Agrawal Seema, Iqbal Sabah, Patel Shilpa J, Freishtat Robert, Kochhar-Bryant Carol
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Emergency Medicine, Children's National Hospital, Washington, DC, USA.
J Asthma. 2021 Dec;58(12):1680-1688. doi: 10.1080/02770903.2020.1825732. Epub 2020 Sep 30.
Asthma is the most common chronic condition of childhood. Urban, minority children from families of lower socioeconomic status have disproportionately higher rates of asthma and worse outcomes. We investigated the association between the presence of asthma and asthma severity among American, urban, minority children and reported quality of life (QOL) of children and their families.
We performed a prospective, cross-sectional study comparing QOL of urban, minority elementary school-age children with and without asthma. A convenience sample of children was enrolled from the pediatric emergency department (ED) and a specialized asthma clinic, at a large urban children's hospital. We measured child and parent QOL using the Pediatric Quality of Life Inventory Version 4 (PEDSQL4), and evaluated associations with asthma, parental educational attainment, and frequency of ED visits.
We enrolled 66 children, 76% were African American, and 61% were female. Overall child QOL was higher for those without asthma ( = 0.017, = 0.59). Children with asthma also visited the ED almost twice as frequently ( [64] = -3.505, < 0.001, = 0.8), and parents of children with asthma reported a lower overall QOL ( = 0.04, = 0.53) than those without asthma. Among children with asthma, a higher overall child QOL was associated with decreased asthma severity, more ED visits, and higher parental educational attainment.
Urban, minority elementary school-age children with asthma report a lower QOL than those children without asthma, and decreased asthma severity was associated with higher QOL.
哮喘是儿童最常见的慢性疾病。来自社会经济地位较低家庭的城市少数民族儿童患哮喘的比例过高，且病情更严重。我们调查了美国城市少数民族儿童哮喘的患病情况与哮喘严重程度之间的关联，并报告了儿童及其家庭的生活质量（QOL）。
我们进行了一项前瞻性横断面研究，比较有哮喘和无哮喘的城市少数民族小学适龄儿童的生活质量。从一家大型城市儿童医院的儿科急诊科（ED）和一家专门的哮喘诊所选取了一个便利样本儿童。我们使用儿童生活质量量表第4版（PEDSQL4）测量儿童和家长的生活质量，并评估其与哮喘、父母教育程度和急诊就诊频率的关联。
我们纳入了66名儿童，其中76%是非裔美国人，61%是女性。无哮喘儿童的总体生活质量更高（=0.017，=0.59）。哮喘儿童的急诊就诊频率几乎是非哮喘儿童的两倍（[64]=-3.505，<0.001，=0.8），哮喘儿童的家长报告的总体生活质量低于无哮喘儿童（=0.04，=0.53）。在哮喘儿童中，总体生活质量较高与哮喘严重程度降低、急诊就诊次数增加和父母教育程度较高有关。
患有哮喘的城市少数民族小学适龄儿童报告的生活质量低于无哮喘儿童，哮喘严重程度降低与较高的生活质量相关。
