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Behavior problems among inner-city children with asthma: findings from a community-based sample
Jill S Halterman1, Kelly M Conn, Emma Forbes-Jones
1Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Golisano Children's Hospital at Strong, Rochester, New York, USA. jill_halterman@urmc.rochester.edu
Pediatrics
|February 3, 2006
Summary
Children with persistent asthma symptoms show more behavioral issues, including negative peer interactions and anxious behavior. This highlights the need for early, integrated care for these children.
Area of Science:
- Pediatric Health
- Behavioral Science
- Epidemiology
Background:
- Childhood asthma is common in urban settings.
- Previous research suggests a link between asthma and behavioral problems.
- Limited studies focus on community samples of urban children with asthma symptoms.
Purpose of the Study:
- Evaluate the relationship between asthma symptoms and behavior in inner-city children.
- Determine the prevalence of behavioral comorbidity in children with asthma symptoms.
- Assess behavioral outcomes based on asthma symptom severity.
Main Methods:
- A population-based sample of 1619 kindergarteners in Rochester, NY, was surveyed in 2003.
- Parents reported on child's background, asthma symptoms (none, intermittent, persistent), and behavior using validated scales.
- Multivariate regression analyzed the association between asthma symptom severity and behavioral outcomes (social skills, task orientation, shy/anxious behavior).
Main Results:
- 15% of children had asthma symptoms (8% persistent, 7% intermittent).
- Children with persistent asthma symptoms had worse negative peer social skills, task orientation, and higher shy/anxious behavior scores compared to those without symptoms.
- Over 20% of children with persistent asthma symptoms exhibited significant behavioral problems across multiple domains.
Conclusions:
- Persistent asthma symptoms in urban children are associated with increased behavioral problems.
- Findings underscore the need for a biopsychosocial approach in managing childhood asthma.
- Early intervention is crucial for addressing behavioral comorbidities in children with asthma.
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