Division of Developmental Disability, Department of Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA 22901, USA.
J Dev Behav Pediatr. 2012 Jan;33(1):24-31. doi: 10.1097/DBP.0b013e3182396895.
The purpose of this study was to determine (1) the progress that has been made in reducing the prevalence of asthma and/or reducing its severity over the past decade and (2) the progress that has been made in reducing the developmental and behavioral comorbidities of asthma during this period.
Rates of asthma, asthma severity, and developmental and behavioral problems among children with asthma were compared between the 2003 and 2007 National Surveys of Children's Health.
Asthma rates remained stable between the 2 surveys, but there was a shift from moderate to mild and, to a lesser extent, severe asthma. Comorbid rates of developmental and behavioral problems were about twice as high among children with asthma compared with those without asthma. All problems increased for both groups between the surveys but at a significantly greater pace for repeated grades among children with asthma.
Children with asthma continue to have high rates of comorbid developmental and behavioral problems. Over the past decade, these problems are becoming more, not less frequent. Primary and asthma specialty caregivers should be attuned to these comorbidities and implement methods to screen for, assess, and remediate these problems as early as possible.
本研究旨在确定（1）在过去十年中，哮喘的发病率和/或严重程度降低方面取得的进展，以及（2）在此期间，哮喘的发育和行为共病减少方面取得的进展。
通过比较 2003 年和 2007 年全国儿童健康调查，比较儿童哮喘的哮喘发病率、哮喘严重程度和发育及行为问题。
两次调查之间哮喘发病率保持稳定，但从中度向轻度转变，严重程度则略有下降。与无哮喘的儿童相比，哮喘儿童的发育和行为问题共病率大约高两倍。两组儿童的所有问题都在调查期间有所增加，但哮喘儿童的重复年级增长速度明显更快。
哮喘儿童仍有很高的发育和行为问题共病率。在过去十年中，这些问题变得更加普遍，而不是减少。初级保健和哮喘专科护理人员应关注这些共病，并尽早采取方法筛查、评估和治疗这些问题。
