OBJECTIVE:Allergic rhinitis (AR) is a global health problem, potentially impacting individuals' sleep, work and social life. We aimed to use a surveillance network of general practitioners (GPs) to describe the epidemiology of AR consultations in England. SETTING:A large GP surveillance network covering approximately 53% of the English population. METHODS:GP consultations for AR across England between 30 December 2002 and 31 December 2014 were analysed. Using more granular data available between 2 April 2012 and 31 December 2014 rates and rate ratios (RR) of AR were further analysed in different age groups, gender, rural-urban classification and index of multiple deprivation score quintile of location of GP. RESULTS:The mean weekly rate for AR consultations was 19.8 consultations per 100 000 GP registered patients (range 1.13-207), with a regular peak occurring during June (weeks 24-26), and a smaller peak during April. Between 1 April 2012 and 31 December 2014, the highest mean daily rates of consultations per 1 00 000 were: in age group 5-14 years (rate=8.02, RR 6.65, 95% CI 6.38 to 6.93); females (rate=4.57, RR 1.12 95% CI 1.12 to 1.13); persons registered at a GP in the most socioeconomically deprived quintile local authority (rate=5.69, RR 1.48, 95% CI 1.47 to 1.49) or in an urban area with major conurbation (rate=5.91, RR 1.78, 95% CI 1.69 to 1.87). CONCLUSIONS:AR rates were higher in those aged 5-14 years, females and in urban and socioeconomically deprived areas. This needs to be viewed in the context of this study's limitations but should be considered in health promotion and service planning.

译文

目的:过敏性鼻炎(AR)是一个全球性的健康问题,可能会影响个人的睡眠,工作和社交生活。我们旨在使用全科医生(GPs)的监视网络来描述英格兰AR咨询的流行病学。
地点:大型GP监控网络覆盖了大约53%的英国人口。
方法:分析了2002年12月30日至2014年12月31日在英格兰进行的AR的GP咨询。使用2012年4月2日至2014年12月31日期间可用的更详细的数据,进一步分析了不同年龄组,性别,城乡分类以及GP的多个剥夺得分五分之一指数的AR发生率和比率(RR)。
结果:AR咨询的平均每周比率为每10万名GP注册患者(范围为1.13-207)有19.8宗咨询,在6月(第24-26周)有一个定期的高峰,而在4月有一个较小的高峰。在2012年4月1日至2014年12月31日期间,每1万000的最高每日平均诊症率是:5-14岁年龄组(比率= 8.02,RR 6.65,95%CI CI 6.38至6.93);女性(比率= 4.57,RR 1.12 95%CI 1.12至1.13);在社会经济地位最差的五分之一地方当局(GP = 5.69,RR 1.48,95%CI 1.47至1.49)或大城市地区(GP = 5.91,RR 1.78,95%CI 1.69至1.87)注册的人)。
结论:5-14岁的女性,城市和社会经济贫困地区的AR发病率较高。需要根据本研究的局限性来考虑这一点,但应在健康促进和服务计划中予以考虑。

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