Prevalence of asthma and asthma-like symptoms in inner-city elementary schoolchildren.

Prevalence of asthma and asthma-like symptoms in inner-city elementary schoolchildren.
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市中心小学生哮喘和哮喘样症状的患病率。

DOI:
10.1002/ppul.10146
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发表时间:
2002
影响因子:
3.1
通讯作者:
Appel,DavidK
Appel,DavidK
中科院分区:
医学3区
文献类型:
--
作者:
Webber,MayrisP;Carpiniello,KellyE;Oruwariye,Tosan;Appel,DavidK

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美国内城儿童不成比例地受到哮喘的影响。在1999-2000学年,我们对纽约市的6所布朗克斯小学进行了一项调查,以评估家长报告的哮喘和哮喘样症状的患病率。可能患有哮喘的儿童在过去12个月内有症状,父母表示他们的孩子患有哮喘。有可能哮喘的儿童在过去12个月内有症状但缺乏诊断。总体而言,74%(4,775/6,433)的父母返回了完整的调查,确定20%(949/4,775)的儿童可能患有哮喘,12%(589/4,775)的儿童可能患有哮喘。在多变量分析中,可能的哮喘与以下因素有关:波多黎各人、黑人和白色种族/民族、男性、有健康保险和在最贫穷学校注册。可能的哮喘与缺乏健康保险和女性有关,但与任何特定的种族/民族无关。我们的研究结果支持以学校为基础的调查在识别哮喘高危儿童方面的有效性。挑战仍然是让儿童和家庭参与适当的后续护理,并通过使用学校健康中心或与社区服务建立更强的联系来管理他们的疾病。2002; 34:105-111.© 2002 Wiley利斯公司
American inner‐city children are disproportionately affected by asthma. During the 1999–2000 school year, we conducted a survey of 6 Bronx, New York City elementary schools to assess the prevalence of asthma and asthma‐like symptoms as reported by parents. Children withprobable asthmahad symptoms within the last 12 months and parents who indicated that their child had asthma. Children withpossible asthmahad symptoms within the last 12 months but lacked a diagnosis.Overall, 74%(4,775/6,433)of parents returned completed surveys, identifying 20%(949/4,775)of children as probable asthmatics, and 12% (589/4,775) aspossible asthmatics. In multivariate analyses,probable asthmawas associated with: Puerto Rican, Black, and white race/ethnicity, male gender, having health insurance, and registration at the poorest school.Possible asthmawas associated with lack of health insurance and female gender, but was not associated with any specific race/ethnicity.Our findings support the effectiveness of school‐based surveys to identify children at high risk for asthma. The challenge remains to engage children and families in appropriate follow‐up care and to manage their illness, either through the use of school‐based health centers or stronger links to community services.Pediatr Pulmonol. 2002; 34:105–111. © 2002 Wiley‐Liss, Inc.
DOI: 10.1016/0003-2697(88)90442-3
发表时间: 1988-07-01
影响因子: 2.9
作者:
BRANDLEY, BK;SCHNAAR, RL
通讯作者: SCHNAAR, RL
DOI: 10.1016/0014-5793(78)80792-3
发表时间: 1978-01-01
期刊: FEBS LETTERS
影响因子: 3.5
作者:
OHLSON, S;HANSSON, L;MOSBACH, K
通讯作者: MOSBACH, K
DOI: 10.1083/jcb.104.3.573
发表时间: 1987-03
期刊: The Journal of cell biology
影响因子: --
作者:
Singer II;Kawka DW;Scott S;Mumford RA;Lark MW
通讯作者: Lark MW
DOI: 10.1083/jcb.103.6.2697
发表时间: 1986-12
影响因子: 7.8
作者:
Grinnell, F
通讯作者: Grinnell, F
DOI: 10.1083/jcb.105.1.507
发表时间: 1987-07
影响因子: 7.8
作者:
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通讯作者: Rees, D A