期刊
JOURNAL OF ASTHMA
卷 60, 期 3, 页码 516-524出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02770903.2022.2066002
关键词
Asthma; children; under-recognition; Vietnam; ISAAC
This study assessed the under-recognition of asthma in middle school children in Vietnam. The results showed that over 80% of symptomatic children were not diagnosed with asthma. Under-recognition of asthma was more common among girls. Urgent action is needed to improve the recognition of asthma in Vietnam.
Objective: Lack of recognition of asthma in childhood results in unmet asthma treatment needs and leads to the risk of sub-optimal respiratory health. The present study assessed the prevalence of asthmatic under-recognition in middle school children in Vietnam. Methods: We conducted a school-based survey among 15,112 Vietnamese children. Most of them are aged from 13 to 14. Schools and students were recruited using multi-stage sampling. Respiratory symptoms were collected via self-report using a standardized tool from the International Study of Asthma and Allergies in Childhood. Under-recognition of asthma was defined as a presence of at least one asthma-like symptom but a negative response to having ever asthma. Associations were investigated using logistic regression. Results: Prevalence of asthma-like symptoms was 27.3% and prevalence of physician-diagnosed asthma was 8.5%. Over 80% of symptomatic children were not diagnosed with asthma. Under-recognition of asthma was found more in girls (adjusted odds ratio; aOR = 1.75; 95%CI: 1.54 to 1.98). Conclusions: Asthma is significantly under-recognized in Vietnamese middle-school children. Urgent action is required to improve the recognition of asthma in Vietnam.
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