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Asthma Control in Adolescents 10 to 11 Years after Exposure to the World Trade Center Disaster
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Sep 22 2016
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Source: Pediatr Res. 81(1-1):43-50
[PDF-118.38 KB]
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Alternative Title:Pediatr Res
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Description:Background
Little is known about asthma control in adolescents who were exposed to the World Trade Center (WTC) attacks of 9/11/2001 and diagnosed with asthma after 9/11. This report examines asthma and asthma control 10–11 years after 9/11 among exposed adolescents.
Methods
The WTC Health Registry adolescent Wave 3 survey (2011–2012) collected data on asthma diagnosed by a physician after 9/11/2001, extent of asthma control based on modified National Asthma Education and Prevention Program criteria, probable mental health conditions, and behavior problems. Parents reported healthcare needs and 9/11-exposures. Logistic regression was used to evaluate associations between asthma and level of asthma control and 9/11-exposure, mental health and behavioral problems, and unmet healthcare needs.
Results
Poorly/very poorly controlled asthma was significantly associated with a household income of ≤$75,000 (AOR: 3.0; 95% CI: 1.1–8.8), having unmet healthcare needs (AOR: 6.2; 95% CI: 1.4–27.1), and screening positive for at least one mental health condition (AOR: 5.0; 95% CI: 1.4–17.7), but not with behavioral problems. The impact of having at least one mental health condition on the level of asthma control was substantially greater in females than in males.
Conclusions
Comprehensive care of post-9/11 asthma in adolescents should include management of mental health-related comorbidities.
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Pubmed ID:27656769
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Pubmed Central ID:PMC5235974
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Volume:81
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