The Association Between Asthma and Sleep in Urban Adolescents With Undiagnosed Asthma.
The Association Between Asthma and Sleep in Urban Adolescents With Undiagnosed Asthma.
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DOI：
10.1111/josh.12277
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发表时间：
2015-08
期刊：
影响因子：
--
通讯作者：
Bruzzese JM
中科院分区：
文献类型：
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作者：
Koinis Mitchell D;Kopel SJ;Williams B;Cespedes A;Bruzzese JM
在未确诊的有哮喘样症状的市中心青少年样本中，研究哮喘和睡眠之间的关联，并评估青少年对感知压力的报告在多大程度上缓和了这种关联。共有349名青少年，平均年龄为15.8岁，83%的女性，他们的主要照顾者参加。大多数是拉丁美洲人（46%）或非洲裔美国人（37%）。青少年报告了哮喘-即由于哮喘样症状和呼吸问题的严重程度而导致的夜间觉醒率-和睡眠，特别是睡眠-觉醒行为问题和活动期间的白天嗜睡。护理人员通过电话提供人口统计信息。夜间觉醒和呼吸问题的严重程度与睡眠-觉醒行为问题和活动期间的白天嗜睡独立相关。青少年报告的感知压力调节之间的关联，感知严重程度的呼吸问题和睡眠-觉醒行为问题，和感知严重程度的呼吸问题和白天嗜睡活动。结果表明，考虑未确诊的哮喘及其对睡眠指标的影响，在这个高风险的青年群体的白天功能的干预措施的重要性。这项研究强调了在没有哮喘诊断的城市青少年中考虑哮喘严重程度、夜间哮喘和睡眠问题的干预措施的必要性。
To examine associations between asthma and sleep in a sample of inner-city adolescents with asthma-like symptoms who are undiagnosed, and to assess the extent to which youth's report of perceived stress moderates this association. A total of 349 adolescents, with a mean age of 15.8 years, 83% female, and their primary caregivers participated. The majority were Latino (46%) or African American (37%). Adolescents reported on asthma - namely rate of night wakenings due to asthma-like symptoms and perceived severity of breathing problems - and sleep, specifically sleep-wake behavior problems and daytime sleepiness during activities. Caregivers provided demographic information by telephone. Night wakenings and perceived severity of breathing problems were each independently associated with sleep-wake behavior problems and daytime sleepiness during activities. Youth report of perceived stress moderated the association between perceived severity of breathing problems and sleep-wake behavior problems, and perceived severity of breathing problems and daytime sleepiness during activities. Results suggest the importance of interventions that consider undiagnosed asthma and its effects on sleep indicators related to daytime functioning in this high risk group of youth. This study highlights the need for interventions that consider asthma severity, nocturnal asthma, and sleep problems among urban adolescents with no asthma diagnosis.