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November 18, 1989BMJOpen Access

Hay fever, hygiene, and household size.

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Authors

David P. Strachan
David P. StrachanPreventive Cardiology

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Implication

Epidemiological analysis links rising allergic disease prevalence to declining household size and altered childhood infection exposure, suggesting early microbial contact protects against atopy.

Key Points

  • Evaluate historical trends in British general practice morbidity to explain the rising prevalence of hay fever, childhood eczema, and asthma over recent decades.
  • Assessed successive morbidity surveys from British general practice spanning a 30-year period.
  • Examined epidemiological patterns of atopic diseases in relation to household composition and childhood infection exposure.
  • General practice surveys demonstrate a consistent increase in the prevalence of hay fever over 30 years.
  • Parallel secular increases were observed in the rates of asthma and childhood eczema across modern post-industrial environments.

Cite This Study

David P. Strachan (1989) studied this question.

synapsesocial.com/papers/69dbda8ef7e0c66ced8367b8https://doi.org/10.1136/bmj.299.6710.1259
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hay fever, a post industrial revolution epidemic: a history of its growth during the 19th century1988 · 150 citations
  2. 2From Birth to Five. A Study of the Health and Behaviour of Britain's Five Year Olds1987 · 55 citations
  3. 3The relationship between viral infections and onset of allergic diseases and asthma1989 · 117 citations
  4. 4Prevalence of asthma and hay fever in England and Wales.1987 · 385 citations
  5. 5WHO COLLABORATIVE BREAST FEEDING STUDY1981 · 48 citations