Adolescent girls with asthma have worse asthma control and health‐related quality of life than boys—A population based study

Stridsman, Caroline; Bäckman, Helena; Eklund, Britt-Marie; Rönmark, Eva; Hedman, Linnéa

doi:10.1002/ppul.23723

Cited by 29 publications

(39 citation statements)

References 37 publications

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“…Allergic sensitization was more common among men than women, which might reflect the fact that allergic childhood asthma often persists into adulthood (Andersson et al, ) and adult onset asthma is more persistent and non‐atopic (Rönmark et al, ). Eczema was common among the participants, especially among women; which also is consistent with earlier findings (Stridsman et al, ). Thus, our population‐based cohort and our sample of young adults with asthma seem to be representative, which supports the external validity of our findings.…”

Section: Discussionsupporting

confidence: 92%

“…The adult OLIN‐questionnaire and the ISAAC‐questionnaire includes validated questions and has been used in epidemiological studies since the 1990s (Asher et al, ; Axelsson et al, ; Ekerljung et al, ; Lötvall et al, ; Rönmark et al, ). The question about physician‐diagnosis of asthma has previously been validated in our cohort (Rönmark et al, ) and the definition of current asthma has previously been used in epidemiological settings (Lötvall et al, ; Stridsman et al, ), both showing high specificity. ACT is shown to be a reliable and valid tool for evaluating and discriminating asthma control (Nathan et al, ), with high internal consistency reliability (Axelsson et al, ; Nathan et al, ).…”

Section: The Studymentioning

confidence: 99%

“…ACT is shown to be a reliable and valid tool for evaluating and discriminating asthma control (Nathan et al, ), with high internal consistency reliability (Axelsson et al, ; Nathan et al, ). ACT is also commonly used in Swedish studies (Axelsson et al, ; Jansson et al, ; Stridsman et al, ). Furthermore, the prevalence of current asthma in our study is in line with previous reports (Lötvall et al, ), which strengthens the generalizability of our results.…”

Section: The Studymentioning

confidence: 99%

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Asthma control and acute healthcare visits among young adults with asthma—A population‐based study

Selberg¹,

Hedman

Jansson

et al. 2019

Journal of Advanced Nursing

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Aims To study asthma control and acute healthcare visits among young adults with asthma. Background Despite the access to effective treatment and nursing interventions, poor asthma control is still common among individuals with asthma. However, studies describing clinical characteristics among young adults with asthma are rare. Design A population‐based cohort study. Methods In 2015, as a part of the OLIN paediatric cohort I (recruited in 1996 at age 7–8 years), N = 2,291 young adults (27–28 years) completed a postal questionnaire survey including questions on asthma and respiratory symptoms. Of these, N = 280 (12%) were identified as having current asthma and were further studied. Results Of those with current asthma, women reported respiratory symptoms and smoking to a greater extent than men. Approximately one‐fourth had uncontrolled asthma and acute healthcare visits due to asthma was reported by 15% of women and 8% of men. Uncontrolled asthma was associated with smoking, lower educational level, use of reliever treatment most days, and acute healthcare visits. Acute healthcare visits due to asthma were associated with periodic use of regular controller treatment also after adjustment for uncontrolled asthma. Conclusion The result indicate poor adherence to asthma treatment which may lead to decreased asthma control and acute healthcare visits. Impact Most young adults with asthma are diagnosed and treated in primary care, ideally in a team with a nurse. The main findings highlight the need for evidenced‐based nursing interventions, contributing to a more efficient asthma management in primary care.

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Section: Discussionsupporting

confidence: 92%

Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

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Asthma control and acute healthcare visits among young adults with asthma—A population‐based study

Selberg¹,

Hedman

Jansson

et al. 2019

Journal of Advanced Nursing

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“…Asthma-specific HRQL is especially reduced in girls, in children with uncontrolled asthma and in those with frequent or severe asthma exacerbations. 3,4 Children with asthma report poorer generic HRQL than children in the general population and children with allergic rhinitis, food allergy, atopic dermatitis and diabetes mellitus, but better generic HRQL than children with juvenile chronic arthritis. 5,6 Asthma symptoms and exacerbations can be elicited by a range of allergic triggers (ie pollen, house dust or pets) and non-allergic triggers (ie physical exercise, respiratory tract infections, emotions or exposure to tobacco smoke).…”

Section: Introductionmentioning

confidence: 99%

Perceived triggers of asthma impair quality of life in children with asthma

Kansen

Meijer

et al. 2019

Clin Experimental Allergy

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BackgroundData on the impact of the number and nature of perceived asthma triggers on health‐related quality of life (HRQL) in children are scarce.ObjectiveTo investigate the impact of perceived asthma triggers on both asthma‐specific and generic HRQL in children.MethodsA cross‐sectional study was conducted among children (7‐18 years) with asthma in secondary and tertiary care. Children were screened with electronic questionnaires regarding respiratory and allergic symptoms. Asthma‐specific HRQL was assessed using the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) (score range 1‐7) and generic HRQL using the RAND questionnaire (score range 7‐32). The Kruskal‐Wallis test and one‐way ANOVA were used to test the difference of, respectively, the PAQLQ and RAND scores across the number of perceived asthma triggers (0, 1‐2, 3‐4, or ≥ 5). Univariable and multivariable linear regression analyses were performed to evaluate the association between individual triggers and HRQL.ResultsA total of 527 children with a mean (SD) age of 12.1 (2.9) years were included. Children with a higher number of perceived triggers had significantly lower PAQLQ and RAND scores (ie poorer HRQL). The difference in PAQLQ scores was clinically relevant between children with 0 versus 3‐4 or ≥ 5 triggers and 1‐2 versus ≥ 5 triggers (mean difference 0.66, 1.02 and 0.63, respectively). Especially, non‐allergic triggers (physical exercise, the weather, (cigarette) smoke and emotions) were significantly associated with reduced PAQLQ scores. Emotions and food/drinks were associated with reduced RAND scores.Conclusion and Clinical RelevanceA higher number of perceived triggers of asthma were associated with reduced HRQL in children with asthma. Especially, non‐allergic triggers were associated with reduced HRQL.

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“…Evidence continues to mount for a significant effect of psychological and psychosocial factors on asthma risk, particularly in adolescents . A systematic review by Dudeney et al included a total of 54 studies on asthma and anxiety in adolescents.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Pulmonology year in review 2017: Part 3

Ren

Muston

Yılmaz

et al. 2018

Pediatric Pulmonology

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Our journal covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review covers articles on neonatal lung disease, pulmonary physiology, and respiratory infection.Word count: 71 3

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Adolescent girls with asthma have worse asthma control and health‐related quality of life than boys—A population based study

Abstract: Only a minority of the asthmatic adolescents reported well-controlled asthma, and poor asthma control and female sex were risk factors for low HRQoL. Our results demonstrate that evaluation of asthma control is of great importance for asthma management.

Cited by 29 publications

References 37 publications

Asthma control and acute healthcare visits among young adults with asthma—A population‐based study

Asthma control and acute healthcare visits among young adults with asthma—A population‐based study

Perceived triggers of asthma impair quality of life in children with asthma

Pediatric Pulmonology year in review 2017: Part 3

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