Prevalence of asthma and asthma-like symptoms in inner-city elementary schoolchildren

Mayris P. Webber, Kelly E. Carpiniello, Tosan Oruwariye, David K. Appel

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

American inner-city children are disproportionately affected by asthma. During the 1999-2000 school year, we conducted a survey of 6 Bronx, New York City elementary schools to assess the prevalence of asthma and asthma-like symptoms as reported by parents. Children with probable asthma had symptoms within the last 12 months and parents who indicated that their child had asthma. Children with possible asthma had symptoms within the last 12 months but lacked a diagnosis. Overall, 74% (4,77516,433) of parents returned completed surveys, identifying 20% (949/4,775) of children as probable asthmatics, and 12% (589/4,775) as possible asthmatics. In multivariate analyses, probable asthma was associated with: Puerto Rican, Black, and white race/ethnicity, male gender, having health insurance, and registration at the poorest school. Possible asthma was associated with lack of health insurance and female gender, but was not associated with any specific race/ethnicity. Our findings support the effectiveness of school-based surveys to identify children at high risk for asthma. The challenge remains to engage children and families in appropriate follow-up care and to manage their illness, either through the use of school-based health centers or stronger links to community services.

Original languageEnglish (US)
Pages (from-to)105-111
Number of pages7
JournalPediatric Pulmonology
Volume34
Issue number2
DOIs
StatePublished - 2002

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Asthma
Parents
Health Insurance
Aftercare
School Health Services
Social Welfare
Multivariate Analysis
Surveys and Questionnaires

Keywords

  • Asthma
  • Children
  • Epidemiology
  • Ethnicity
  • Healthcare
  • Inner-city
  • Prevalence

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

Cite this

Prevalence of asthma and asthma-like symptoms in inner-city elementary schoolchildren. / Webber, Mayris P.; Carpiniello, Kelly E.; Oruwariye, Tosan; Appel, David K.

In: Pediatric Pulmonology, Vol. 34, No. 2, 2002, p. 105-111.

Research output: Contribution to journalArticle

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