Assessment of Asthma Prevalence and Contributing Factors in 6- and 7-Year-Old Students: A Cross-Sectional Analysis on Santiago Island, Cabo Verde, 2022 - Report - MDSpire

Assessment of Asthma Prevalence and Contributing Factors in 6- and 7-Year-Old Students: A Cross-Sectional Analysis on Santiago Island, Cabo Verde, 2022

  • By

  • Maria do Céu Teixeira

  • Alexandra G. dos Santos

  • Isabel Inês Araújo

  • Maria Rosário O. Martins

  • April 23, 2026

  • 0 min

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Clinical Report: Assessment of Asthma Prevalence in Cabo Verdean Children

Overview

This study estimates the prevalence of asthma among 6- and 7-year-old children on Santiago Island, Cabo Verde, finding a current asthma prevalence of 10.5%. Significant associations were identified between asthma and comorbidities such as rhinitis, as well as risk factors including antibiotic exposure and protective factors like breastfeeding.

Background

Asthma is a significant pediatric health issue, particularly in low- and middle-income countries where access to care is limited. The prevalence of asthma among children in Africa has been rising, yet data specific to Cabo Verde is scarce. Understanding asthma prevalence and its contributing factors is crucial for developing effective public health strategies.

Data Highlights

MeasureValue
Current asthma prevalence10.5% (95% CI 8.7–12.4)
Physician diagnosis prevalence5%
Rhinitis prevalence20.1%
Eczema prevalence12.2%
Asthmatic children with rhinitis59%
Asthmatic children with eczema18%

Key Findings

  • The prevalence of current asthma among children was found to be 10.5%.
  • Only 5% of children with asthma had a physician diagnosis.
  • Boys were more affected than girls, with prevalence rates of 12.6% vs. 8.5%.
  • Current rhinitis was identified as a strong comorbidity (aOR: 7.86).
  • Antibiotic exposure in the first year of life was associated with increased asthma risk (aOR: 2.10).
  • Breastfeeding was identified as a protective factor against asthma (aOR: 0.19).

Clinical Implications

Healthcare providers should be aware of the high prevalence of undiagnosed asthma in children and the importance of screening for comorbidities like rhinitis. Promoting breastfeeding and rational antibiotic use during infancy may help reduce asthma incidence.

Conclusion

The findings underscore the need for improved asthma management and screening in Cabo Verde, highlighting the importance of addressing both environmental and clinical factors in pediatric populations.

References

  1. BMC Psychiatry (Springer), 2023 -- Prevalence and Contributing Factors of Depression Among Adolescents in Cape Verde
  2. Infection, 2024 -- Exploring the Link Between COVID-19 Vaccination/Infection and the Emergence of Asthma in Pediatric Populations
  3. Open Forum Infectious Diseases -- Outcomes of HIV Care Continuum in Latin American and Caribbean Adolescents and Young Adults: Links to Depression and Substance Use
  4. BMC Psychiatry (Springer), 2023 -- Exploring Adolescents' Intentions to Seek Help for Depression and Social Anxiety in Bermuda
  5. Prevalence and risk factors for childhood asthma: a systematic review and meta-analysis - PMC
  6. Global Initiative for Asthma (GINA), 2025 -- GINA Summary Guide 2025
  7. Budesonide-formoterol versus salbutamol as reliever therapy in children with mild asthma - PubMed
  8. Prevalence and risk factors for childhood asthma: a systematic review and meta-analysis - PMC
  9. https://ginasthma.org/wp-content/uploads/2025/11/GINA-Summary-Guide-2025-WEB_FINAL-WMS.pdf
  10. Budesonide-formoterol versus salbutamol as reliever therapy in children with mild asthma (CARE): a 52-week, open-label, multicentre, superiority, randomised controlled trial - PubMed

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