Prevalence, impact, and trends in childhood disability due to asthma
Prevalence, impact, and trends in childhood disability due to asthma
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DOI：
10.1001/archpedi.154.3.287
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发表时间：
2000-03-01
影响因子：
--
通讯作者：
Halfon, N
中科院分区：
文献类型：
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作者：
Newacheck, PW;Halfon, N
背景资料：虽然没有被广泛认识到，哮喘是儿童残疾的单一最普遍的原因，并在过去25 years.Objective：To provide a national profile of the prevalence，impact，and trends in children disability due to asthma.（残疾是指由于慢性疾病而导致儿童参与日常活动（如上学或玩耍）的能力长期下降。研究方法：我们得出了我们的主要研究结果，从一个横截面，描述性分析62 171名儿童年龄小于18岁的人被列入1994-1995年全国健康访谈Survey.Main Outcome Measures：结果的措施，包括存在的残疾，残疾程度，活动受限的日子，学校缺勤的日子，并使用医院和医生服务。我们还使用了1969-1970年，1979-1981年和1994-1995年全国健康访谈调查的数据，以评估残疾的患病率的趋势，由于asthma.Results：一个小的，但显着的，比例的儿童，估计为1.4%的所有美国儿童，经历了一定程度的残疾，由于哮喘在1994-1995年。青少年（比值比[OR]，1.64）、黑人儿童（OR，1.66）、男性（OR，1.23）、低收入儿童（OR，1.46）和单亲家庭（OR，1.37）的哮喘所致残疾患病率较高。致残性哮喘导致每年平均20个活动受限日，包括10天失学，几乎是其他类型慢性疾病所致残疾儿童疾病负担水平的两倍。最后，根据国家健康访谈调查的报告，自1969年以来，致残性哮喘的患病率增加了232%，1969年是该调查提供电子数据的第一年。与此相反，残疾的患病率，由于所有其他儿童慢性疾病增加了113%，在同一时期。结论：残疾哮喘对儿童有深远的影响。如果目前致残性哮喘患病率的趋势继续下去，未来哮喘的社会成本可能会上升。
Background: Although not widely recognized as such, asthma is the single most prevalent cause of childhood disability and has contributed to a substantial rise in the overall prevalence of disability among children during the past 25 years.Objective: To provide a national profile of the prevalence, impact, and trends in childhood disability due to asthma. (Disability is a long-term reduction in the ability to participate in children's usual activities, such as attending school or engaging in play, due to a chronic condition.)Methods: We derived our primary findings from a cross-sectional, descriptive analysis of 62 171 children younger than 18 years who were included in the 1994-1995 National Health Interview Survey.Main Outcome Measures: Outcome measures include the presence of disability, degree of disability, restricted activity days, school absence days, and use of hospital and physician services. We also used data from the 1969-1970, 1979-1981, and 1994-1995 National Health Interview Surveys to assess trends in the prevalence of disability due to asthma.Results: A small, but significant, proportion of children, estimated at 1.4% of all US children, experienced some degree of disability due to asthma in 1994-1995. Prevalence of disability due to asthma was higher for adolescents (odds ratio [OR], 1.64), black children (OR, 1.66), males (OR, 1.23), and children from low income (OR, 1.46) and single-parent families (OR, 1.37). Disabling asthma resulted in an annual average of 20 restricted: activity days, including 10 days lost from school-almost twice the level of illness burden as experienced by children with disabilities due to other types of chronic conditions. Finally, prevalence of disabling asthma, as reported in the National Health Interview Survey, has increased 232% since 1969, the first year that electronic data are available from the survey. In contrast, prevalence of disability due to all other childhood chronic conditions increased by 113% over the same period.Conclusions: Disabling asthma has profound effects on children. The social costs of asthma are likely to rise in the future if current trends in the prevalence of disabling asthma continue.