BinSaeed Abdulaziz A, Torchyan Armen A, Alsadhan Abdulmajeed A, Almidani Ghaith M, Alsubaie Abdulaziz A, Aldakhail Ahmad A, AlRashed Abdullah A, AlFawaz Mohamed A, Alsaadi Muslim M
Prince Sattam Bin Abdul Aziz Research Chair of Epidemiology and Public Health, College of Medicine, King Saud University , Riyadh , Saudi Arabia .
J Asthma. 2014 May;51(4):435-9. doi: 10.3109/02770903.2013.876649. Epub 2014 Feb 6.
Asthma is the most common chronic disease among children. Uncontrolled asthma may considerably decrease the quality of life for patients and their families. Our objective was to identify possible risk factors for poor asthma control in children.
A cross-sectional study was conducted among children with asthma aged 4-11 years who attended a pediatric clinic for follow-up visits at one of the major teaching hospitals in Riyadh, Saudi Arabia. Asthma control status was measured by the childhood asthma control test. Multiple logistic regression analysis was performed to explore the relationships between the outcome and exposure variables.
Uncontrolled asthma was present in 89 out of 158 children (59.3%). Asthma control improved with the number of siblings. Control improved by 69% with two or three siblings (OR = 0.31, 95% CI = 0.10-0.96) and by 87% with four or more siblings (OR = 0.13, 95% CI = 0.04-0.48). Similarly, asthma control improved with an increased asthma knowledge of the caregiver (OR = 0.87, 95% CI = 0.81-0.93). Household incomes less than SAR 15 000 and sharing a bedroom increased the odds of having uncontrolled asthma by 2.30 (95% CI = 1.02-5.21) and 3.33 (95% CI = 1.33-8.35), respectively.
In addition to knowledge, socioeconomic factors, such as family income, household crowding, and the number of siblings are associated with asthma control among children in Saudi Arabia. Further research is needed to investigate the role of these factors.
哮喘是儿童中最常见的慢性疾病。未得到控制的哮喘会显著降低患者及其家庭的生活质量。我们的目的是确定儿童哮喘控制不佳的可能风险因素。
在沙特阿拉伯利雅得一家主要教学医院的儿科诊所对4至11岁的哮喘儿童进行了一项横断面研究，这些儿童前来进行随访。通过儿童哮喘控制测试来衡量哮喘控制状况。进行了多元逻辑回归分析以探讨结果变量与暴露变量之间的关系。
158名儿童中有89名（59.3%）哮喘未得到控制。哮喘控制情况随兄弟姐妹数量的增加而改善。有两个或三个兄弟姐妹时，控制改善了69%（比值比[OR]=0.31，95%置信区间[CI]=0.10 - 0.96），有四个或更多兄弟姐妹时，控制改善了87%（OR = 0.13，95% CI = 0.04 - 0.48）。同样，照顾者对哮喘知识的增加也使哮喘控制情况得到改善（OR = 0.87，95% CI = 0.81 - 0.93）。家庭收入低于15000沙特里亚尔以及共用一间卧室分别使哮喘未得到控制的几率增加了2.30倍（95% CI = 1.02 - 5.21）和3.33倍（95% CI = 1.33 - 8.35）。
除了知识外，社会经济因素，如家庭收入、家庭拥挤程度和兄弟姐妹数量，与沙特阿拉伯儿童的哮喘控制有关。需要进一步研究来调查这些因素的作用。
