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Socio-demographic factors related to under-diagnosis of childhood asthma in Upper Silesia, Poland.

Abstract <b>Introduction.</b> The presented study of 4,535 children aged 7-17 years in the Upper Silesian region of Poland yielded 186 cases of previously known asthma, and 44 children with newly diagnosed asthma. The aim of the presented study was to identify non-medical factors that could explain why children with a newly established diagnosis ('undiagnosed asthma') had not been diagnosed in the past. <b>Materials and method.</b> The study was performed according to a case-control design. Parents of the children answered questionnaires on socio-economic status and family-related factors. Statistical determinants of undiagnosed asthma were explored using raw (OR) and logistic odds ratios with their 95% confidence intervals (logOR, 95%CI). <b>Results.</b> Children with undiagnosed asthma were younger compared to the group with previously known asthma (11.3±2.1 vs. 12.6±2.5 years; p=0.0008). Newly diagnosed cases were more frequent in children who had less parental attention (less than 1 hour/day spent by parent with child - OR=4.36; 95%CI: 1.76-10.81) and who were not registered with specialized health care (OR=2.20; 95%CI: 0.95-5.06). Results of logistic regression analysis suggest that under-diagnosis of asthma is related to age below 12 years - logOR = 3.59 (95%CI: 1.28-10.36), distance to a health centre > 5 km - logOR = 3.45 (95%CI: 1.05-11.36), time spent with child < 1 hour/day - logOR = 6.28 (95%CI: 1.98-19.91). <b>Conclusion.</b> Among non-medical determinants of undiagnosed asthma the age of a child plays a major role. Another factors of importance is the large distance between residence and health centre, and low parental attention at home.
PMID
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Authors

Mayor MeshTerms
Keywords

childhood asthma

socio-economic factors

under-diagnosis

Journal Title annals of agricultural and environmental medicine : aaem
Publication Year Start




PMID- 28664688
OWN - NLM
STAT- In-Process
DA  - 20170630
LR  - 20170630
IS  - 1898-2263 (Electronic)
IS  - 1232-1966 (Linking)
VI  - 24
IP  - 2
DP  - 2017 Jun 07
TI  - Socio-demographic factors related to under-diagnosis of childhood asthma in Upper
      Silesia, Poland.
PG  - 171-176
LID - 74532 [pii]
AB  - &lt;b&gt;Introduction.&lt;/b&gt; The presented study of 4,535 children aged 7-17 years in the
      Upper Silesian region of Poland yielded 186 cases of previously known asthma, and
      44 children with newly diagnosed asthma. The aim of the presented study was to
      identify non-medical factors that could explain why children with a newly
      established diagnosis ('undiagnosed asthma') had not been diagnosed in the past. 
      &lt;b&gt;Materials and method.&lt;/b&gt; The study was performed according to a case-control 
      design. Parents of the children answered questionnaires on socio-economic status 
      and family-related factors. Statistical determinants of undiagnosed asthma were
      explored using raw (OR) and logistic odds ratios with their 95% confidence
      intervals (logOR, 95%CI). &lt;b&gt;Results.&lt;/b&gt; Children with undiagnosed asthma were
      younger compared to the group with previously known asthma (11.3+/-2.1 vs.
      12.6+/-2.5 years; p=0.0008). Newly diagnosed cases were more frequent in children
      who had less parental attention (less than 1 hour/day spent by parent with child 
      - OR=4.36; 95%CI: 1.76-10.81) and who were not registered with specialized health
      care (OR=2.20; 95%CI: 0.95-5.06). Results of logistic regression analysis suggest
      that under-diagnosis of asthma is related to age below 12 years - logOR = 3.59
      (95%CI: 1.28-10.36), distance to a health centre &gt; 5 km - logOR = 3.45 (95%CI:
      1.05-11.36), time spent with child &lt; 1 hour/day - logOR = 6.28 (95%CI:
      1.98-19.91). &lt;b&gt;Conclusion.&lt;/b&gt; Among non-medical determinants of undiagnosed
      asthma the age of a child plays a major role. Another factors of importance is
      the large distance between residence and health centre, and low parental
      attention at home.
FAU - Zejda, Jan E
AU  - Zejda JE
AD  - Department of Epidemiology, School of Medicine in Katowice, Medical University of
      Silesia, Poland. [email protected]
FAU - Farnik, Malgorzata
AU  - Farnik M
AD  - Department of Pneumonology, School of Medicine in Katowice, Medical University of
      Silesia, Poland.
FAU - Smolka, Irena
AU  - Smolka I
AD  - Department of Epidemiology, School of Medicine in Katowice, Medical University of
      Silesia, Poland.
FAU - Lawson, Joshua
AU  - Lawson J
AD  - Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan,
      Saskatoon, Canada.
FAU - Brozek, Grzegorz M
AU  - Brozek GM
AD  - Department of Epidemiology, School of Medicine in Katowice, Medical University of
      Silesia, Poland.
LA  - eng
PT  - Journal Article
DEP - 20170607
PL  - Poland
TA  - Ann Agric Environ Med
JT  - Annals of agricultural and environmental medicine : AAEM
JID - 9500166
OTO - NOTNLM
OT  - childhood asthma
OT  - socio-economic factors
OT  - under-diagnosis
EDAT- 2017/07/01 06:00
MHDA- 2017/07/01 06:00
CRDT- 2017/07/01 06:00
AID - 74532 [pii]
PST - ppublish
SO  - Ann Agric Environ Med. 2017 Jun 7;24(2):171-176. Epub 2017 Jun 7.