Bradley/Hasbro Children's Research Center, Providence, Rhode Island; Alpert Medical School, Brown University, Providence, Rhode Island; Department of Child Psychiatry and Pediatrics, Hasbro Children's Hospital/Rhode Island Hospital, Providence, Rhode Island.
Bradley/Hasbro Children's Research Center, Providence, Rhode Island; Alpert Medical School, Brown University, Providence, Rhode Island.
Ann Allergy Asthma Immunol. 2019 May;122(5):471-477. doi: 10.1016/j.anai.2019.02.030. Epub 2019 Mar 11.
Urban minority children experience high levels of asthma morbidity. Poor school performance can be an indicator that asthma is in poor control. Little attention has been paid to examining real-time links between asthma and academic performance, particularly in high-risk groups.
Examine 1) academic performance across a range of indicators in a group of urban children with asthma and urban children without chronic illness and ethnic differences in these associations, and 2) associations between asthma and academic performance in the group of urban children with asthma and ethnic differences in these associations.
Two hundred sixteen black/African American (33%), Latino (46%), and non-Latino white (21%) urban children, ages 7 to 9 years completed a clinic- and home-based protocol that assessed asthma and allergy status, objective measurements of lung function, and academic functioning.
Analyses revealed that children with asthma experienced a higher number of school absences when compared with healthy controls. Greater disparities in academic outcomes emerged when examining ethnic differences within the groups of children with and without asthma. Poor academic outcomes were observed in Latino children with asthma. Furthermore, a strong correspondence of poor asthma outcomes and decrements in academic performance were seen in the full sample, and these associations emerged across ethnic groups.
Asthma activity contributes to poorer academic outcomes across a range of indicators, and urban minority children with asthma, particularly Latino children, may be at heightened risk for poorer academic performance. School management guidelines for asthma need to be consistently implemented and tailored for school staff, caregivers, and students with asthma to address challenges of managing asthma within the urban school setting.
城市少数民族儿童哮喘发病率高。学业成绩不佳可能表明哮喘控制不佳。很少有人关注哮喘与学业成绩之间的实时联系，尤其是在高风险群体中。
检查 1）一组患有哮喘的城市儿童和没有慢性疾病的城市儿童在一系列指标上的学业成绩，以及这些关联中的族裔差异，以及 2）患有哮喘的城市儿童组中哮喘与学业成绩之间的关联以及这些关联中的族裔差异。
216 名黑/非裔美国（33%）、拉丁裔（46%）和非拉丁裔白种人（21%）城市儿童，年龄在 7 至 9 岁，完成了一项基于诊所和家庭的方案，该方案评估了哮喘和过敏状况、客观的肺功能测量和学业功能。
分析显示，与健康对照组相比，患有哮喘的儿童缺课更多。在检查患有和未患有哮喘的儿童群体中的族裔差异时，出现了更大的学业成绩差距。哮喘患儿中拉丁裔儿童的学业成绩较差。此外，在全样本中观察到哮喘不良结局和学业成绩下降之间存在强烈的对应关系，这些关联出现在各个族裔群体中。
哮喘活动会导致一系列指标的学业成绩下降，患有哮喘的城市少数民族儿童，尤其是拉丁裔儿童，可能面临学业成绩下降的高风险。需要为学校工作人员、照顾者和患有哮喘的学生持续实施和调整哮喘学校管理指南，以解决城市学校环境中管理哮喘的挑战。
