Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York.
Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York.
J Adolesc Health. 2019 Dec;65(6):812-814. doi: 10.1016/j.jadohealth.2019.05.023. Epub 2019 Aug 2.
Among diverse, low-income urban adolescents with persistent asthma, we examined whether attention-deficit/hyperactivity disorder (ADHD) comorbidity, compared with asthma alone, was associated with clinical outcomes, healthcare utilization, and responsibility for self-management.
We conducted a secondary analysis of data from a large school-based study of adolescents with asthma in Rochester, NY. Adolescents reported asthma symptoms over 2 weeks and primary care and hospital admissions over 1 year. We assessed shared responsibility for asthma management between caregivers and adolescents.
ADHD comorbidity was common (28%) in this sample of 370 adolescents. Adolescents with ADHD had more primary care utilization and hospitalizations than those without, despite having similar asthma symptoms. Caregivers and adolescents with ADHD reported that adolescents had less shared responsibility for nine asthma management tasks.
Adolescents with ADHD share less responsibility for asthma self-management. These teens' increased healthcare use might provide opportunities for clinicians to provide extra self-management support.
在患有持续性哮喘的各种低收入城市青少年中,我们研究了与单纯哮喘相比,注意力缺陷/多动障碍(ADHD)共病是否与临床结局、医疗保健利用和自我管理责任有关。
我们对纽约罗切斯特市一项大型基于学校的青少年哮喘研究的数据进行了二次分析。青少年在 2 周内报告哮喘症状,在 1 年内报告初级保健和住院情况。我们评估了照顾者和青少年在哮喘管理方面的共同责任。
在 370 名青少年中,该样本中 ADHD 共病较为常见(28%)。尽管患有相似的哮喘症状,但患有 ADHD 的青少年比没有 ADHD 的青少年有更多的初级保健利用和住院治疗。患有 ADHD 的青少年和照顾者报告说,青少年在九项哮喘管理任务上的共同责任较少。
患有 ADHD 的青少年在哮喘自我管理方面的共同责任较少。这些青少年增加的医疗保健利用可能为临床医生提供额外的自我管理支持提供机会。