Faculdade de Medicina de Jundiaí, Departamento de Pneumologia, Jundiaí, SP, Brazil.
Faculdade de Medicina de Jundiaí, Departamento de Pneumologia, Jundiaí, SP, Brazil.
J Pediatr (Rio J). 2022 Sep-Oct;98(5):490-495. doi: 10.1016/j.jped.2021.12.010. Epub 2022 Feb 25.
To evaluate the relationship between asthma control, family income and family costs of asthma in a population of children-adolescents; to detail the family costs of asthma in this age range; and to compare asthma costs for the families of children-adolescents and adults.
The authors invited asthmatic subjects who attended a scheduled spirometry test at the Jundiaí School of Medicine (FMJ). The FMJ performs all spirometry tests requested by staff physicians who serve at the public healthcare system in the municipality. Volunteers responded to the ACQ, the Asthma Family Costs Questionnaire and underwent a spirometry test.
The authors included 342 children-adolescents. Families of children-adolescents taking maintenance therapy and families of those reporting uncontrolled asthma symptoms were more likely to report any expenditure with asthma during the preceding month. In this age range, the smallest expenditures were on diagnostic tests and medical consultations, while home expenditures to avoid asthma triggers were the highest ones. As compared to adults' families, the children and adolescents families reported a greater proportion of income committed with asthma. Expenditures with transportation to healthcare facilities for asthma care were greater in the families of children-adolescents as compared to the values reported by the adults' families; in contrast, loss of income due to asthma was smaller in the families of children-adolescents.
Children-adolescents' asthma affects the household economy. The authors believe researchers should assess this outcome when designing studies about asthma. Finally, the study's data support the necessity of public policies in low-resource communities to minimize the economic impact of children and adolescents' asthma.
评估儿童和青少年哮喘患者的哮喘控制情况、家庭收入和哮喘家庭支出之间的关系；详细说明该年龄段哮喘的家庭支出情况；并比较儿童和青少年家庭与成年家庭的哮喘支出。
作者邀请了在 Jundiaí 医学院（FMJ）接受计划肺功能检查的哮喘患者参加。FMJ 执行由服务于该市公共医疗系统的主治医生要求的所有肺功能检查。志愿者回答 ACQ、哮喘家庭费用问卷并接受肺功能检查。
作者纳入了 342 名儿童和青少年。接受维持治疗的儿童和青少年家庭和报告哮喘症状未得到控制的家庭更有可能报告在上个月有任何与哮喘相关的支出。在这个年龄段，诊断测试和医疗咨询的支出最小，而避免哮喘诱因的家庭支出最高。与成年家庭相比，儿童和青少年家庭报告了更大比例的收入用于哮喘。儿童和青少年家庭因哮喘而前往医疗机构的交通支出高于成年家庭报告的值；相比之下，儿童和青少年家庭因哮喘而导致的收入损失较小。
儿童和青少年的哮喘会影响家庭经济。作者认为，研究人员在设计哮喘相关研究时应评估这一结果。最后，该研究的数据支持在资源匮乏的社区制定公共政策，以最大程度地降低儿童和青少年哮喘的经济影响。
