Socioeconomic, Family, and Pediatric Practice Factors That Affect Level of Asthma Control

摘要: BACKGROUND. Multiple issues play a role in the effective control of childhood asthma. OBJECTIVE. To identify factors related to level asthma children receiving care from community pediatricians. PATIENTS AND METHODS. Data for 362 participating an intervention study reduce morbidity were collected by telephone-administered questionnaire. Level (well controlled, partially or poorly controlled) was derived measures recent impairment (symptoms, activity limitations, albuterol use) and number exacerbations 12-month period. also included demographic characteristics, asthma-related quality life, pediatric management practices, medication usage. Univariable multivariable analyses used associated with poor explore relationship between use daily controller medications. RESULTS. Asthma well controlled 24% children, 20%, 56%. Medicaid insurance, presence another family member asthma, maternal employment outside home significant univariable control. insurance had independent association Seventy-six percent reported parents as medication. Comparison guideline recommended current indicated that higher step would have been appropriate 74% these children. Significantly lower overall quality-of-life scores observed both CONCLUSIONS. Despite substantial medication, continue experience reduced life. Although aspects structure are attention indicators may further morbidity.