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Deprivation, smoking, and quality of life in asthma

Aims: To explore associations of deprivation and smoking, with prevalence of asthma, wheeze, and quality of life. Methods: Survey, using International Study of Asthma and Allergies in Childhood (ISAAC) methodology, of children aged 13–14 years attending Scottish schools previously surveyed in 1995.... Full description

Journal Title: Archives of disease in childhood 2005, Vol.90 (3), p.253-257
Main Author: Austin, J B
Other Authors: Selvaraj, S , Godden, D , Russell, G
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
ID: ISSN: 0003-9888
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title: Deprivation, smoking, and quality of life in asthma
format: Article
creator:
  • Austin, J B
  • Selvaraj, S
  • Godden, D
  • Russell, G
subjects:
  • Abridged Index Medicus
  • Absenteeism
  • adolescence
  • Adolescent
  • Asthma
  • Asthma - epidemiology
  • Asthma - etiology
  • Biological and medical sciences
  • Causes of
  • Chronic obstructive pulmonary disease, asthma
  • Complications and side effects
  • deprivation
  • Female
  • Field study
  • Hay fever
  • Hospitals
  • Humans
  • immune system diseases
  • International Study of Asthma and Allergies in Childhood
  • ISAAC
  • Male
  • Medical sciences
  • morbidity
  • Original
  • Original Article
  • Patient admissions
  • Physical education
  • Pneumology
  • Poverty
  • Poverty - statistics & numerical data
  • Prevalence
  • Quality of Life
  • Questionnaires
  • Regression Analysis
  • Respiratory Sounds - etiology
  • respiratory tract diseases
  • Schools
  • Scotland
  • Scotland - epidemiology
  • Scottish Index of Multiple Deprivation
  • SIMD
  • Smoking
  • Smoking - adverse effects
  • Smoking - epidemiology
  • Statistics
  • Tobacco, tobacco smoking
  • Toxicology
ispartof: Archives of disease in childhood, 2005, Vol.90 (3), p.253-257
description: Aims: To explore associations of deprivation and smoking, with prevalence of asthma, wheeze, and quality of life. Methods: Survey, using International Study of Asthma and Allergies in Childhood (ISAAC) methodology, of children aged 13–14 years attending Scottish schools previously surveyed in 1995. Results: 4665/5247 (89%) pupils completed questionnaires. 3656/4665 (78.4%) had missed school for any reason in the last 12 months, 587 (12.6%) because of asthma or wheeze. Compared to children with 1–3 wheeze attacks per year, those with >12 attacks in the last year were more likely to have missed school, twice as likely to have missed physical education in the last month, to report interference with home activities, or to have visited accident and emergency departments, and three times more likely to have been hospitalised. Deprivation was not independently associated with self-reported asthma or wheeze, but was associated with school absence, either for any reason or specifically for asthma or wheeze, but not with use of services such as accident and emergency visits, doctor visits, or hospital admissions. Active smoking was associated with wheezy symptoms, and active and passive smoking with use of medical services. These associations were independent of wheeze severity, treatment taken, and other associated atopic conditions. Smoking also had an impact on school absence and home and school activities. Conclusions: Deprivation does not affect the prevalence of asthma or wheeze. Exposure to cigarette smoke was associated with the increased use of services. Deprivation and smoking have independent adverse effects on the quality of life in subjects with asthma or wheeze.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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descriptionAims: To explore associations of deprivation and smoking, with prevalence of asthma, wheeze, and quality of life. Methods: Survey, using International Study of Asthma and Allergies in Childhood (ISAAC) methodology, of children aged 13–14 years attending Scottish schools previously surveyed in 1995. Results: 4665/5247 (89%) pupils completed questionnaires. 3656/4665 (78.4%) had missed school for any reason in the last 12 months, 587 (12.6%) because of asthma or wheeze. Compared to children with 1–3 wheeze attacks per year, those with >12 attacks in the last year were more likely to have missed school, twice as likely to have missed physical education in the last month, to report interference with home activities, or to have visited accident and emergency departments, and three times more likely to have been hospitalised. Deprivation was not independently associated with self-reported asthma or wheeze, but was associated with school absence, either for any reason or specifically for asthma or wheeze, but not with use of services such as accident and emergency visits, doctor visits, or hospital admissions. Active smoking was associated with wheezy symptoms, and active and passive smoking with use of medical services. These associations were independent of wheeze severity, treatment taken, and other associated atopic conditions. Smoking also had an impact on school absence and home and school activities. Conclusions: Deprivation does not affect the prevalence of asthma or wheeze. Exposure to cigarette smoke was associated with the increased use of services. Deprivation and smoking have independent adverse effects on the quality of life in subjects with asthma or wheeze.
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subjectAbridged Index Medicus ; Absenteeism ; adolescence ; Adolescent ; Asthma ; Asthma - epidemiology ; Asthma - etiology ; Biological and medical sciences ; Causes of ; Chronic obstructive pulmonary disease, asthma ; Complications and side effects ; deprivation ; Female ; Field study ; Hay fever ; Hospitals ; Humans ; immune system diseases ; International Study of Asthma and Allergies in Childhood ; ISAAC ; Male ; Medical sciences ; morbidity ; Original ; Original Article ; Patient admissions ; Physical education ; Pneumology ; Poverty ; Poverty - statistics & numerical data ; Prevalence ; Quality of Life ; Questionnaires ; Regression Analysis ; Respiratory Sounds - etiology ; respiratory tract diseases ; Schools ; Scotland ; Scotland - epidemiology ; Scottish Index of Multiple Deprivation ; SIMD ; Smoking ; Smoking - adverse effects ; Smoking - epidemiology ; Statistics ; Tobacco, tobacco smoking ; Toxicology
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descriptionAims: To explore associations of deprivation and smoking, with prevalence of asthma, wheeze, and quality of life. Methods: Survey, using International Study of Asthma and Allergies in Childhood (ISAAC) methodology, of children aged 13–14 years attending Scottish schools previously surveyed in 1995. Results: 4665/5247 (89%) pupils completed questionnaires. 3656/4665 (78.4%) had missed school for any reason in the last 12 months, 587 (12.6%) because of asthma or wheeze. Compared to children with 1–3 wheeze attacks per year, those with >12 attacks in the last year were more likely to have missed school, twice as likely to have missed physical education in the last month, to report interference with home activities, or to have visited accident and emergency departments, and three times more likely to have been hospitalised. Deprivation was not independently associated with self-reported asthma or wheeze, but was associated with school absence, either for any reason or specifically for asthma or wheeze, but not with use of services such as accident and emergency visits, doctor visits, or hospital admissions. Active smoking was associated with wheezy symptoms, and active and passive smoking with use of medical services. These associations were independent of wheeze severity, treatment taken, and other associated atopic conditions. Smoking also had an impact on school absence and home and school activities. Conclusions: Deprivation does not affect the prevalence of asthma or wheeze. Exposure to cigarette smoke was associated with the increased use of services. Deprivation and smoking have independent adverse effects on the quality of life in subjects with asthma or wheeze.
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 Dr J B Austin
 Highland and Islands Health Research Institute, University of Aberdeen, The Green House, Inverness IV2 3ED, UK; jane.austin@hpct.scot.nhs.uk
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abstractAims: To explore associations of deprivation and smoking, with prevalence of asthma, wheeze, and quality of life. Methods: Survey, using International Study of Asthma and Allergies in Childhood (ISAAC) methodology, of children aged 13–14 years attending Scottish schools previously surveyed in 1995. Results: 4665/5247 (89%) pupils completed questionnaires. 3656/4665 (78.4%) had missed school for any reason in the last 12 months, 587 (12.6%) because of asthma or wheeze. Compared to children with 1–3 wheeze attacks per year, those with >12 attacks in the last year were more likely to have missed school, twice as likely to have missed physical education in the last month, to report interference with home activities, or to have visited accident and emergency departments, and three times more likely to have been hospitalised. Deprivation was not independently associated with self-reported asthma or wheeze, but was associated with school absence, either for any reason or specifically for asthma or wheeze, but not with use of services such as accident and emergency visits, doctor visits, or hospital admissions. Active smoking was associated with wheezy symptoms, and active and passive smoking with use of medical services. These associations were independent of wheeze severity, treatment taken, and other associated atopic conditions. Smoking also had an impact on school absence and home and school activities. Conclusions: Deprivation does not affect the prevalence of asthma or wheeze. Exposure to cigarette smoke was associated with the increased use of services. Deprivation and smoking have independent adverse effects on the quality of life in subjects with asthma or wheeze.
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