Prevalence of and factors associated with current asthma symptoms in school children aged 6-7 and 13-14 yr old in Bogotá, Colombia
Authors: Garcia, Elizabeth1; Aristizabal, Gustavo2; Vasquez, Catalina3; Rodriguez-Martinez, Carlos E.4; Sarmiento, Olga L.5; Satizabal, Claudia L.6
Source: Pediatric Allergy and Immunology, Volume 19, Number 4, June 2008 , pp. 307-314(8)
Publisher: Blackwell Publishing
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Abstract:
Garcia E, Aristizabal G, Vasquez C, Rodriguez-Martinez CE, Sarmiento OL, Satizabal CL. Prevalence of and factors associated with current asthma symptoms in school children aged 6-7 and 13-14 yr old in Bogotá, Colombia.Pediatr Allergy Immunol 2008: 19: 307-314.© 2008 The Authors Journal compilation © 2008 Blackwell Munksgaard This cross-sectional study of children aged 6-7 years and adolescents aged 13-14 years in Bogotá, Colombia, assessed the prevalence of asthma symptoms and their associations with dietary, health, and behavioral habits. This study is part of the International Study of Asthma and Allergies in Childhood (ISAAC)-phase III. Asthma prevalence among the children was assessed using a parental self-administered written questionnaire (WQ), and among adolescents using a WQ together with a video questionnaire (VQ). Associations were estimated with bivariate and multivariate analysis. The study found that the 6-7 year age-group were more likely to report current asthma symptoms than the 13-14 year age-group (10.4% [WQ] vs. 8.6% [WQ] and 8.0% [VQ], respectively). Factors associated with current asthma symptoms among the 6-7 year age-group included higher maternal education (OR = 1.7, [95% CI 1.2-2.6], p = 0.007), a cat in the home during the last year (OR = 1.5, [95% CI 1.0-2.3], p = 0.036), watching TV 1-2 hours/day (OR = 2.1, [95% CI 1.2-3.9], p = 0.013), and medication with acetaminophen in the first and most recent year of life (OR = 1.8, [95% CI 1.3-2.4], p < 0.001; OR = 2.2, [95% CI 1.7-2.8], p < 0.001, respectively) or antibiotics in the first year of life (OR = 1.9, [95% CI 1.4-2.5], p < 0.001). Among the 13-14 year age-group, factors associated with current asthma symptoms included medication with acetaminophen during the last year (OR = 1.8, [95% CI 1.4-2.3], p < 0.001); cereal, milk, and fruit consumption 3 or more times weekly (OR = 1.5, [95% CI 1.1-1.9], p = 0.010; OR = 0.8, [95% CI 0.6-1.0], p = 0.046; OR = 0.6, [95% CI 0.4-1.0], p = 0.031, respectively). Overall, compared with that in other Latin American centers, asthma prevalence in Bogotá is close the lower estimates. However, associations with dietary, health, and behavioral habits need further study to assess their complex relationship with asthma.Keywords: asthma symptoms; prevalence; 6-7 year age-group; 13-14 year age-group; associated factors; ISSAC phase-III; dietary habits; healthy habits; behavior characteristics; Bogotá, Colombia
Document Type: Research article
DOI: 10.1111/j.1399-3038.2007.00650.x
Affiliations: 1: Division of Pediatric Allergies, Fundación Santa Fe de Bogotá, Bogotá, Colombia, South America 2: Department of Pediatric Respiratory Medicine, Respiremos; Hospital Simón Bolívar; Universidad El Bosque; and Universidad La Sabana, Bogotá, Colombia, South America 3: Department of Pediatric Respiratory Medicine, Respiremos and Clínica del Niño J.B., Bogotá, Colombia, South America 4: Department of Pediatric Respiratory Medicine, Clínica Infantil Colsubsidio and Clínica Colsanitas, Bogotá, Colombia, South America 5: School of Medicine, Universidad de Los Andes; and Centro de Estudios e Investigación en Salud, Fundación Santa Fe de Bogotá, Bogotá, Colombia, South America 6: Department of Biological Sciences, Universidad de Los Andes, Bogotá, Colombia, South America
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