The national burden of poorly controlled asthma, school absence and parental work loss among school-aged children in the United States
| Autor: | Benjamin Ortiz, Howard S. Friedman, Abhishek Kavati, Prakash Navaratnam, Vahram Ghushchyan, Patrick W. Sullivan, Bobby Q. Lanier |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Parents Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Adolescent Exacerbation 03 medical and health sciences 0302 clinical medicine Cost of Illness Asthma control Absenteeism medicine Retrospective analysis Humans Immunology and Allergy 030212 general & internal medicine Child Retrospective Studies Asthma Schools School age child business.industry Emergency department Adrenergic beta-Agonists medicine.disease United States Cross-Sectional Studies Caregivers 030228 respiratory system Poor control Unemployment Pediatrics Perinatology and Child Health Disease Progression Quality of Life Female business Medical Expenditure Panel Survey |
| Zdroj: | Journal of Asthma. 55:659-667 |
| ISSN: | 1532-4303 0277-0903 |
| Popis: | The degree of poorly controlled asthma and its association with missed school days and parental missed work days is not well understood.This was a retrospective analysis of missed school days and missed work days for school-aged children (SAC; aged 6-17) and their caregivers in the nationally representative 2007-2013 Medical Expenditure Panel Survey (MEPS). Indicators of poor asthma control included: exacerbation in previous 12 months; use of3 canisters of short-acting beta agonist (SABA) in 3 months; and annual asthma-specific (AS) Emergency Department (ED) or inpatient (IP) visits. Negative binomial regression was used for missed school days, and a Heckman two-step selection model was used for missed work days. All analyses controlled for sociodemographics and other covariates.There were 44,320 SAC in MEPS, of whom 5,890 had asthma. SAC with asthma and an indicator of poor control missed more school days than SAC without asthma: exacerbation (1.8 times more; p0.001);3 canisters SABA (2.7 times more; p0.001) and ED/IP visit (3.8 times more; p0.001). The parents/caregivers of SAC with asthma and an exacerbation missed 1.2 times more work days (p0.05), while those with SAC with asthma and an ED/IP visit missed 1.8 times more work days (p0.01) than the parents of SAC without asthma.This study provides evidence of the significant national burden of poorly controlled asthma due to missed school and work days in the United States. More effective and creative asthma management strategies, with collaboration across clinical, community and school-based outreach, may help address this burden. |
| Databáze: | OpenAIRE |
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