Newcomb Patricia, Cyr Alaina
College of Nursing, University of Texas at Arlington, 411 South Nedderman Drive, Arlington, TX 76019, USA.
ISRN Allergy. 2012 Sep 24;2012:823608. doi: 10.5402/2012/823608. Print 2012.
Introduction. The purpose of this study was to identify significant associations between asthma diagnosis, comorbid conditions, and social problems in children. Method. This study explored data collected in a unique, regional survey of children's health in north Texas originally administered in 2009 to a random sample of 21,530 households with children from 0 to 14 years of age. Descriptive statistics were compiled for the subsample of children with asthma, associations of interest were identified, and strengths of relevant associations were calculated. Results. The prevalence of asthma in school-aged children in the target area is 19-25%, which exceeds both national and state values. Statistically significant associations were found between asthma and allergies, sleep problems, and tonsillectomy. Significant associations were identified between asthma and school absences, academic problems, and behavior problems in school. There was a significantly greater prevalence of obesity/overweight among children with asthma than without asthma. Discussion. Children with asthma are at high risk for impairment in multiple dimensions. Thorough assessment, including comprehensive medical, social, and environmental histories, is critical in management of pediatric asthma.
引言。本研究的目的是确定儿童哮喘诊断、合并症与社会问题之间的显著关联。方法。本研究探讨了在德克萨斯州北部进行的一项独特的区域性儿童健康调查中收集的数据，该调查最初于2009年对21530个有0至14岁儿童的家庭随机抽样进行。对哮喘儿童亚样本进行了描述性统计，确定了感兴趣的关联，并计算了相关关联的强度。结果。目标地区学龄儿童哮喘患病率为19 - 25%，超过了国家和州的患病率。哮喘与过敏、睡眠问题和扁桃体切除术之间存在统计学显著关联。哮喘与缺课、学业问题和学校行为问题之间存在显著关联。哮喘儿童中肥胖/超重的患病率显著高于无哮喘儿童。讨论。哮喘儿童在多个维度上有受损的高风险。全面评估，包括综合的医学、社会和环境病史，对儿童哮喘的管理至关重要。
