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Published on: November 4, 2010
Changes over time in reducing developmental and behavioral comorbidities of asthma in children
James A Blackman1, Mark R Conaway
1Division of Developmental Disability, Department of Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA 22901, USA. jab5u@virginia.edu
Insights
Asthma rates remained stable, but developmental and behavioral problems in children with asthma increased significantly. Early screening and intervention are crucial for these growing comorbidities.
Area of Science:
- Pediatric Health
- Respiratory Medicine
- Developmental Psychology
Background:
- Asthma affects a significant pediatric population.
- Developmental and behavioral comorbidities are common in children with asthma.
- Understanding trends in these comorbidities is vital for effective management.
Purpose of the Study:
- To assess progress in reducing asthma prevalence and severity over a decade.
- To evaluate changes in developmental and behavioral comorbidities among children with asthma during the same period.
Main Methods:
- Comparison of data from the 2003 and 2007 National Surveys of Children's Health.
- Analysis of asthma rates, severity, and co-occurring developmental and behavioral problems.
- Stratification of analysis by asthma status in children.
Main Results:
- Asthma prevalence remained stable, with a trend towards milder asthma severity.
- Children with asthma had double the rate of developmental and behavioral problems compared to peers without asthma.
- Rates of these problems increased in both groups, but at a faster pace for children with asthma, particularly for grade repetition.
Conclusions:
- Children with asthma exhibit persistently high rates of developmental and behavioral comorbidities.
- These comorbidities have become more frequent over the past decade.
- Healthcare providers should actively screen for, assess, and treat these issues early in children with asthma.
Objective:
The purpose of this study was to determine (1) the progress that has been made in reducing the prevalence of asthma and/or reducing its severity over the past decade and (2) the progress that has been made in reducing the developmental and behavioral comorbidities of asthma during this period.
Methods:
Rates of asthma, asthma severity, and developmental and behavioral problems among children with asthma were compared between the 2003 and 2007 National Surveys of Children's Health.
Results:
Asthma rates remained stable between the 2 surveys, but there was a shift from moderate to mild and, to a lesser extent, severe asthma. Comorbid rates of developmental and behavioral problems were about twice as high among children with asthma compared with those without asthma. All problems increased for both groups between the surveys but at a significantly greater pace for repeated grades among children with asthma.
Conclusions:
Children with asthma continue to have high rates of comorbid developmental and behavioral problems. Over the past decade, these problems are becoming more, not less frequent. Primary and asthma specialty caregivers should be attuned to these comorbidities and implement methods to screen for, assess, and remediate these problems as early as possible.
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