Psychosocial characteristics of inner-city children with asthma: A description of the NCICAS psychosocial protocol

Wade, Shari L.; Weil, Connie; Holden, Gary; Mitchell, Herman; Evans, Richard; Kruszon-Moran, Deanna; Bauman, Laurie J.; Crain, Ellen F.; Eggleston, Peyton A.; Kattan, Meyer; Kercsmar, Carolyn M.; Leickly, Fred; Malveaux, Floyd J.; Wedner, H. James; Smartt, Ernestine

doi:10.1002/(sici)1099-0496(199710)24:4<263::aid-ppul5>3.0.co;2-l

Cited by 165 publications

(96 citation statements)

References 58 publications

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“…Over the past two decades, psychological factors have drawn researchers' attention as potential factors associated with asthma. In a study conducted in eight inner-city areas in the United States, asthmatic children four to nine years of age were found to exhibit more behaviour problems (18). An association between asthma and anxiety and depression in adolescents and young adults was reported in a 21-year follow-up birth cohort study in the United States (19).…”

Section: Nai North American Indianmentioning

confidence: 96%

Prevalence of and Risk Factors for Asthma in Off-Reserve Aboriginal Children and Adults in Canada

Chang

Beach

2012

Canadian Respiratory Journal

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Only a few studies have investigated asthma morbidity in Canadian Aboriginal children. In the present study, data from the 2006 Aboriginal Peoples Survey were used to determine the prevalence and risk factors for asthma in Canadian Aboriginal children six to 14 years of age and adults 15 to 64 years of age living off reserve. The prevalence of asthma was 14.3% in children and 14.0% in adults. Children and adults with Inuit ancestry had a significantly lower prevalence of asthma than those with North American Indian and Métis ancestries. Factors significantly associated with ever asthma in children included male sex, allergy, low birth weight, obesity, poor dwelling conditions and urban residence. In adults, factors associated with ever asthma varied among Aboriginal groups; however, age group, sex and urban residence were associated with ever asthma in all four Aboriginal groups. The prevalence of asthma was lower in Aboriginal children and higher in Aboriginal adults compared with that reported for the Canadian population. Variation in the prevalence of and risk factors for asthma among Aboriginal ancestry groups may be related to genetic and environmental factors that require further investigation.

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Section: Nai North American Indianmentioning

confidence: 96%

Prevalence of and Risk Factors for Asthma in Off-Reserve Aboriginal Children and Adults in Canada

Chang

Beach

2012

Canadian Respiratory Journal

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“…Caregiver factors, such as stress (Wade et al, 1997) and maternal depression (Bartlett et al, 2001;Shalowitz, Berry, Quinn, & Wolf, 2001) have also been studied, but the mechanisms through which parental psychopathology affect disease management are not well understood.…”

mentioning

confidence: 99%

Pediatric asthma and problems in attention, concentration, and impulsivity: Disruption of the family management system.

McQuaid¹,

Weiss‐Laxer²,

Kopel³

et al. 2008

Families, Systems, & Health

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Rationale-This study assesses the relationships between ADHD symptoms, specific family asthma management domains, and pediatric asthma morbidity.Methods-Participants were 110 children with asthma and a respective parent (ages 7-17, X = 11.6 years, 25% ethnic/racial minority). Parents completed measures of asthma morbidity and report of child ADHD symptoms. Children completed measures of attention, concentration, and impulsivity. Families participated in the Family Asthma Management System Scale (FAMSS) interview to assess the effectiveness of eight features of asthma management.Results-Parent report of ADHD symptoms and poor child performance on a computerized task of sustained visual attention were associated with asthma morbidity. Paper and pencil tasks of visual attention, and an index of auditory attention, were not related to asthma morbidity. Modest associations were found between parent report of ADHD symptoms, child performance-based indicators of attention and concentration, and features of family asthma management, although not across all measures. The family response to asthma partially mediated the relationship between ADHD symptoms and morbidity.

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“…Another study involved 1528 children (4-9 years of age) with asthma, selected from emergency heath care clinics and outpatient clinics. (11) Of those 1528 children presented scores equal to or greater than 63 on the Child Behavior Checklist (CBCL). This value is considered the cutoff point for clinical severity.…”

Section: General Characteristics Of the Populationmentioning

confidence: 99%

“…Despite the various methodologies adopted, most studies have shown that the prevalence of psychological disorders is higher in children and adolescents with asthma than in the general. (7)(8)(9)(10)(11)(12)(13)(14)(15) We chose to use the ISAAC questionnaire as the criterion for the definition of asthma because it has been administered to more than 700,000 children and adolescents from 56 countries in epidemiological investigations of asthma, which can facilitate future comparisons. (16) Since this is a more sensitive feel freer to express their problems and feelings.…”

Section: General Characteristics Of the Populationmentioning

confidence: 99%

“…(6) Most studies on emotional/behavioral disorder (EBD) involving children and adolescents with asthma have shown that the prevalence of emotional disorders is higher in these patients than in the general population. (7)(8)(9)(10)(11)(12)(13)(14)(15) The majority of these studies were carried out in specialized clinics or hospitals and included only patients with persistent asthma (moderate or severe), with small convenience samples. (8)(9)(10)12) A few population-based studies have been conducted.…”

Section: Introductionmentioning

confidence: 99%

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Prevalência de transtornos emocionais e comportamentais em adolescentes com asma

et al. 2008

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Objective: To determine the prevalence of emotional and behavioral disorders in adolescents with asthma and to compare it with that of adolescents without asthma. Methods: A transversal study using the Strengths and Difficulties Questionnaire, administered to adolescents with or without asthma, ranging from 14 to 16 years of age and randomly selected from schools in the city of Belo Horizonte, Brazil. Results: The prevalence of emotional and behavioral disorders in adolescents with and without asthma was 20.4% (95% CI: 14.5-27.8%) and 9.0% (95% CI: 6.1-12.8%), respectively. Among adolescents with asthma, 56.6% (95% CI: 48.3-64.5%) presented normal scores, and 23.0% (95% CI 16.8-30.7%) presented borderline scores. Among adolescents without asthma, 75.0% (95% CI: 69.7-79.6%) presented normal scores, and 16.0% (95% CI: 12.2-20.7%) presented borderline scores. The median total score on the questionnaire was 14 and 12 among subjects with and without asthma, respectively (p < 0.01). In the final logistic regression model, adjusted for socioeconomic variables, the association between emotional/behavioral disorders and the following variables remained significant: being female (OR = 1.98; 95% CI: 1.10-3.56; p = 0.02) and having asthma (OR = 2.66; 95% CI: 1.52-4.64; p = 0.001). Conclusion: The prevalence of emotional and behavioral disorders is higher in adolescents with asthma than in those without asthma, underscoring the need for a holistic, interdisciplinary approach.Keywords: Asthma; Epidemiology; Prevalence; Adolescent; Psychology; Behavioral symptoms. ResumoObjetivo: Determinar a prevalência de transtornos emocionais e comportamentais em adolescentes com asma e compará-la com a prevalência em adolescentes sem asma. Métodos: Estudo transversal através de um questionário de transtornos psicológicos (Strengths and Difficulties Questionnaire) aplicado a adolescentes de 14 a 16 anos, com e sem asma, selecionados aleatoriamente em escolas municipais de Belo Horizonte (MG) Brasil. Resultados: A prevalência de transtornos emocionais e comportamentais em adolescentes com e sem asma foi 20,4% (IC95%: 14,5-27,8%) e 9,0% (IC95%: 6,1-12,8%), respectivamente. Entre os adolescentes com asma, 56,6% (IC95%: 48,3-64,5%) apresentavam escores dentro da faixa de normalidade e 23% (IC95%: 16,8-30,7%), valores limítrofes. Entre os que não tinham asma, 75,0% (IC95%: 69,7-79,6%) apresentavam escores normais e 16,0% (IC95%: 12,2-20,7%), limítrofes. A mediana no escore total do questionário foi 14 nos portadores de asma e 12 nos sem asma (p < 0,01). Na análise multivariada (regressão logística), controlado para variáveis socioeconômicas, permaneceram significativas as associações entre transtornos emocionais e comportamentais e as seguintes variáveis: sexo feminino (OR = 1,98; IC95%: 1,10-3,56, p = 0,02), e ter asma (OR = 2,66; IC95%: 1,52-4,64, p = 0,001). Conclusão: A prevalência de transtornos emocionais e comportamentais em adolescentes portadores de asma é significativamente maior do que naqueles que não tem asma, reforçando a ...

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Psychosocial characteristics of inner-city children with asthma: A description of the NCICAS psychosocial protocol

Cited by 165 publications

References 58 publications

Prevalence of and Risk Factors for Asthma in Off-Reserve Aboriginal Children and Adults in Canada

Prevalence of and Risk Factors for Asthma in Off-Reserve Aboriginal Children and Adults in Canada

Pediatric asthma and problems in attention, concentration, and impulsivity: Disruption of the family management system.

Prevalência de transtornos emocionais e comportamentais em adolescentes com asma

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