School functioning of US children with asthma.
School functioning of US children with asthma.
复制标题
美国哮喘儿童的学校运作。
作者：
Mary Glenn Fowler;Marsha G. Davenport;R. Garg
1988年美国全国儿童健康访谈调查的数据被用来确定与没有目前健康状况的健康儿童相比，全国对哮喘儿童的学校结果(成绩不及格、学习障碍和停学/开除)和平均缺课次数的估计。家庭表示，在10,362名接受调查的1至12年级儿童中，有536人(4.9%)在过去12个月内患有哮喘。家庭报告说，18%的CWA和15%的Well儿童有成绩不及格，9%的CWA和5%的Well儿童有学习障碍，5%的CWA和6%的Well儿童被开除或停学。患有哮喘的儿童平均缺课7.6天，而健康组为2.5天。用多元Logistic回归方法比较CWA和WELL儿童的成绩不及格、学习障碍和停学/开除的几率，并按收入分层。类似的方法也被用来评估哮喘儿童健康状况的作用。在对人口因素进行调整后，CWA有类似的成绩不及格和停学/开除的风险，但与成绩良好的儿童相比，学习障碍的风险是1.7倍。此外，在收入低于2万美元的家庭中，CWA的成绩不及格的几率是成绩好的孩子的两倍。对于哮喘儿童，报告的健康状况是学习障碍的重要预测因素。据报道，CWA中有10%的人健康状况一般。在对人口统计因素进行调整后，健康状况一般的人报告的学习障碍的可能性是健康状况良好的人的两倍。
Data from the 1988 US National Health Interview Survey on Child Health, a nationally representative cross-sectional survey, were used to determine national estimates of school outcomes (grade failure, learning disabilities, and suspension/expulsion) and mean number of absences for children with asthma (CWA) compared to well children without current health conditions. Families indicated that 536 (4.9%) of the 10,362 survey children in grades 1 through 12 had had asthma in the previous 12 months. Families reported 18% of CWA vs 15% of well children had grade failure, 9% of CWA vs 5% of well children had learning disabilities, and 5% of CWA vs 6% of well children had been expelled or suspended. Children with asthma averaged 7.6 school days absent compared with 2.5 days for the well group. Multiple logistic regression was used to compare the odds of grade failure, learning disabilities, and suspension/expulsion among CWA and well children, overall and stratified by income. Similar methods were used to assess the role of health status among asthmatic children. After adjustment for demographic factors, CWA had similar risks of grade failure and suspension/expulsion, but 1.7 times the risk of learning disability compared with well children. Also, among families with incomes below $20,000, CWA had twice the odds of grade failure compared with well children. For asthmatic children, reported health status was an important predictor of learning disability. Ten percent of CWA were reported to be in fair-poor health. After adjustment for demographic factors, those in fair-poor health were twice as likely to have a reported learning disability compared with those in good-excellent health.(ABSTRACT TRUNCATED AT 250 WORDS)