Burden of pediatric asthma in Kurdistan Province, West of Iran

Rasoul Nasiri-Kalmarzi, Bakhtiar Piroozi, Amjad Mohamadi-Bolbanabad, Hossein Safari, Arian Azadnia, Satar Rezaei, Shilan Amir-Hosseini

DOI: 10.22122/cdj.v9i1.586


BACKGROUND: Asthma is the most common chronic respiratory disease (CRD) and one of the most serious and important pediatric diseases in developing countries. The present study aims to estimate the burden of asthma among children in Kurdistan Province, Iran.

METHODS: Disability-adjusted life year (DALY) was used in order to estimate the burden of asthma. In a cross-sectional study, with a sample size of 4000, and using the multi-stage sampling method and Asthma and Allergies in Childhood (ISAAC) questionnaire, the prevalence of asthma was estimated for two 6-7 and 13-14 age groups in Kurdistan Province in 2013. In addition, some necessary data were extracted from the death registration system in Kurdistan Provincial Health Center and Statistical Center of Iran (SCI).

RESULTS: Burden of asthma for 6-7 age group was 71.6 DALYs in boys (2.77 DALYs per 1000 population) and 48 in girls (2.22 DALYs per 1000 population) with a total burden of 119.6 DALYs (2.52 DALYs per 1000 population). Moreover, its burden for 13-14 age group was 121.1 DALYs in boys (4.86 DALYs per 1000 population) and 82.3 in girls (3.98 DALYs per 1000 population) with a total burden of 203.4 DALYs (4.46 DALYs per 1000 population).

CONCLUSION: Considering the significant prevalence of asthma and its burden among children in Kurdistan Province, it is suggested that prevention and management of this disease be considered as a priority by policy makers and in health programs, in addition to attempting to prevent and reduce its burden by setting out effective interventions.


Asthma; Pediatrics; Children; Burden of Illness; Iran

Full Text:



Asher I, Pearce N. Global burden of asthma among children. Int J Tuberc Lung Dis 2014; 18(11): 1269-78.

Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet Respir Med 2017; 5(9): 691-706.

Nurmagambetov T, Kuwahara R, Garbe P. The economic burden of asthma in the United States, 2008-2013. Ann Am Thorac Soc 2018; 15(3): 348-56.

Entezari A, Mehrabi Y, Varesvazirian M, Pourpak Z, Moin M. A systematic review of recent asthma symptom surveys in Iranian children. Chron Respir Dis 2009; 6(2): 109-14.

Fazlollahi MR, Najmi M, Fallahnezhad M, Sabetkish N, Kazemnejad A, Bidad K, et al. Paediatric asthma prevalence: The first national population-based survey in Iran. Clin Respir J 2019; 13(1): 14-22.

Ghaffari J, Mohammadzadeh I, Khalilian A, Rafatpanah H, Mohammadjafari H, Davoudi A. Prevalence of asthma, allergic rhinitis and eczema in elementary schools in Sari (Iran). Caspian J Intern Med 2012; 3(1): 372-6.

Nasiri Kalmarzi R, Shekari A, Tajik M, Ataee P, Homagostar G, Roshani D, et al. The prevalence of asthma symptoms in elementary and middle school students in Kurdistan province, the West of Iran. Int J Pediatrics 2016; 4(2): 1323-30.

Shakurnia AH, Assar S, Afra M, Latifi M. Prevalence of asthma among schoolchildren in Ahvaz, Islamic Republic of Iran. East Mediterr Health J 2010; 16(6): 651-6.

Varmaghani M, Farzadfar F, Sharifi F, Rashidian A, Moin M, Moradi-Lakeh M, et al. Prevalence of Asthma, COPD, and Chronic Bronchitis in Iran: A Systematic Review and Meta-analysis. Iran J Allergy Asthma Immunol 2016; 15(2): 93-104.

Rostamzadeh N, Akbari Sari A, Gharagozlou M. Direct costs of asthma in a referral public children's hospital in Tehran, Iran. Iran J Allergy Asthma Immunol 2018; 17(6): 601-3.

Sharifi L, Dashti R, Pourpak Z, Fazlollahi MR, Movahedi M, Chavoshzadeh Z, et al. Economic burden of pediatric asthma: Annual cost of disease in Iran. Iran J Public Health 2018; 47(2): 256-63.

World Health Organization. Asthma [Online]. [cited 2017]; Available from: URL: http://www.who.int/news-room/fact-sheets/detail/asthma

Naghavi M, Abolhassani F, Pourmalek F, Lakeh M, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran 2003. Popul Health Metr 2009; 7: 9.

Piroozi B, Alinia C, Moradi G, Safari H, Hemmati P, Seroush M, et al. Incidence, mortality, and burden of severe acute respiratory infection in Iran in 2015. Iran J Public Health 2015; 48(Supple 1): 62-8.

Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380(9859): 2197-223.

Soerjomataram I, Lortet-Tieulent J, Parkin DM, Ferlay J, Mathers C, Forman D, et al. Global burden of cancer in 2008: A systematic analysis of disability-adjusted life-years in 12 world regions. Lancet 2012; 380(9856): 1840-50.

Statistical Centre of Iran. Atlas of selected Result of the 2011 national Population and housing census [Online]. [cited 2011]. Available from: URL: https://www.amar.org.ir/Portals/1/Iran/Atlas_Census_2011.pdf

Boskabady MH, Kolahdoz GH. Prevalence of asthma symptoms among the adult population in the city of Mashhad (north-east of Iran). Respirology 2002; 7(3): 267-72.

Rahimi Rad MH, Hejazi ME, Behrouzian R. Asthma and other allergic diseases in 13-14-year-old schoolchildren in Urmia, Iran. East Mediterr Health J 2007; 13(5): 1005-16.

Zobeiri M. Prevalence, risk factors and severity of asthma symptoms in children of Kermanshah, Iran: ISAAC phase I, II. Acta Med Iran 2011; 49(3): 184-8.

Tavacol H, Rahimi Z, Cheraghi M, Ghatfan F, Baji Z, Rahmani H. A cross-sectional study of prevalence and risk factors for childhood asthma in Ahvaz city, Iran. Postepy Dermatol Alergol 2015; 32(4): 268-73.

Mehravar F, Rafiee S, Bazrafshan B, Khodadost M. Prevalence of asthma symptoms in Golestan schoolchildren aged 6-7 and 13-14 years in Northeast Iran. Front Med 2016; 10(3): 345-50.

Rahavi H, Taft AS, Mirzaei M. Years of life lost due to asthma in a population-based 10-year study in Yazd, Iran. Lung India 2018; 35(6): 472-5.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.