and after adjusting for participants’ risk characteristics. In contrast to our original speculation, consistently lower prevalence rates were observed for respiratory outcomes (but not eczema) among G/C compared to T/C children in both age-groups. For instance, the prevalence of current wheeze among 7–8 year-olds was 8.7% vs 11.4% (OR = 0.74, 95%, CI: 0.61, 0.90) and of current rhinoconjuctivitis 2.6% vs 4.9% (OR = 0.52, 95% CI: 0.37, 0.71). Surprisingly, the proportion reporting family history of allergy was almost double in the G/C community. With the exception of early life nursery attendance, several protective factors were more prevalent amongst T/C, such as bedroom sharing, less urbanized environment and exposure to farm animals. In contrast, exposure to tobacco smoke was more frequent in the T/C community. Controlling for risk factors did not account for the observed lower prevalence of current wheeze (in the younger age-group) and rhinoconjuctivitis (in both age-groups) among G/C children while differences in the prevalence of eczema between the two communities were no longer statistically significant. A mixed picture of potential risk factors was observed in the two communities of Cyprus, not consistently favoring one over the other community since, for example, bedroom sharing and rural living but also exposure to tobacco smoke were more common among T/C children. Investigated risk factors do not fully account for the lower prevalence of asthma and allergies among G/C children, especially against a background of higher family history of allergy in this community.en_US
dc.description.urihttps://doi.org/10.1186/1471-2458-13-585
dc.identifierhttps://doi.org/10.13016/pxav-12bt
dc.identifier.citationLamnisos, D., Moustaki, M., Kolokotroni, O. et al. Prevalence of asthma and allergies in children from the Greek-Cypriot and Turkish-Cypriot communities in Cyprus: a bi-communal cross-sectional study. BMC Public Health 13, 585 (2013).en_US
dc.identifier.urihttp://hdl.handle.net/1903/28025
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.relation.isAvailableAtSchool of Public Health
dc.relation.isAvailableAtMaryland Institute of Applied Environmental Health
dc.relation.isAvailableAtDigital Repository at the University of Maryland
dc.relation.isAvailableAtUniversity of Maryland (College Park, Md)
dc.subjectAsthmaen_US
dc.subjectAllergic rhinoconjuctivitsen_US
dc.subjectEczemaen_US
dc.subjectChildrenen_US
dc.subjectCyprusen_US
dc.subjectGreek Cyprioten_US
dc.subjectTurkish Cyprioten_US
dc.titlePrevalence of asthma and allergies in children from the Greek-Cypriot and Turkish-Cypriot communities in Cyprus: a bi-communal cross-sectional studyen_US
dc.typeArticleen_US

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