Division of Environmental Health Science and Practice, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
J Asthma. 2023 Oct;60(10):1918-1925. doi: 10.1080/02770903.2023.2200842. Epub 2023 Apr 20.
Asthma self-management education (AS-ME) is an effective strategy to help children with asthma achieve better asthma control and outcome. The objective of this study is to assess the association between the prevalence of receiving AS-ME curriculum components and sociodemographic characteristics among children with current asthma.
Behavioral Risk Factor Surveillance System, child Asthma Call-back Survey 2015-2017 aggregated data were used. Multivariable logistic regression models were used to assess associations of each AS-ME component question and sociodemographic characteristic, adjusting for sample weighting.
Among 3,213 children with current asthma, 52% of children reported ever being given an asthma action plan by a doctor or other healthcare professional. After adjusting for other variables, boys and Non-Hispanic Black children were more likely to report being given an action plan (APR= 1.15[95% CI 1.00-1.32] and APR= 1.28[95% CI 1.07-1.54] respectively). Non-Hispanic Black (APR = 2.15 [95% CI 1.30-3.55]), non-Hispanic, other race (APR = 1.95 [95% CI1.04-3.66]), and Hispanic children (APR = 1.84 [95% CI 1.18-2.89]) were more likely to report taking a course to learn how to manage asthma than non-Hispanic White children. Hispanic children (40.8%) were more likely to report being advised to change home environment compared to non-Hispanic Whites (31.5%) (APR =1.28 [95% CI 1.01-1.63).
The prevalence of some elements of asthma-self management education was relatively low and there were differences observed in the prevalence of receiving AS-ME by race/ethnicity, parental education, and income. Targeted implementation of asthma self-management components and interventions may improve asthma control and reduce asthma morbidity.
哮喘自我管理教育(AS-ME)是帮助哮喘儿童实现更好哮喘控制和结果的有效策略。本研究的目的是评估当前哮喘儿童接受 AS-ME 课程内容的流行率与社会人口统计学特征之间的关联。
使用行为风险因素监测系统(BRFSS),2015-2017 年儿童哮喘回拨调查的汇总数据。使用多变量逻辑回归模型评估每个 AS-ME 组成部分问题与社会人口统计学特征的关联,并根据样本加权进行调整。
在 3213 名患有当前哮喘的儿童中,有 52%的儿童报告曾由医生或其他医疗保健专业人员给予哮喘行动计划。在调整其他变量后,男孩和非西班牙裔黑人儿童更有可能报告接受行动计划(APR=1.15[95%CI1.00-1.32]和 APR=1.28[95%CI1.07-1.54])。非西班牙裔黑人(APR=2.15[95%CI1.30-3.55])、非西班牙裔其他种族(APR=1.95[95%CI1.04-3.66])和西班牙裔儿童(APR=1.84[95%CI1.18-2.89])更有可能报告参加课程以学习如何管理哮喘,而非西班牙裔白人儿童。与非西班牙裔白人相比,西班牙裔儿童(40.8%)更有可能被建议改变家庭环境(APR=1.28[95%CI1.01-1.63])。
哮喘自我管理教育的某些内容的流行率相对较低,并且在种族/族裔、父母教育程度和收入方面,接受 AS-ME 的比例存在差异。有针对性地实施哮喘自我管理内容和干预措施可能会改善哮喘控制并降低哮喘发病率。