Analysis of patient factors associated with hospital visits for allergic rhinitis in Japanese adult patients: A cross-sectional study |
| |
| Institution: | 1. Department of Medical Genetics, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan;2. Department of Otorhinolaryngology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan;3. Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan;4. Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan;1. Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Largo del Pozzo, 71, 41125, Modena Italy;2. Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Verona, Piazzale Aristide Stefani, 1, 37126, Verona, Italy;1. Department of Otolaryngology, Ebara Hospital, Tokyo Metropolitan Health and Hospitals Corporation, Japan;2. Japan Otorhinolaryngologist Association, Japan;3. Committee of Community healthcare, The Oto-Rhino-Laryngological Society of Japan, Japan;1. Department of Clinical Laboratory, Yokohama Brain and Spine Center, Yokohama, Japan;2. Department of Neurology, Yokohama Brain and Spine Center, Yokohama, Japan;1. Department of Otolaryngology–Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan;2. Division of Rehabilitation Medicine, Kobe University Hospital, 7-5-2 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan;3. Department of Otorhinolaryngology-Head and Neck Surgery, Ohara General Hospital, 6-1 Uwamachi, Fukushima 960-8611, Japan;1. Department of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, Japan;2. Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, Japan;3. Department of Otolaryngology, Head and Neck Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan;4. Department of Otolaryngology, Head and Neck Surgery, Japanese Red Cross Musasiho Hospital, Tokyo, Japan;1. Department of Otolaryngology Head and Neck Surgery, Jinan University, Guangzhou, Guangdong 510632, China;2. Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China |
| |
| Abstract: | ObjectiveAllergic rhinitis (AR) is one of the most common diseases in Japan. However, several AR patients do not seek optimal treatments at clinics/hospitals. This may affect the patient's quality of life and labor productivity. In this study, we assessed the characteristics of the outpatients’ AR and factors associated with their hospital visit, using the dataset obtained from a nation-wide survey in Japan.MethodsIn this cross-sectional study, we used data from the nation-wide 2013 and 2016 Comprehensive Survey of Living Conditions (CSLC) in Japan. We analyzed the data of AR outpatients through logistic regression, using the outcome as the dependent variable, and age groups, sex, household size, educational status, smoking history, alcohol use, household expenditure, psychological distress, quality of sleep, asthma and atopic dermatitis outpatients as explanatory variables.ResultsAmong the data of 317,984 outpatients aged between 20 and 79 years in 2016 CSLC survey, the proportion of AR outpatients was significantly less among current smokers (odds ratio (OR); 0.47, 95% confidence interval (CI); 0.43–0.51, P < 0.001) and those with large household sizes (OR; 0.80, 95% CI; 0.72–0.89, P < 0.001). Conversely, the proportion of AR outpatients was significantly more among subjects with a past smoking habit (OR; 1.19, 95% CI; 1.08–1.31, P < 0.001), insufficient sleep (OR; 2.93, 95% CI; 2.52–3.42, P < 0.001), psychological distress (OR; 1.71, 95% CI; 1.62–1.80, P < 0.001), high household expenditures (OR; 1.68, 95% CI; 1.56–1.80, P < 0.001), and asthma and atopic dermatitis outpatients (OR; 8.97, 95% CI; 8.13–9.89 P < 0.001 for asthma and OR; 7.61, 95% CI; 6.76–8.58 P < 0.001 for atopic dermatitis). We observed the same trend using the dataset of 2013 CLSC survey.ConclusionThis study revealed that smoking habit, psychological distress, insufficient sleep, high household expenditures and outpatients with other allergic diseases are the factors associated with AR outpatient visit. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
