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Published on: November 4, 2010
Quality of life in young urban children: does asthma make a difference?
Daniela Montalto1, Jean-Marie Bruzzese, Galina Moskaleva
1Fordham University, Bronx, New York, USA.
Insights
Asthma status and severity did not impact the quality of life for urban children. Further research is needed to explore other factors influencing health-related quality of life (HRQL) in pediatric asthma patients.
Area of Science:
- Pediatric pulmonology
- Public health
- Child psychology
Background:
- Asthma is a prevalent chronic condition in urban children.
- Understanding factors affecting pediatric quality of life is crucial for effective interventions.
- Previous research suggests a link between chronic illness and health-related quality of life (HRQL).
Purpose of the Study:
- To investigate the relationship between asthma status and severity and the HRQL of urban elementary school children.
- To identify potential disparities in HRQL among children with and without asthma.
- To explore the influence of asthma severity on children's overall well-being.
Main Methods:
- A cross-sectional study involving 1292 caregiver-child dyads from urban, low-income, minority communities.
- Caregivers reported on children's asthma diagnosis, symptom frequency, medication use, and healthcare utilization.
- Children self-reported their HRQL using the KINDL instrument.
Main Results:
- A high prevalence of current asthma (18%) was observed in the study population.
- No significant differences in HRQL were found between children with current asthma and those without.
- Asthma severity, assessed by healthcare utilization and functional limitations, did not correlate with differences in HRQL.
Conclusions:
- Asthma status and severity, as measured in this study, do not appear to be primary determinants of HRQL in urban elementary school children.
- Other unmeasured factors likely play a more significant role in shaping the HRQL of these children.
- Findings suggest a need for broader intervention strategies that address multifactorial influences on pediatric HRQL.
Abstract:
The purpose of this study was to determine whether asthma status and severity have an impact on the quality of life of urban elementary school children. Participants were 1292 caregiver-child dyads from six schools serving low-income, ethnic minority, urban families; 53% of the children were female. Caregivers provided data on the children's asthma diagnosis and frequency in the last 12 months of asthma symptoms, use of medication for asthma, emergency room visits, and hospitalizations. Using the KINDL, a generic quality of life instrument, children reported on their health-related quality of life (HRQL). Results revealed a high prevalence of current asthma (18%). No differences were found in HRQL based on having current asthma or the severity of asthma as assessed by proxy measures of health care utilization and limited functioning. These findings are consistent with previous research indicating that HRQL is influenced by several factors other than asthma status and severity. The implications of these results for intervention are discussed.
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