Behavior problems and prevalence of asthma symptoms among Brazilian children.

Behavior problems and prevalence of asthma symptoms among Brazilian children.
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DOI:
10.1016/j.jpsychores.2011.02.004
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发表时间:
2011-09
影响因子:
4.7
通讯作者:
Barreto, Mauricio L.
Barreto, Mauricio L.
中科院分区:
医学3区
文献类型:
--
作者:
Feitosa, Caroline A.;Santos, Darci N.;Barreto do Carmo, Maria B.;Santos, Leticia M.;Teles, Carlos A. S.;Rodrigues, Laura C.;Barreto, Mauricio L.

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哮喘是儿童期最常见的慢性疾病,由于近几十年来其患病率的增加、其所吸收的卫生服务支出的量以及对其病因缺乏共识,已被指定为公共卫生问题。心理社会因素与哮喘的发生、病理学和严重程度的关系近年来得到了重视。关于哮喘和儿童心理健康之间的关系仍然存在争议,因为建立这种关系的途径是复杂的,没有得到很好的研究。本研究旨在调查行为问题是否与拉丁美洲大城市中心的哮喘症状患病率相关。这是一项对巴西萨尔瓦多居民的869名6至12岁儿童的横断面研究。儿童过敏和哮喘国际研究(ISAAC)工具用于评估哮喘症状的患病率。采用儿童行为量表(CBCL)评估行为问题。19.26%(n = 212)的儿童有哮喘症状。35%被归类为有临床行为问题。Poisson稳健回归模型显示,行为问题的存在与哮喘症状的发生之间存在统计学显著相关性(PR:1.43; 95%CI:1.10-1.85)。这些结果表明,行为问题和儿童哮喘之间的关联,并支持纳入精神卫生保健服务的哮喘发病率。
Asthma is the most common chronic disease in childhood and has been designated a public health problem due to the increase in its prevalence in recent decades, the amount of health service expenditure it absorbs and an absence of consensus about its etiology. The relationships among psychosocial factors and the occurrence, symptomatology, and severity of asthma have recently been considered. There is still controversy about the association between asthma and a child's mental health, since the pathways through which this relationship is established are complex and not well researched. This study aims to investigate whether behavior problems are associated with the prevalence of asthma symptoms in a large urban center in Latin America. It is a cross-section study of 869 children between 6 and 12 years old, residents of Salvador, Brazil. The International Study of Allergy and Asthma in Childhood (ISAAC) instrument was used to evaluate prevalence of asthma symptoms. The Child Behavior Checklist (CBCL) was employed to evaluate behavioral problems. 19.26% (n = 212) of the children presented symptoms of asthma. 35% were classified as having clinical behavioral problems. Poisson's robust regression model demonstrated a statistically significant association between the presence of behavioral problems and asthma symptoms occurrence (PR: 1.43; 95% CI: 1.10–1.85). These results suggest an association between behavioral problems and pediatric asthma, and support the inclusion of mental health care in the provision of services for asthma morbidity.
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