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Status of asthma control in children and the effect of parents' knowledge, attitude, and practice (KAP) in China: a multicenter study

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机构： [1]Capital Institute of Pediatrics, Beijing, China [2]Children’s Hospital of Chongqing Medical University, Chongqing, China [3]Children’s Hospital of Jiangxi Province, Nanchang, China [4]Anhui Provincial Hospital, Hefei, China [5] Guangzhou Institute of Respiratory Disease, Guangzhou, China [6]Fuzhou Children’s Hospital of Fujian Province, Fuzhou, China [7]Hunan Provincial People’s Hospital, Changsha, China [8]Children’s Hospital of Hebei Province, Shijiazhuang, China [9]The First Affiliated Hospital of Guangxi Traditional Chinese Medical University, Nanning, China [10]Children’s Hospital of Hainan Province, Haikou, China [11]Affiliated Hospital of Guiyang Medical College, Guiyang, China [12]The second Hospital of Tianjin Medical University, Tianjin, China [13]The First People’s Hospital of Yunnan Province, Kunming, China [14]The Third Affiliated Hospital of Inner Mongolla Medical College, Baotou, China [15]Hubei Provincial Maternal and Child Care Service Centre, Wuhan, China [16]The Affiliated Hospital of Medical College Qingdao University, Qingdao, China [17]Children’s Hospital of Shanxi Province, Taiyuan, China [18]Soochow University Affiliated Children’s Hospital, Suzhou, China [19]The second Affiliated Hospital of Wenzhou Medical College, Wenzhou, China [20]Harbin Children’s Hospital, Harbin, China [21]Shanghai Ruijin Hospital, Shanghai, China [22]The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China [23]Zhengzhou Children’s Hospital, Zhengzhou, China [24]The Second Affiliated Hospital of Xi’an Jiaotong University College of Medical, Xi’an, China [25]The first Hospital of Norman Bethune College of Medicine Jilin University, Changchun, China [26] Gansu Provincial People’s Hospital, Lanzhou, China [27]Jinan Children’s Hospital, Jinan, China [28]Dalian Children’s Hospital, Dalian, China [29]Shengjing Hospital of China Medical University, Shengyang, China [30]Ningbo Maternal and Child Care Service Centre, Ningbo, China [31]Renji Affiliated Hospital of Shanghai jiaotong University College of Medical, Shanghai, China [32]Qinghai Provincial Maternal and Child Care Service Centre, Xining, China [33]Chengdu Children’s Hospital, Chengdu, China

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Background: Asthma is the most common chronic respiratory disease seriously endangering the health of children. But disease awareness and self-management skills are relatively poor in children; parents play an important role in the control of childhood asthma. Objective: To investigate the status of asthma control and severity of asthma in children and to identify impact factors. Methods: We studied 1 tertiary hospital in each of the 29 provinces. A total of 2,960 parents with children with asthma who visited those hospitals were selected for the knowledge, attitude, and practice (KAP) questionnaire survey, and separated into the controlled asthma group and uncontrolled asthma group according to children's asthma conditions in the past 12 months. Multivariate analysis was carried out based on the answers to 28 tested factors. Results: In the past 12 months, 66.0% of children with asthma had asthma attacks, 26.8% visited an emergency room, and 16.2% were hospitalized. The total cost for asthma was significantly higher in the uncontrolled group than controlled group (chi(2) = 23.14, P < .01). Twelve protective factors of asthma control were founded, such as older age of children, long disease course, high KAP scores of parents, compliance with using nasal steroids, and knowledge of "3 or more times recurrent wheezing suggesting asthma." The risk factors were eczema and family history of asthma. Conclusion: Children's asthma is poorly controlled. The cost of asthma is significantly higher in uncontrolled asthma than in controlled. The age of children, course of asthma, personal history of allergy, family history of asthma, parents' education level, and parents' KAP are factors that affect asthma control. (C) 2012 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

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出版当年[2012]版：

大类 | 3 区医学

小类 | 3 区过敏 4 区免疫学

最新[2023]版：

大类 | 2 区医学

小类 | 2 区免疫学 3 区过敏

JCR分区：

出版当年[2011]版：

Q2 ALLERGY Q3 IMMUNOLOGY

最新[2023]版：

Q1 ALLERGY Q1 IMMUNOLOGY

影响因子： 5.3 最新[2023版] 5.4 最新五年平均 2.833 出版当年[2011版] 2.677 出版当年五年平均 2.801 出版前一年[2010版] 3.449 出版后一年[2012版]

第一作者：

第一作者机构： [1]Capital Institute of Pediatrics, Beijing, China [*1]2 YAabao Road, Chaoyang District, Beijing, China 100020

通讯作者：

通讯机构： [1]Capital Institute of Pediatrics, Beijing, China [*1]2 YAabao Road, Chaoyang District, Beijing, China 100020

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