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Adherence to follow-up recommendations in asthma
R van Gent1, G de Meer, M M Rovers
1Máxima Medical Center, Department of Pediatrics, PO Box 7777, 5500 MB, Veldhoven, The Netherlands. R.vanGent@mmc.nl
Archives of Disease in Childhood
|October 11, 2007
Summary
Undiagnosed asthma affects 8% of primary school children. Many parents, particularly those with higher education and mild symptoms, decline medical visits for this condition, impacting early diagnosis and treatment.
Area of Science:
- Pediatric Pulmonology
- Epidemiology
- Public Health
Background:
- Asthma is a common chronic respiratory disease in children.
- Early diagnosis and management are crucial for preventing long-term complications.
- Undiagnosed cases contribute to disease burden and healthcare disparities.
Purpose of the Study:
- To determine the prevalence of undiagnosed asthma in primary school children.
- To identify parental factors influencing the decision to seek medical care for suspected childhood asthma.
Main Methods:
- A cross-sectional study was conducted on a cohort of primary school children.
- Asthma diagnosis was based on established clinical criteria.
- Parental refusal for general practitioner visits was recorded and analyzed.
Main Results:
- 8% (130/1758) of primary school children had undiagnosed asthma.
- 38% of parents refused to consult a general practitioner for their child's respiratory symptoms.
- Parental refusal was associated with higher maternal education, mild symptom severity, and lack of airway reversibility.
Conclusions:
- A significant proportion of childhood asthma remains undiagnosed in primary school settings.
- Barriers to healthcare access, including parental attitudes and socioeconomic factors, hinder timely medical intervention.
- Targeted interventions are needed to improve asthma detection and management in pediatric populations.
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