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Article: Determinants for asthma control, quality of life and use of complementary and alternative medicine in asthmatic pediatric patients in four cities

TitleDeterminants for asthma control, quality of life and use of complementary and alternative medicine in asthmatic pediatric patients in four cities
Authors
Issue Date2018
Citation
World Journal of Pediatrics, 2018 How to Cite?
AbstractBACKGROUND: Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center study to survey asthma control and QoL in four cities in the Pearl River Delta. METHODS: The conjoint survey involved ten Hong Kong pediatric hospitals/units, two Shenzhen hospitals, two Macau hospitals, and two Guangzhou hospitals on asthma control (using Asthma Control Test) and QoL (Pediatric Allergic Disease Quality of Life Questionnaire, PADQLQ). Acceptability of a treatment is graded as very good/good/fair/poor. RESULTS: Good asthma control was only reported in 80% subjects in Hong Kong, but higher in sister cities (85-94%, P < 0.001). Allergic rhinitis, "incense burning", and "smoker in family" were prevalent among the four cities. Logistic regression showed better control of asthma was associated with better PADQLQ (B = - 0.029, P < 0.001), better acceptability of bronchodilator (B = - 1.488, P = 0.025), negatively with "smoker in family" (B = - 0.83, P = 0.015) and various PADQLQ domains. Conversely, worse PADQLQ was associated with allergic rhinitis severity (B = 4.77, P < 0.001), poor control of asthma (B = 7.56, P < 0.001), increased frequency of traditional Chinese medicine use (B = 1.7, P < 0.05), increased frequency of bronchodilator usage (B = 1.05, P < 0.05), "smoker in family" (B = 4.05, P < 0.05), and incense burning at home (B = 3.9, P < 0.05). CONCLUSIONS: There are some clinical and cultural differences among the four southern Chinese cities within the Guangdong province. This study identifies potentially modifiable environmental and treatment factors associated with poor asthma control and QoL for health-care interventions. Having a smoker in the family is independently associated with poor asthma control and QoL. KEYWORDS: Asthma; Complementary and alternative medicine; Control; Inhaled bronchodilator; Inhaled corticosteroid; Pediatric Allergic Disease Quality of Life Questionnaire; Smoking; Traditional Chinese medicine
Persistent Identifierhttp://hdl.handle.net/10722/258688

 

DC FieldValueLanguage
dc.contributor.authorHon, KL-
dc.contributor.authorBao, YM-
dc.contributor.authorChan, KC-
dc.contributor.authorChau, KW-
dc.contributor.authorChen, RS-
dc.contributor.authorCheok, KT-
dc.contributor.authorChiu, WK-
dc.contributor.authorLi, D-
dc.contributor.authorHe, CH-
dc.contributor.authorLeong, KM-
dc.contributor.authorKung, JS-
dc.contributor.authorLam, P-
dc.contributor.authorLam, SY-
dc.contributor.authorLee, QU-
dc.contributor.authorLee, SL-
dc.contributor.authorLeung, TF-
dc.contributor.authorLeung, TNH-
dc.contributor.authorShi, L-
dc.contributor.authorSiu, KK-
dc.contributor.authorTan, WP-
dc.contributor.authorWang, MH-
dc.contributor.authorWong, TW-
dc.contributor.authorWu, BJ-
dc.contributor.authorYip, YF-
dc.contributor.authorZheng, YJ-
dc.contributor.authorNg, DK-
dc.date.accessioned2018-08-22T01:42:28Z-
dc.date.available2018-08-22T01:42:28Z-
dc.date.issued2018-
dc.identifier.citationWorld Journal of Pediatrics, 2018-
dc.identifier.urihttp://hdl.handle.net/10722/258688-
dc.description.abstractBACKGROUND: Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center study to survey asthma control and QoL in four cities in the Pearl River Delta. METHODS: The conjoint survey involved ten Hong Kong pediatric hospitals/units, two Shenzhen hospitals, two Macau hospitals, and two Guangzhou hospitals on asthma control (using Asthma Control Test) and QoL (Pediatric Allergic Disease Quality of Life Questionnaire, PADQLQ). Acceptability of a treatment is graded as very good/good/fair/poor. RESULTS: Good asthma control was only reported in 80% subjects in Hong Kong, but higher in sister cities (85-94%, P < 0.001). Allergic rhinitis, "incense burning", and "smoker in family" were prevalent among the four cities. Logistic regression showed better control of asthma was associated with better PADQLQ (B = - 0.029, P < 0.001), better acceptability of bronchodilator (B = - 1.488, P = 0.025), negatively with "smoker in family" (B = - 0.83, P = 0.015) and various PADQLQ domains. Conversely, worse PADQLQ was associated with allergic rhinitis severity (B = 4.77, P < 0.001), poor control of asthma (B = 7.56, P < 0.001), increased frequency of traditional Chinese medicine use (B = 1.7, P < 0.05), increased frequency of bronchodilator usage (B = 1.05, P < 0.05), "smoker in family" (B = 4.05, P < 0.05), and incense burning at home (B = 3.9, P < 0.05). CONCLUSIONS: There are some clinical and cultural differences among the four southern Chinese cities within the Guangdong province. This study identifies potentially modifiable environmental and treatment factors associated with poor asthma control and QoL for health-care interventions. Having a smoker in the family is independently associated with poor asthma control and QoL. KEYWORDS: Asthma; Complementary and alternative medicine; Control; Inhaled bronchodilator; Inhaled corticosteroid; Pediatric Allergic Disease Quality of Life Questionnaire; Smoking; Traditional Chinese medicine-
dc.languageeng-
dc.relation.ispartofWorld Journal of Pediatrics-
dc.titleDeterminants for asthma control, quality of life and use of complementary and alternative medicine in asthmatic pediatric patients in four cities-
dc.typeArticle-
dc.identifier.emailLee, SL: slleem@hku.hk-
dc.identifier.emailLeung, TNH: leungnht@hku.hk-
dc.identifier.authorityLeung, TNH=rp02256-
dc.identifier.doi10.1007/s12519-018-0167-1-
dc.identifier.hkuros286885-

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