Association of behaviors and asthma control in a sample of Lebanese adolescents with asthma.

Autor:	Azzi V; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon., Malaeb D; College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates., Khatib SE; Department of Biomedical Sciences, School of Arts and Sciences, Lebanese International University, Bekaa, Lebanon.; Center for Applied Mathematics and Bioinformatics (CAMB), Gulf University for Science and Technology (GUST), Hawally, Kuwait., Sakr F; School of Pharmacy, Lebanese International University, Beirut, Lebanon.; École Doctorale Sciences de la Vie et de la Santé, Université Paris-Est Créteil, Paris, France., Dabbous M; School of Pharmacy, Lebanese International University, Beirut, Lebanon., Hallit S; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon.; Applied Science Research Center, Applied Science Private University, Amman, Jordan; souheilhallit@hotmail.com., Soufia M; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon.
Jazyk:	angličtina
Zdroj:	Allergologia et immunopathologia [Allergol Immunopathol (Madr)] 2024 Mar 01; Vol. 52 (2), pp. 51-59. Date of Electronic Publication: 2024 Mar 01 (Print Publication: 2024).
DOI:	10.15586/aei.v52i2.1057
Abstrakt:	Background: The relationship between behavioral problems and asthma is bidirectional; while the presence of a chronic disease such as asthma might predispose the person to stress, anxiety, and other behavioral issues, behavioral problems might in turn cause uncontrolled asthma through nonadherence to asthma management strategies. In Lebanon, behavioral problems and uncontrolled asthma could be of significant concern for adolescents. Consequently, we found it necessary to evaluate association between behavioral problems and uncontrolled asthma in a sample of Lebanese adolescents. Methods: Data for this cross-sectional study were collected using the snowball sampling technique in July 2023. The questionnaire was developed with Google Forms and distributed to participants via social media platforms and messaging applications. The Asthma Control Test (ACT) was used to check for uncontrolled asthma, and the Youth Self-Report (YSR) scale was used to assess behavioral problems. It yields nine subscales (anxious-depressed, withdrawn-depressed, somatic complaints, social problems, thought problems, attention problems, rule-breaking behavior, aggressive behavior, and other problems) and a total score. Results: When taking each behavior score as an independent variable, older age was associated with lower ACT scores (more controlled asthma); F(15, 186) = 3.66, P = 0.014, and 95% Confidence Interval (CI) [-0.85, -0.10]. Living in a rural area, compared to urban was associated with higher ACT scores, P = 0.018, and 95% Confidence Interval (CI) [0.28, 2.94]. The intake of the COVID-19 vaccine, P = 0.003 and 95% CI [0.73, 3.55]; waterpipe smoking, P = 0.017 and 95% CI [0.38, 3.85]; and having more somatic complaints, P = 0.005 and 95% CI [0.04, 0.25], also were significantly associated with higher ACT scores (more uncontrolled asthma). When taking the total behavior score as an independent variable, higher YSR scores were associated with higher ACT scores (more uncontrolled asthma), F(10, 191) = 4.30, P = 0.038, and 95% CI [0.003, 0.10]. Conclusion: Our findings support the inclusion of mental health treatments for better asthma control and point to a link between behavioral issues and uncontrolled asthma. In a developing nation without a clear established strategy for asthma prevention, the findings of this study could help develop potentially beneficial public health treatments. Competing Interests: The authors have nothing to disclose.
Databáze:	MEDLINE
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