School of Nutrition, Federal University of Bahia, Salvador 40.110-150, Brazil.
School of Nursery, Federal University of Minas Gerais, Belo Horizonte 30.130-100, Brazil.
Int J Environ Res Public Health. 2018 Dec 19;15(12):2904. doi: 10.3390/ijerph15122904.
Biological and psychosocial factors are recognized contributors to the worldwide burden of asthma. However, the relationship between psychosocial factors and asthma symptoms among students in low- and middle-income countries remains underexplored. We aimed to identify socioeconomic, environmental, psychosocial, family-related and lifestyle factors associated with the self-reporting of asthma symptoms in Brazilian adolescents. This is a cross-sectional study using data from the 2012 PeNSE survey ( = 109,104). We analyzed the following variables: socioeconomic conditions, demographic characteristics, lifestyle, family context and dynamics, psychosocial indicators, smoking, and exposure to violence. Our outcome variable was the self-report of asthma symptoms in the past 12 months. The prevalence of wheezing was 22.7% (21.5⁻23.9). After adjusting for sex, age and the variables from higher hierarchical levels, exposure to violence (feeling unsafe at school, being frequently bullied, being exposed to fights with firearms) and physical aggression by an adult in the family were the environmental factors that showed the strongest associations with self-reporting of asthma symptoms. For psychosocial indicators of mental health and social integration, feelings of loneliness and sleeping problems were the strongest factors, and among individual behavioral factors, the largest associations were found for tobacco consumption. Our findings were consistent with previous studies, showing an association between self-reported asthma symptoms and socio-economic status, family context and dynamics, psychosocial indicators of mental health, exposure to violence and social integration, as well as a sedentary lifestyle and tobacco use.
生物和社会心理因素被认为是导致全球哮喘负担的因素之一。然而,中低收入国家学生的社会心理因素与哮喘症状之间的关系仍未得到充分探索。本研究旨在确定与巴西青少年哮喘症状自我报告相关的社会经济、环境、社会心理、家庭相关和生活方式因素。这是一项使用 2012 年 PeNSE 调查数据(n = 109104)的横断面研究。我们分析了以下变量:社会经济状况、人口统计学特征、生活方式、家庭环境和动态、社会心理指标、吸烟和暴力暴露。我们的结局变量是过去 12 个月的哮喘症状自我报告。喘息的患病率为 22.7%(21.5⁻23.9)。在校感到不安全、经常被欺负、目睹枪支打架,以及家庭中成年人的身体攻击,在调整性别、年龄和较高层次变量后,这些环境因素与哮喘症状自我报告的关联最强。对于心理健康和社会融合的社会心理指标,孤独感和睡眠问题的关联最强,而在个体行为因素中,吸烟与哮喘症状的关联最强。我们的研究结果与既往研究一致,表明哮喘症状的自我报告与社会经济地位、家庭环境和动态、心理健康的社会心理指标、暴力暴露和社会融合以及久坐的生活方式和吸烟有关。