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

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.

Keywords:

• childhood asthma
• psychosocial adjustment
• child behavior
• mental health

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