Childhood asthma management and control. Analysis of the Student Lung Health Survey (SLHS) database, Canada 1996
Notice bibliographique
Résumé
UNLABELLED: The objective of this study was to estimate the severity of childhood asthma in Canada, identify the effects of asthma interventions in different target groups, and to profile asthma management and control practices by geographic area, sex, age, and severity groups. METHODS: The SLHS was conducted as a stratified and multi-staged cluster survey across Canada in 1996. It included a total of 136 public, private and separate schools in nine health units (Prince Edward Island, Halifax, Sherbrooke, Kingston, Guelph, Winnipeg, Saskatoon, Edmonton, and Kelowna). The target study population was schoolchildren aged 5 to 19 years. Descriptive analyses were used to calculate the severity of childhood asthma for the different groups. Logistic regression was then employed to measure the quality of asthma intervention and control. Multivariate logistic regression was also used to compare the severity and treatment of asthma with age, sex and lifestyle, living and housing conditions. Using existing Clinical Practice Guidelines as a reference, the study also evaluated the effectiveness of interventions such as treatment, and asthmatic education. RESULTS: Based on the Canadian Consensus Recommendations of definition of asthma control, among all 5-19 years old students, 39.9% were well controlled, 33.8% were acceptably controlled and 26.3% were poor controlled. The rates of intermittent and mild asthma were 44.8% and 11.6% compared with moderate (15.3%) and severe (0.9%). Students with asthma reported receiving more advantaged information from a demonstration of inhaler users (OR = 7.51, 95% CI = 5.65-8.94), during a medical visits (OR = 6.33, 95% CI = 5.11-7.83), from the pamphlet/brochures (OR = 6.22, 95% CI = 5.05-7.76) or from a demonstration of the correct use of medicine (OR = 5.62, 95% CI = 4.62-6.82). More students visited a family doctor (40.3%, OR = 5.52, 95% CI = 4.95-6.64) and medical specialists (31.0%, OR = 3.69, 95% CI = 2.58-4.78) than other specialist when they had respiratory problems. CONCLUSIONS: The results of the SLHS study demonstrated variations in the management and control of childhood asthma across Canada. The interventions and the practice guidelines for asthma control are useful for preventing and controlling asthma. These findings provide indications of interventions that are being used for the control of asthma in Canada.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».