Determinants of asthma control among children in Saudi Arabia

Abdulaziz A BinSaeed1, Armen A Torchyan, Abdulmajeed A Alsadhan

  • 1Prince Sattam Bin Abdul Aziz Research Chair of Epidemiology and Public Health, College of Medicine, King Saud University , Riyadh , Saudi Arabia .

Insights

Poor asthma control in children is linked to lower family income and crowded living conditions. Increasing caregiver knowledge and family size can improve childhood asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Environmental Health
  • Socioeconomic Determinants of Health

Background:

  • Asthma is a prevalent chronic respiratory condition in children, significantly impacting quality of life.
  • Uncontrolled asthma poses a substantial burden on pediatric patients and their families.
  • Identifying risk factors for poor asthma control is crucial for effective management strategies.

Purpose of the Study:

  • To investigate the key factors associated with inadequate asthma control in pediatric populations.
  • To explore the relationship between socioeconomic status, family dynamics, and childhood asthma control.
  • To identify potential targets for interventions aimed at improving asthma outcomes in children.

Main Methods:

  • A cross-sectional study was conducted involving children aged 4-11 years diagnosed with asthma.
  • Asthma control was assessed using the validated Childhood Asthma Control Test.
  • Multiple logistic regression analysis was employed to determine associations between various factors and asthma control status.

Main Results:

  • Over half (59.3%) of the children studied exhibited uncontrolled asthma.
  • A higher number of siblings was significantly associated with improved asthma control (OR=0.31 for 2-3 siblings, OR=0.13 for 4+ siblings).
  • Increased caregiver knowledge of asthma (OR=0.87) and higher household income were linked to better asthma control, while low income (

Conclusions:

  • Socioeconomic factors, including family income and household crowding, play a significant role in pediatric asthma control in Saudi Arabia.
  • The number of siblings and caregiver's asthma knowledge are also important determinants of asthma control in children.
  • Further research is warranted to elucidate the complex interplay of these factors and develop targeted interventions.
Abstract

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