P2-77 Behaviour problems and prevalence of asthma symptoms among Brazilian children

IntroductionAsthma is the most common chronic disease in childhood and has been designated a public health problem due to the increase in its prevalence in recent decades, the amount of health service expenditure it absorbs and an absence of consensus about its aetiology. The relationships among psy...

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Veröffentlicht in:Journal of epidemiology and community health (1979) 2011-08, Vol.65 (Suppl 1), p.A241-A241
Hauptverfasser: Feitosa, C, Santos, D, do Carmo, M B, Santos, L, Teles, C, Rodrigues, L, Barreto, M
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Sprache:eng
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Zusammenfassung:IntroductionAsthma is the most common chronic disease in childhood and has been designated a public health problem due to the increase in its prevalence in recent decades, the amount of health service expenditure it absorbs and an absence of consensus about its aetiology. The relationships among psychosocial factors and the occurrence, symptomatology, and severity of asthma have recently been considered. There is still controversy about the association between asthma and child's mental health, since the pathways through which this relationship is established are complex and not well researched. This study aims to investigate whether behaviour problems are associated with the prevalence of asthma symptoms in a large urban centre in Latin America.MethodsCross-section study of 869 children between 6 and 12 years old, residents of Salvador, Brazil. The International Study of Allergy and Asthma in Childhood (ISAAC) questionnaire was used to evaluate prevalence of asthma symptoms. The Child Behaviour Checklist (CBCL) was employed to evaluate behavioural problems.Results19.26% (n=212) of the children presented symptoms of asthma. We found good evidence of an association between behaviour problems and asthma symptoms (PR: 1.53; 95% CI 1.13 to 2.08. p=0.007) and this association remained statistically significant after adjustment for sex, age, maternal education, income, parental asthma, minor psychiatric disorders in the mother, Alcohol use, allergens in dust and smoking (PR: 1.43; 95% CI 1.10 to 1.85. p=0.01).ConclusionThese results suggest an association between behavioural problems and paediatric asthma, and support the inclusion of mental healthcare in the provision of services for asthma morbidity.
ISSN:0143-005X
1470-2738
DOI:10.1136/jech.2011.142976i.12