Prevalence of asthma and other allergic diseases in an adolescent population: association with gender and race

Fagan, Joanne K.; Scheff, Peter A.; Hryhorczuk, Daniel O.; Ramakrishnan, Viswanathan; Ross, Muriel D.; Persky, Victoria

doi:10.1016/s1081-1206(10)62688-9

Cited by 113 publications

(86 citation statements)

References 38 publications

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“…Estudos recentes sugerem que fatores hormonais podem estar envolvidos nesse aumento da frequência da doença em meninas durante a adolescência. Nossos achados também estão de acordo com estudos transversais e longitudinais realizados nessa faixa etária 21 .…”

Section: Discussionunclassified

Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and life style

Nogueira¹,

Silva²,

Lopes³

2009

J Pediatr (Rio J)

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Objective: To assess the quality of life (QoL) of asthmatic adolescents and its association with asthma severity, chronic diseases, and life style. Method:Cross-sectional study involving 210 female and male asthmatic adolescents between 12 and 21 years old. The Paediatric Asthma Quality of Life Questionnaire, a self-administered instrument, was used. Explanatory variables were: allergic diseases, use of medication, passive smoking, occupational status, asthma severity, and life style. The analyses considered the dichotomous outcome (good/poor QoL) based on the mean scores. Generalized linear models (log-binomial) were used to calculate the crude and adjusted prevalence ratios.Results: Forty-six per cent of the girls and 57% of the boys had poor QoL. There was not correlation between chronic diseases and poor QoL. Low educational level, use of medication, passive smoking, and occupational factors had a statistically significant association (p < 0.05) with poor QoL. The adjusted analysis showed that severe asthma (PR = 1.53; 95%CI 1.12-2.11), use of medication (PR = 1.58; 95%CI 1.09-2.28), having asthma diagnosis established less than 5 years ago (PR = 1.30; 95%CI 0.97-1.86), passive smoking (PR = 1.38; 95%CI 1.35-2.00), and being employed (PR = 1.30; 95%CI 0.96-1.74) were associated with poor QoL. Conclusion:A multidisciplinary team needs to face the challenge of providing good QoL with the purpose of making these patients better adapted to society and to their own needs.J Pediatr (Rio J). 2009;85(6):523-530: Quality of life, asthma, adolescents, chronic disease. ResumoObjetivo: Avaliar a qualidade de vida (QV) de adolescentes asmá-ticos e sua associação com a gravidade da asma, doenças crônicas e estilo de vida.Método: Estudo seccional em 210 adolescentes asmáticos entre 12 e 21 anos de ambos os sexos. Utilizou-se questionário autopreenchível, o Paediatric Asthma Quality of Life Questionnaire. Variáveis explicativas: doenças alérgicas, uso de medicamentos, fumo passivo, trabalho, gravidade da asma e estilo de vida. As análises consideraram o desfecho dicotômico (QV boa/ruim) a partir da média dos escores. Modelos lineares generalizados (log-binomial) foram utilizados para o cálculo de razões de prevalência (RP) brutas e ajustadas.Resultados: Quarenta e seis por cento das meninas e 57% dos meninos apresentavam uma QV ruim. Não houve correlação entre doenças crônicas e QV ruim. Escolaridade baixa, uso de medicamentos, fumo passivo e trabalho tiveram relação estatisticamente significativa (p < 0,05) com QV ruim. A análise ajustada mostrou que asma grave (RP = 1,53; IC95% 1,12-2,11), uso de medicação (RP = 1,58; IC95% 1,09-2,28), ter menos de 5 anos de diagnóstico de asma (RP = 1,30; IC95% 0,97-1,86), fumo passivo (RP = 1,38; IC95% 1,35-2,00) e estar trabalhando (RP = 1,30; IC95% 0,96-1,74) se associavam a QV ruim. Conclusão:A equipe multidisciplinar necessita enfrentar esse desafio que é manter a boa QV, visando a uma melhor adequação desse paciente à sociedade e a ele próprio.J Pediatr (Rio J). 2009;85(6):...

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Section: Discussionunclassified

Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and life style

Nogueira¹,

Silva²,

Lopes³

2009

J Pediatr (Rio J)

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“…35 Furthermore, our statewide estimates of asthma symptoms and ETS exposure are comparable to those seen in other ISAAC studies conducted among US schoolchildren. 16,36,37 Previous studies have shown that the association between ETS exposure and asthmatic symptoms diminishes as children grow older, often becoming smaller and less precise in school-aged children.…”

Section: Discussionmentioning

confidence: 99%

Effects of Tobacco Smoke Exposure on Asthma Prevalence and Medical Care Use in North Carolina Middle School Children

2004

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Objectives. We sought to determine the effects of exposure to environmental tobacco smoke (ETS) and childhood cigarette smoking on asthma symptoms among middle school children in North Carolina. Methods. During 1999–2000, information was collected from a survey completed by the children. Outcomes of asthma symptom reporting were regressed on tobacco smoke exposures. Results. Children who currently smoked or reported any exposure to ETS were at increased risk of reporting active asthma symptoms. Exposure to ETS and childhood cigarette smoking was responsible for 15% of the asthma cases observed in the study population and $1.34 million in excess medical expenditures. Conclusions. Even at low levels of exposure, childhood cigarette smoking and ETS are independently associated with asthmatic symptoms.

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“…Interestingly, this sex difference was not apparent at 18 months (36). This may be due to a female to male dominance in self-reported allergic disease (37,38). Although female sex may serve as a biological gene modifier, it is gender that may affect disease outcome by determining the coping/management strategies used by males and females in their lived experience of the disease (e.g.…”

Section: Gender Differences and Food Allergymentioning

confidence: 98%

Incorporating a gender dimension in food allergy research: a review

DunnGalvin

Hourihane

Frewer

et al. 2006

Allergy

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Sex and gender are the major determinants of health and disease in both men and women. The aim of this review paper was to examine differences in gender and sex in relation to the prevalence and effects of food allergy. There are still major gaps in our knowledge about the kinds of processes which shape men's and women's perceptions and experiences of food allergy. The expression and experience of health and illness may be moderated by variables such as biological vulnerability, exposure to health risks, perception of symptoms, evaluation of risk, information processing and role expectations. This review highlights the complex links between biological sex, gender, and health in general and offers a synthesis of how these may interact to produce sex and gender differences in biopsychosocial manifestations of food allergy. Implications for research and public health practice are discussed.

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Prevalence of asthma and other allergic diseases in an adolescent population: association with gender and race

Cited by 113 publications

References 38 publications

Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and life style

Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and life style

Effects of Tobacco Smoke Exposure on Asthma Prevalence and Medical Care Use in North Carolina Middle School Children

Incorporating a gender dimension in food allergy research: a review

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