Title
Predictors of asthma control in children from different ethnic origins living in Amsterdam
Author
van Dellen, Q.M.
Stronks, K.
Bindels, P.J.E.
Öry, F.G.
Bruil, J.
van Aalderen, W.M.C.
TNO Kwaliteit van Leven
Publication year
2007
Abstract
To identify factors associated with asthma control in a multi-ethnic paediatric population. We interviewed 278 children with paediatrician diagnosed asthma (aged 7-17 years) and one of their parents. Asthma control was assessed with the Asthma Control Questionnaire (ACQ). Detailed information about sociodemographic variables, asthma medication, knowledge of asthma, inhalation technique and environmental factors were collected. Turkish and Moroccan parents were interviewed in their language of choice. Logistic regression analyses were used to identify correlates of asthma control. Of the 278 children, 85 (30.6%) were Dutch, 84 (30.2%) were Moroccan, 58 (20.9%) were Turkish and 51 (18.3%) were Surinamese. Overall, almost 60% had a status of well-controlled asthma, as indicated by the ACQ. Only 51 of the 142 (35.9%) Moroccan and Turkish parents had a good comprehension of the Dutch language. In logistic regression analyses the risk of having uncontrolled asthma was significantly higher among Surinamese children (OR 2.3; 95% CI 1.06-4.83), respondents with insufficient comprehension of the Dutch language (OR 2.3; 95% CI 1.08-4.78), children using woollen blankets (OR 9.8; 95% CI 1.52-63.42), and significantly lower among male (OR 0.5; 95% CI 0.31-0.91) and non-daily users of inhaled corticosteroids (OR 0.6; 95% CI 0.38-1.07). In conclusion, ethnicity as well as insufficient comprehension of the Dutch language appeared to be independent risk factors for uncontrolled asthma. Special attention should be given to children from immigrants groups for example by calling in an interpreter by physicians when comprehension is insufficient. © 2006 Elsevier Ltd. All rights reserved.
Subject
Health
Jeugd en Gezondheid
Asthma control
Children
Ethnicity
Beta 2 adrenergic receptor stimulating agent
Corticosteroid
Asthma
Controlled study
Disease control
Environmental factor
Ethnic difference
hHealth education
Immigrant
Logistic regression analysis
Major clinical study
Medical information
Patient education
Prediction
Prognosis
Questionnaire
Risk factor
School child
Sex difference
Structured interview
Wool
Administration, Inhalation
Adolescent
Adrenal Cortex Hormones
Adrenergic beta-Agonists
Anti-Asthmatic Agents
Asthma
Bedding and Linens
Child
Cross-Sectional Studies
Educational Status
Female
Household Articles
Humans
Humidity
Language
Male
Morocco
Netherlands
Parents
Population Surveillance
Suriname
Turkey
To reference this document use:
http://resolver.tudelft.nl/uuid:e7839ef3-4c53-4365-afb6-005356d78491
DOI
https://doi.org/10.1016/j.rmed.2006.08.002
TNO identifier
239931
ISSN
0954-6111
Source
Respiratory Medicine, 101 (4), 779-785
Document type
article