Asthma and
allergic conditions have become more prevalent during the past three
decades. Asthma causes significant morbidity and mortality and has
resulted in a towering public health burden. Inhalant allergic
conditions such as seasonal and perennial allergic rhinitis are also
quite common.
The effect of asthma and allergy on an individual's quality of life and
the extent to which it may restrict daily activities is often
overlooked. Controlling allergies can significantly decrease health care
cost as the purpose of asthma and allergy treatment is to manage the
disease in order to live as normal a life as possible and this also can
be done by providing community and professional education. The purpose
of this study, a first of its kind in this age group in Palestine, is to
estimate the prevalence of asthma and allergy among young adult
population in Palestine represented by An- Najah University students.
The study sample consisted of around 1000 randomly selected students
from all colleges of the University. The researcher collected the data
through student group interview. Self-reported questionnaire were
filled, then PEF measurement was done based on the expert panel report
2.The results were recorded and the level of error was corrected for by
using equation for PEF derived by Millar et al 1992. Predicted values
were calculated for each individual with the Persian equations &
Nunn and Gregg equations.
All data of the questionnaire and PEF measurement for the study sample
were entered into the computer and computed using SPSS program and
applying Chi–square test, with 95 % level of significant (P value =
0.05).Although some results were inconsistent with the literature,
especially those related to global asthma and allergy risk factors, we
had important positive results. The following points worth reporting:
- Physical diagnosis asthma prevalence was 0.33% and the prevalence of
ever wheezing was 0.46%, the prevalence of allergic rhinitis, skin
allergy, latex rubber allergy, food allergy, drug allergy and insect
sting allergy were 3.1 % 2.5% 0.26% 0.88% 0.67% and 2.5% respectively.
- The prevalence of asthma and allergy in Palestine was markedly lower
than that of Israel; however, our results were close to another study
carried out in Duzce in Turkey.
• Our results indicate male predominance for those who have asthma &
skin allergy.
- Upon the distribution of allergic disease for study samples according
to their residence, the results show that the highest percentage of
asthmatic subjects were from villages, and the highest percentage for
those who have skin allergy were from the camps.
- Prevalence of asthma in our study doesn't appear to be related to the
social or environmental factor.
- Neither gender nor residence & environmental factors have
statistically significant relationship with allergic rhinitis.
- Poor housing conditions of refugee camps dampness (which encourages
the growth of moulds, dust, mites, ect.) might explain the double
percentage of skin allergy in refugee camps than other places.
- Adult Palestinian have minimally lower peak expiratory flow value and
prediction equations based on European population may not perform well
for them .Adoption of Persian equation for PEF seems to be more accurate
for young adult Palestinians.
- Further studies on large scale for asthma and allergy in Palestine,
and the proper use & value of PEF for Palestinians are called for.