Asthma Prevalence in Low-Income Urban Elementary School Students in St. Louis, 1992 and 2004 - 08/08/11
, Lisa Meadows, BC, APRN d, Yan Yan, PhD e, Mario Schootman, PhD c, Robert C. Strunk, MD b
Reprint requests: Kyle A. Nelson, MD, MPH, The Children's Hospital of Philadelphia, Division of Pediatric Emergency Medicine, 34th Street and Civic Center Boulevard, A Level, Room AS01, Philadelphia, PA 19104Résumé |
Objective |
We reexamined asthma prevalence in urban public elementary school children after 12 years, during which time poverty had worsened.
Study design |
We surveyed 152 children in 1992 and 331 in 2004 attending fourth- and fifth-grade classrooms in a low-income area of St. Louis, Missouri. Prevalences of phenotypes (current asthma, previous diagnosis without current asthma, and frequent wheezing without diagnosis) were based on standard published questions. We assessed age, sex, percentage below poverty level, and asthma experience (household member with asthma; friend, relative, or neighbor with asthma; or ever having seen someone have an attack).
Results |
Prevalences were similar in 1992 and 2004 for current asthma (18% and 20%) and frequent wheezing without diagnosis (24% and 26%), despite higher 2004 percentage below poverty level (40% vs 18%). Prevalences of phenotypes were not associated with demographics or percentage below poverty level but were associated with asthma experience. In multivariate analysis, current asthma was associated with household member with asthma and ever having seen someone have an attack, and previous diagnosis was associated with household member with asthma.
Conclusions |
For these fourth- and fifth-grade urban public school children, self-reported asthma prevalence was similar after 12 years despite worsening poverty.
Le texte complet de cet article est disponible en PDF.Abbreviations : CI, NAC, NHANES, OR, SES
Plan
| The study was funded by grants from the National Heart Lung Blood Institute (HL 45293 and HL 072919). The authors declare no conflicts of interest. |
Vol 154 - N° 1
P. 111-115 - janvier 2009 Retour au numéro
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