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ORIGINAL ARTICLE

Mental, Emotional, and Social Problems Among School Children with Asthma

, B.Soc.Sci., B.A. (Hons), , M.App.Sc., B. App.Sc., Cert. Health Ec., P. Grad. Dip. Hlth. Sc., , B.H.Sc. (Hons), G.D.P.H., , MB.ChB, M.R.C.P., F.R.A.C.P., , M.P.H., B.A., Ph.D. & , B.A., Ph.D.
Pages 489-493 | Published online: 02 Jul 2009
 

Abstract

Objectives: To use representative population chronic disease and risk factor data to investigate the relationship between asthma and social factors in school-age children. Methods: Representative cross-sectional data for children 5 to 15 years of age were collected from 2002 to June 2007 (n = 4,611) in the South Australian Monitoring and Surveillance System (SAMSS) using Computer-Assisted Telephone Interviews (CATI). Univariate and multivariate analyses were conducted to investigate the variables that were associated with asthma among children. Results: The overall prevalence of self-reported asthma among children 5 to 15 years of age was 18.6% (95% CI = 17.5–19.8). Children with asthma were more likely to have been treated for a mental health problem, have been unhappy at school, have been absent from school in the last month, have fair or poor overall health and well-being, have ongoing pain or chronic illness, and less likely to have a group of friends to play with. Asthma was also more prevalent among males and less likely to occur in children from households where the gross annual income was greater than $AU80,000. Conclusions: Children with asthma were more likely to be treated for a mental health problem and demonstrate more negative social outcomes as well as poorer overall health and well-being. Asthma management plans need to be sensitive to these psychosocial factors for adequate care of these vulnerable young patients.

Abbreviations
SAMSS ==

South Australian Monitoring and Surveillance System

SEIFA=

Socio-Economic Index For Areas

IRSD=

Index of Relative Socio-Economic Disadvantage

OR=

odds ratio

CI=

confidence interval

Abbreviations
SAMSS ==

South Australian Monitoring and Surveillance System

SEIFA=

Socio-Economic Index For Areas

IRSD=

Index of Relative Socio-Economic Disadvantage

OR=

odds ratio

CI=

confidence interval

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