Collins Joanne E, Gill Tiffany K, Chittleborough Catherine R, Martin A James, Taylor Anne W, Winefield Helen
Department of Health, Population Research and Outcome Studies Unit, South Australia.
J Asthma. 2008 Aug;45(6):489-93. doi: 10.1080/02770900802074802.
To use representative population chronic disease and risk factor data to investigate the relationship between asthma and social factors in school-age children.
Representative cross-sectional data for children 5 to 15 years of age were collected from 2002 to June 2007 (n = 4,611) in the South Australian Monitoring and Surveillance System (SAMSS) using Computer-Assisted Telephone Interviews (CATI). Univariate and multivariate analyses were conducted to investigate the variables that were associated with asthma among children.
The overall prevalence of self-reported asthma among children 5 to 15 years of age was 18.6% (95% CI = 17.5-19.8). Children with asthma were more likely to have been treated for a mental health problem, have been unhappy at school, have been absent from school in the last month, have fair or poor overall health and well-being, have ongoing pain or chronic illness, and less likely to have a group of friends to play with. Asthma was also more prevalent among males and less likely to occur in children from households where the gross annual income was greater than $AU80,000.
Children with asthma were more likely to be treated for a mental health problem and demonstrate more negative social outcomes as well as poorer overall health and well-being. Asthma management plans need to be sensitive to these psychosocial factors for adequate care of these vulnerable young patients.
利用具有代表性的人群慢性病和风险因素数据，调查学龄儿童哮喘与社会因素之间的关系。
2002年至2007年6月期间，在南澳大利亚监测与监督系统（SAMSS）中，采用计算机辅助电话访谈（CATI）收集了5至15岁儿童的代表性横断面数据（n = 4,611）。进行单因素和多因素分析，以调查与儿童哮喘相关的变量。
5至15岁儿童自我报告哮喘的总体患病率为18.6%（95%置信区间 = 17.5 - 19.8）。患有哮喘的儿童更有可能接受过心理健康问题治疗，在学校不开心，上个月缺课，总体健康状况和幸福感一般或较差，患有持续性疼痛或慢性病，且不太可能有一群朋友一起玩耍。哮喘在男性中也更为普遍，而在家庭年收入超过80,000澳元的儿童中发生的可能性较小。
患有哮喘的儿童更有可能接受心理健康问题治疗，表现出更多负面的社会结果以及更差的总体健康状况和幸福感。哮喘管理计划需要对这些社会心理因素保持敏感，以便为这些脆弱的年轻患者提供充分的护理。
