Asthma control affects school absence,achievement and quality of school life: a multicenter study |
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| Affiliation: | 1. Ankara City Hospital, Division of Pediatric Allergy and Immunology, Ankara, Turkey;2. Malatya Training and Research Hospital, Pediatric Allergy and Immunology Clinic, Malatya, Turkey;3. Health Sciences University, Dr.Behçet Uz Children Training and Research Hospital, Division of Pediatric Allergy and Immunology, İzmir, Turkey;4. Cigli Training and Research Hospital, Division of Pediatric Allergy and Immunology, İzmir, Turkey;5. Tokat State Hospital, Pediatric Allergy and Clinical Immunology Clinic, Tokat, Turkey;6. Balıkesir University School of Medicine, Department of Pediatrics, Balıkesir, Turkey;7. Muğla Sitki Kocman University School of Medicine, Department of Pediatrics, Mugla, Turkey;1. School of Pharmacy, Lebanese International University, Beirut, Lebanon;2. Life sciences and health department, Paris-Est University, Paris, France;3. Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon;4. INSPECT-LB: Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie – Liban, Beirut, Lebanon;5. Drug Information Center, Order of Pharmacists of Lebanon, Beirut, Lebanon;6. Infectious Disease Department, Bellevue Medical center, Mansourieh, Lebanon;7. Infectious Disease Department, Notre-Dame Des Secours University Hospital, Byblos, Lebanon;8. Faculty of Pharmacy, Lebanese University, Beirut, Lebanon;9. Faculty of Medicine, Lebanese University, Beirut, Lebanon;1. Clinical Pathology Department, Faculty of Medicine, Zagazig University, Zagazig City, Al Sharqia Governorate, Egypt;2. Department of Medical Microbiology & Immunology, Faculty of Medicine, Zagazig University, Zagazig City, Al Sharqia Governorate, Egypt;3. Department of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig City, Al Sharqia Governorate, Egypt;1. Dresden International University, Division of Health Care Sciences, Center for Clinical Research and Management Education, Dresden, Germany;2. Hospital Medica Sur, Mexico City, Mexico;3. Laboratorio de Alergia Molecular, Mexico City, Mexico;4. Allergy and Immunology, Department of Pediatrics, New York University Langone Health, New York, NY, USA;5. Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland;6. Medica Sur Clinical Foundation and Hospital, Mexico City, Mexico;1. Allergy & Immunology Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, 50588, Kuala Lumpur, Malaysia;2. Department of Dermatology, Kuala Lumpur Hospital, Ministry of Health Malaysia, Jalan Pahang, 50588, Kuala Lumpur, Malaysia |
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| Abstract: | Introduction and ObjectivesAsthma may have a detrimental effect on school attendance and achievement. Friend relations, attendance to school activities, quality of life (QOL) of asthmatic children may be negatively affected. The aim of this study was to evaluate factors influencing school functioning for asthmatic school-age children.Materials and MethodsFrom January to May 2019, parents and school-age children who were followed by a diagnosis of asthma for more than one year, from seven pediatric allergy centers, were given a standard questionnaire including questions about child’s disease, school performance, absenteeism, home-family-school conditions. A pediatric QOL questionnaire was filled out by children. For evaluating control in the previous year, children who had more than two exacerbations and/or had any exacerbations needing systemic corticosteroids in the previous year were defined as inadequate control. School absence over nine days was taken into account as this has been shown to bring a risk for successful school life.Results507 patients were included. Asthma control status was found to be effective on school absence (p < 0.001), on school success (especially math scores) (p < 0.001), on friend relations (p = 0.033), QOL (p < 0.001), attendance to school activities (p < 0.001). Regular follow-up (p < 0.001), regular use of asthma medication (p = 0.014), tobacco smoke exposure (p < 0.001), heating with stove at home (p = 0.01) affected asthma control. School conditions such as crowdedness (p = 0.044), humidity of the class (p = 0.025), knowledge of teacher about child’s asthma (p = 0.012) were effective on asthma control independent of home conditions and asthma treatment parameters.ConclusionSchool interventions are important to improve asthma management. |
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| Keywords: | Asthma School Absenteeism Children Success Quality of life |
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