Abstract
OBJETIVE: To estimate the prevalence of asthma and allergic rhinitis and to identify factors related to treatment among medical students at the University of Panama.
METHODS: This was an observational, cross-sectional, and analytical study with a follow-up phase to assess asthma and allergic rhinitis control between August and December 2024. Validated diagnostic questionnaires for asthma and rhinitis were administered digitally. Participants with a prior medical diagnosis and/or positive questionnaires completed the ACT and RCAT scales to evaluate clinical control. Descriptive statistics, chi-square tests, and McDonald's omega coefficient were used for internal reliability.
RESULTS: 292 valid surveys were analyzed (62.7% women; mean age 21.2 years). The prevalence of asthma was 9.6% and of rhinitis 41.8%. Of the patients with asthma, 85.7% had concomitant rhinitis (p < 0.001). Eighty percent of asthma cases were well controlled clinically, compared to 36.6% of those with rhinitis. Less than 25% of rhinitis cases received medical follow-up, and 85.2% self-medicated.
CONCLUSION: The coexistence of asthma and rhinitis was frequent among medical students, with good asthma control predominating over poor rhinitis control.
KEYWORDS: Prevalence; Asthma; Allergic rhinitis; Medical students.
References
1. Shin YH, Hwang J, Kwon R, Lee SW, et al. Global, regional, and national burden of allergic disorders and their risk factors in 204 countries and territories, from 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019. Allergy. 2023; 78 (8): 2232-54.
2. Guerra S, Sherrill DL, Martinez FD, Barbee RA. Rhinitis as an independent risk factor for adult-onset asthma. Journal of Allergy and Clinical Immunology. 2002; 109 (3): 419-25.
3. Savouré M, Bousquet J, Jaakkola JJK, Jaakkola MS, et al. Worldwide prevalence of rhinitis in adults: A review of definitions and temporal evolution. Clin Transl Allergy. 2022; 12 (3).
4. Noriega L, Méndez J, Trujillo A, Aguilera A, García Y. Prevalencia y características del asma en mayores de 18 años en la República de Panamá: estudio de base poblacional PRENFOR. Open Respiratory Archives. 2020; 2 (3): 113-8.
5. Dykewicz MS, Hamilos DL. Rhinitis and sinusitis. Journal of Allergy and Clinical Immunology. 2010; 125 (Suppl. 2).
6. Arias SJ, Neffen H, Bossio JC, Calabrese CA, et al. Prevalence and Features of Asthma in Young Adults in Urban Areas of Argentina. Archivos de Bronconeumología (English Edition). 2018; 54 (3): 134-9.
7. Mancilla-Hernández E, Medina-Ávalos MA, Osorio-Escamilla RE. Validación de un cuestionario diagnóstico de rinitis alérgica para estudios epidemiológicos. Rev Alerg Mex. 2014; 61 (3): 153-61.
8. Mancilla-Hernández E, Barnica-Alvarado RH, Morfín-Maciel BM, Larenas-Linnemann D. Validación de un cuestionario diagnóstico de asma en niños y adultos para estudios epidemiológicos. Rev Alerg Mex. 2014; 61 (2): 73-80.
9. Mora RAAMGMFJZPCC y FPM. Características De La población Universitaria Que Recurre a La automedicación En Costa Rica. Revista Cubana de Salud Pública 2019; 45.
10. Schatz M, Sorkness CA, Li JT, Marcus P, et al. Asthma Control Test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol 2006; 117 (3): 549-56.
11. Meltzer EO, Schatz M, Nathan R, Garris C, et al. Reliability, validity, and responsiveness of the Rhinitis Control Assessment Test in patients with rhinitis. J Allergy Clin Immunol 2013; 131 (2): 379-86.
12. Vega JM, Badia X, Badiola C, López-Viña A, et al. Validation of the Spanish Version of the Asthma Control Test (ACT). J Asthma. 2007; 44 (10): 867-72.
13. Diana Q, Abraham A, Yaicith A, Peter O, Juan T. Validation of the Spanish language version of the control of allergic rhinitis and asthma test. NPJ Prim Care Respir Med. 2022; 32 (1): 47.
14. Del Cuvillo A, Sastre J, Colás C, Navarro A, et al. Adaptation to Spanish and Validation of the Rhinitis Control Assessment Test questionnaire. J Investig Allergol Clin Immunol. 2020; 30 (3): 175-81.
15. Tohidinik HR, Mallah N, Takkouche B. History of allergic rhinitis and risk of asthma; a systematic review and meta-analysis. World Allergy Org J 2019; 12 (10): 100069.
16. Coronel AC, Sanchez-Tamay NM, Ballena-Caicedo J, Zuzunaga-Montoya FE, et al. Prevalence of asthma in adults in Latin America: a systematic review and meta-analysis. Ann Allergy Asthma Immunol. 2025.
17. Sousa‐Pinto B, Valiulis A, Melén E, Koppelman GH, et al. Asthma and rhinitis control in adolescents and young adults: A real ‐world MASK- air study. Pediatr Allergy Immunol 2024; 35 (2).
18. Cabrera A, Picado C, Barba S, Fonseca O, et al. Prevalencia y determinantes de asma en adultos en Quito: un estudio transversal. Colomb Med. 2022; 53 (2): e2025086.
19. Tan DJ, Lodge CJ, Walters EH, Lowe AJ, et al. Longitudinal Asthma Phenotypes from Childhood to Middle-Age: A Population-based Cohort Study. Am J Respir Crit Care Med. 2023; 208 (2): 132-41.
20. Neffen H, Chahuàn M, Hernández DD, Vallejo-Perez E, et al. Key factors associated with uncontrolled asthma – the Asthma Control in Latin America Study. J Asthma. 2020; 57 (2): 113-22.
21. Vieira RJ, Leemann L, Briggs A, Pereira AM, et al. Poor Rhinitis and Asthma Control Is Associated With Decreased Health-Related Quality of Life and Utilities: A MASK-air Study. J Allergy Clin Immunol Pract. 2024; 12 (6): 1530-1538.e6.
22. Silva DL, de Barayazarra S, Valero A, Garcia E, et al. Control of allergic rhinitis in four latin american countries: Rinola study. Frontiers in Allergy. 2022; 3.
23. Salama B, Elboraei Y, Alenezy A, A. Alrwaili MR, et al. Prevalence, Usage Patterns and Side Effects of Nasal Decongestants Among the General Population in Arar City: A Cross-Sectional Study. Journal of Pioneering Medical Sciences. 2025; 14 (3): 81-6.

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