The Associations of Asthma Symptoms With Active and Passive Smoking in Hong Kong Adolescents

Ho, Roger; Day, Jeffrey

doi:10.4187/respcare.01548

Cited by 19 publications

(17 citation statements)

References 44 publications

(37 reference statements)

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“…Higher likelihood of frequent nocturnal coughing and breathing problems in smokers was reported in adolescent studies (32, 33). In Korean (34) and Hong Kong (32) adolescents, higher odds of having exercise‐induced bronchospasm were reported. In a 2‐yr longitudinal study, respiratory problems such as bronchitis and pneumonia in adolescents were found to be associated with higher smoking prevalence and average daily cigarette consumption (35).…”

Section: Discussionmentioning

confidence: 72%

“…These findings were supported by demonstrating poorer lung functions as indicated by reduced forced expiratory volume in 1 s (FEV 1 ) and forced inspiratory flow 25–75% (FEF 25–75% ) (36) and exhaled nitric oxide levels (37) in adolescent smokers. In addition, nocturnal asthma symptoms, which are prevalent among smokers, are associated with poor sleep quality and impaired quality of life, as well as higher prevalence of anxiety and depressive symptoms (32, 38, 39). Moore et al.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of anxiety and depressive symptoms in adolescents with asthma: A meta‐analysis and meta‐regression

Mak

Bever

et al. 2012

Pediatric Allergy Immunology

133

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It remains unclear whether anxiety and depressive symptoms are more prevalent in adolescents with asthma when compared with healthy individuals. This meta-analysis aimed to evaluate the difference in the aggregate prevalence of depressive and anxiety symptoms between adolescents with asthma and healthy controls and to explore the underlying moderators that potentially explain the heterogeneity of the effect size. A meta-analysis of published work was performed using the random effects model. The differences in aggregate prevalence of depressive and anxiety symptoms between adolescents with asthma and healthy controls were determined. Meta-regression and subgroup analysis were performed to identify factors that may contribute to heterogeneity. A total of eight studies were eligible for analysis. The aggregate prevalence of depressive and anxiety symptoms was significantly higher among 3546 adolescents with asthma than that of 24,884 controls (depression, 0.27; 95% CI, 0.18.6-0.39 vs. 0.13; 95% CI, 0.09-0.19; anxiety, 0.33; 95% CI, 0.19-0.52 vs. 0.21; 95% CI, 0.12-0.33). The risk of developing depression and anxiety is significantly higher among adolescents with asthma when compared with controls (depression: pooled odds ratio, 2.09; 95% CI, 1.65-2.64; p < 0.001; anxiety: pooled odds ratio, 1.83; 95% CI, 1.63-2.07; p < 0.001). Meta-regression revealed that the proportions of Caucasian (p = 0.008) and smokers (p < 0.001) were significant moderators which explained the significant heterogeneity when comparing the risk of developing depressive symptoms among adolescent asthma patients vs. controls while age, gender, and severity of asthma were not significant. Family doctors, pediatricians, and healthcare providers should formulate strategies to detect depressive and anxiety symptoms in adolescents with asthma and offer psychological interventions to reduce the burden of psychiatric comorbidity.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Prevalence of anxiety and depressive symptoms in adolescents with asthma: A meta‐analysis and meta‐regression

Mak

Bever

et al. 2012

Pediatric Allergy Immunology

133

View full text Add to dashboard Cite

show abstract

“…Finally, we were unable to identify potential moderators of anxiety in youth with asthma. It is possible that there are some individual factors that increase the rate of anxiety in youth with asthma such as parental anxiety, smoking status of the parent of child, obesity, or asthma control . Unfortunately, these factors were not measured with sufficient frequency to allow their use as moderator variables, but future research investigating asthma and anxiety should also measure these factors to try and understand the associations more clearly.…”

Section: Discussionmentioning

confidence: 99%

Anxiety in youth with asthma: A meta-analysis

et al. 2017

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Youth with asthma display a prevalence rate for anxiety disorders that is more than three times higher than the prevalence in healthy youth. For the specific anxiety disorders investigated, elevated prevalence rates for youth with asthma were also found. Future research needs to focus on the factors that mediate or predict the development and maintenance of anxiety in youth with asthma and the development of clinically efficacious treatments.

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“…As noted by Mak et al, 2 the prevalence of asthma among adolescents in Hong Kong is higher than those living in mainland China or in the West, 3 but decreasing, as reported in recent years. 4 The latest statistics for asthma in the United States are alarming and show just the opposite.…”

Section: See the Original Study On Page 1398mentioning

confidence: 67%

Asthma and Tobacco: Not to Be Shared With Family and Friends!

Goodfellow

2012

Respir Care

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The Associations of Asthma Symptoms With Active and Passive Smoking in Hong Kong Adolescents

Abstract: Adolescents who are heavy smokers and having parents and a best friend who smoke are more likely than others to have asthma symptoms. Both active and passive smoking are related to asthma symptoms in adolescents.

Cited by 19 publications

References 44 publications

Prevalence of anxiety and depressive symptoms in adolescents with asthma: A meta‐analysis and meta‐regression

Prevalence of anxiety and depressive symptoms in adolescents with asthma: A meta‐analysis and meta‐regression

Anxiety in youth with asthma: A meta-analysis

Asthma and Tobacco: Not to Be Shared With Family and Friends!

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