[Increased accumulated incidence of allergic rhinitis in adolescents of Morelia, Michoacán, and its relation to satisfaction of vital and affective needs].
OBJECTIVE
To determine the incidence (preliminary) of allergic rhinitis in a population-based sample of adolescents and its relation on how they meet basic and affective need satisfaction.


METHODS
We used ISAAC survey to assess rhinitis-related symptoms in a population-based sample of adolescents from Morelia, Michoacán, Mexico. Some items were added to the survey to evaluate how they meet basic and affective needs. Random sample included 1,333 adolescents aged 11-16 years from several schools of Morelia, Michoacán. Allergic rhinitis impact on basic and affective need satisfaction was assessed. Relative risk (RR) and 95% confidence interval (CI) were estimated.


CONCLUSIONS
Until 2003, such disease was diagnosed in 12% of cases; however, the number went up after the survey: rhinitis-related symptoms were seen in 46% of those polled, of which prevalence, sensitivity and specificity rates were 27, 90, 70%, respectively. More symptoms were reported from July through December. Sixty percent of adolescents with allergic rhinitis reported sleep disturbances, with adverse effects on bed rest period (RR 2.64) [1.01-6.94]. Well-balanced diet was seen in 62% of adolescents with such disease (RR 1.56) [1.34-1.79]. Sixty-seven percent of such teenagers said that the disease does no interfere with their performance in school (RR 1.41) [0.61-3.24] and 22% felt unaccepted (RR 1.8) [0.795-16.63].


CONCLUSIONS
The estimation of incidence of allergic rhinitis found in this study is higher than in other reports. Basic and affective need satisfaction was affected; thus, implementation of psychotherapy within a multi-disciplinary approach is required.
Rodríguez Orozco
Alain R
AR
laboratorio de immunología, división de estudios de posgrado, Facultad de Ciencias Médicas y Biológicas Dr. Ignacio Chávez, Universidad Michoacana de San Nicolás de Hidalgo. arorozco@hotmail.com
Pérez Sánchez
Adriana Guadalupe
AG
Cruz Balandran
Jorge
J
Hernández Chávez
Liliam
L
Farías Rodríguez
Víctor Manuel
VM
Ruíz Vega
Humberto
H
D000293:Adolescent; D002648:Child; D004032:Diet; D004463:Ecology; D004522:Educational Status; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D015994:Incidence; D007398:Interpersonal Relations; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009017:Morbidity / Q000639:trends; D010549:Personal Satisfaction; D010944:Plants; D015995:Prevalence; D011613:Psychotherapy; D011788:Quality of Life; D012221:Rhinitis, Allergic, Perennial / Q000453:epidemiology* / Q000523:psychology; D006255:Rhinitis, Allergic, Seasonal / Q000453:epidemiology* / Q000523:psychology; D012306:Risk; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D020919:Sleep Disorders, Intrinsic / Q000453:epidemiology; D014505:Urban Population