Evaluating the effect of childhood and adolescence asthma on the household economy

Soares, Luiza Oliveira Nicastro; Theodoro, Edna Eurides; Angelelli, Mariana Melo; Lin, Larissa Luhi; Carchedi, Giulia Rocha; Silva, Catarina Ceolin; Rocha, Daniel Gimenez da; Ponte, Eduardo Vieira

doi:10.1016/j.jped.2021.12.010

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…16 In asthma, for example, the increase in family costs with treatment may be directly related to cases that are not under control. 16 In addition, clinical manifestations and systemic complications of RD increase the risks of hospitalisation and death. 17 New strategies for health promotion and disease prevention (eg, pulmonary rehabilitation) must be developed to reduce hospitalisations and deaths.…”

Section: What This Study Addsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Hospitalisations due to RD are costly to the public health system (about 884 million reais ) 16. In asthma, for example, the increase in family costs with treatment may be directly related to cases that are not under control 16. In addition, clinical manifestations and systemic complications of RD increase the risks of hospitalisation and death 17…”

Section: Introductionmentioning

confidence: 99%

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Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study

Azevedo Lemos,

de Araújo Fonseca,

Bento Florêncio

et al. 2024

BMJ Open Resp Res

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BackgroundRespiratory diseases (RDs) cause millions of hospitalisations and deaths worldwide, resulting in economic and social impacts. Strategies for health promotion and disease prevention based on the epidemiological profile of the population may reduce hospital costs.AimTo characterise hospitalisations and deaths due to RDs in Brazilian adults above 20 years old between 2008 and 2021.MethodsThis ecological study used secondary data of hospitalisations and deaths due to RDs from the Hospital Information System of the Brazilian Unified Health System between 2008 and 2021. Data were grouped according to region, age group and sex. The period was divided into first (2008–2011), second (2012–2015) and third (2016–2019) quadrennia and one biennium (2020–2021), and all data were analysed using the GraphPad Prism; statistical significance was set at p<0.05.ResultsA total of 9 502 378 hospitalisations due to RDs were registered between 2008 and 2021. The south and southeast regions presented the highest hospitalisation and fatality rate, respectively, in the age group ≥80 years with no significant differences between sexes. Also, RDs caused 1 170 504 deaths, with a national fatality rate of 12.32%.ConclusionRDs affected the Brazilian population and impaired the health system, especially the hospital environment. The south/southeast regions were the most affected, and the ageing process contributed to the increased incidence of RDs.

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Section: What This Study Addsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study

Azevedo Lemos,

de Araújo Fonseca,

Bento Florêncio

et al. 2024

BMJ Open Resp Res

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“…Direct and indirect economic costs of asthma affect families and health systems but can be reduced by cost‐effective interventions 160 . In Brazil, a greater proportion of family income is taken up by asthma costs in families with a asthmatic child or adolescent compared to those with an adult with asthma, 161 while a study in Colombia showed an association between disease severity and family costs that reached up to $2235 annually 162 . Major efforts have been made to disseminate evidence‐based strategies for asthma management, generally based on the reports of the GINA, 158 or local adaptations of this report in LA countries 151,163 .…”

Section: Asthma Management and Controlmentioning

confidence: 99%

Understanding and controlling asthma in Latin America: A review of recent research informed by the SCAALA programme

Cooper

Figueiredo

Rodríguez

et al. 2023

Clinical & Translational All

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Asthma is an important health concern in Latin America (LA) where it is associated with variable prevalence and disease burden between countries. High prevalence and morbidity have been observed in some regions, particularly marginalized urban populations. Research over the past 10 years from LA has shown that childhood disease is primarily non‐atopic. The attenuation of atopy may be explained by enhanced immune regulation induced by intense exposures to environmental factors such as childhood infections and poor environmental conditions of the urban poor. Non‐atopic symptoms are associated with environmental and lifestyle factors including poor living conditions, respiratory infections, psychosocial stress, obesity, and a diet of highly processed foods. Ancestry (particularly African) and genetic factors increase asthma risk, and some of these factors may be specific to LA settings. Asthma in LA tends to be poorly controlled and depends on access to health care and medications. There is a need to improve management and access to medication through primary health care. Future research should consider the heterogeneity of asthma to identify relevant endotypes and underlying causes. The outcome of such research will need to focus on implementable strategies relevant to populations living in resource‐poor settings where the disease burden is greatest.

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“…There are differences in the prevalence and disease burden of asthma between developing and developed countries [3]. The direct and indirect economic costs of childhood asthma are high, and there is a link between the disease burden of asthma and the economic level of the country [11]. It is well known that China is the largest developing country in the world and that the United States of America (USA) is the major developed country [12,13].…”

Section: Introductionmentioning

confidence: 99%

Analysis of disease burden due to high body mass index in childhood asthma in China and the USA based on the Global Burden of Disease Study 2019

Zhang

Qu²,

Pan³

2023

PLoS ONE

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Background Currently, there is a growing concern about the disease burden of child asthma particularly due to high body mass index (BMI). The prevalence and disease burden of asthma differ between developing and developed countries, with implications on disease intervention. Therefore, we provide a comparative analysis of childhood asthma between China and the United States of America (USA). Methods Using the Global Burden of Disease (GBD) 2019 data, we estimated and compared the age-standardized prevalence, disability-adjusted life years (DALYs), years of life lost (YLLs), years of lost due to disability (YLDs), DALYs due to high BMI of asthma in children aged 1–14 years in China and the USA. Joinpoint regression analysis was applied to assess changes in temporal trends. Results DALYs due to high BMI and the ratio of DALYs to DALYs due to high BMI in children with asthma showed a significant upward trend in both countries and were higher in males than in females. Almost all epidemiological indicators of asthma showed a hump of curve from 2014 to 2019, and peaked in 2017. There was a decreasing trend of YLLs for asthma in children both countries, while China has a saliently greater decreasing trend. Conclusion The disease burden caused by high BMI of childhood asthma was on the rise in children with asthma in both China and the USA. High BMI needs to be taken more into account in the development of future policies for the prevention, control, and treatment of childhood asthma. However, the increasing trend of this disease burden in American children was significantly lower than that in Chinese children. We recommend learning from the American government to impose a high-calorie tax, increase physical exercise facilities, and provide better health care policies.

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Evaluating the effect of childhood and adolescence asthma on the household economy

Cited by 4 publications

References 17 publications

Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study

Hospitalisations and fatality due to respiratory diseases according to a national database in Brazil: a longitudinal study

Understanding and controlling asthma in Latin America: A review of recent research informed by the SCAALA programme

Analysis of disease burden due to high body mass index in childhood asthma in China and the USA based on the Global Burden of Disease Study 2019

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