FACTORS ASSOCIATED WITH ASTHMA IN BRAZILIAN ADOLESCENTS: NATIONAL ADOLESCENT SCHOOL-BASED HEALTH SURVEY (PENSE-2012)

IF 1.4 Q3 PEDIATRICS

Revista Paulista De Pediatria Pub Date : 2019-07-18 DOI:10.1590/1984-0462/;2019;37;4;00002

Bianca Caroline Elias, Janiquelli Barbosa Silva, L. A. Mais, S. Warkentin, T. Konstantyner, D. Solé

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引用次数: 6

Abstract

ABSTRACT Objective: To identify factors associated with asthma in Brazilian adolescents. Methods: Cross-sectional study based on data from the 2012 National Adolescent School-based Health Survey (PeNSE), a Brazilian survey applied by a self-reported questionnaire in a representative sample of 9th-grade students. Descriptive and inferential analysis was made based on the demographic, socioeconomic, clinical, food consumption and environmental characteristics potentially associated with asthma. Adolescents who presented wheezing in the last 12 months were considered asthmatic. A multiple logistic regression model was adjusted for confounding factors. Significance was defined as p≤0.05. Results: A total of 106,983 adolescents were studied. The prevalence of asthma was 23.2%. The final model was composed of 11 variables that were independently associated with asthma: female sex (OR=1.17), <14 years old (OR=1.12), not living with parents (OR=1.06), the highest number of days consuming ultra-processed foods (OR=1.16), lunch or dinner time without presence of parents or guardians (OR=1.13), meals in front of the TV or while studying (OR=1.18), not having breakfast frequently (OR=1.22), having smoked cigarettes (OR=1.36), having tried alcoholic beverage (OR=1.37), having used illicit drugs (OR=1.29) and having sought health care in the last year (OR=1.67). Conclusions: The results of the present study reinforce the multifactorial characteristic of asthma diagnosis. Prevention and control strategies should focus on groups of adolescents living in inadequate conditions when it comes to family dynamics, food consumption and behavior (drug use).

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巴西青少年哮喘相关因素:全国青少年学校健康调查(pense-2012)

摘要目的：确定巴西青少年哮喘的相关因素。方法：基于2012年全国青少年学校健康调查（PeNSE）数据的横断面研究，这是一项巴西调查，采用自我报告问卷对9年级学生的代表性样本进行调查。根据可能与哮喘相关的人口统计学、社会经济、临床、食物消费和环境特征进行描述性和推断性分析。在过去12个月内出现喘息的青少年被认为患有哮喘。多元逻辑回归模型对混杂因素进行了调整。显著性定义为p≤0.05。结果：共对106983名青少年进行了研究。哮喘的患病率为23.2%。最终模型由11个与哮喘独立相关的变量组成：女性（OR=1.17）、<14岁（OR=1.12）、不与父母生活（OR=1.06）、食用超加工食品的最高天数（OR=1.16）、没有父母或监护人的午餐或晚餐时间（OR=1.13），在电视机前或学习时用餐（or=1.18）、不经常吃早餐（or=1.22）、吸烟（or=1.36）、尝试过酒精饮料（or=1.37）、使用过非法药物（or=1.29）以及在过去一年中寻求过医疗保健（or=1.67）。结论：本研究的结果强化了哮喘诊断的多因素特征。在家庭动态、食物消费和行为（药物使用）方面，预防和控制策略应侧重于生活条件不足的青少年群体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Paulista De Pediatria Medicine-Pediatrics, Perinatology and Child Health

CiteScore

2.30

自引率

0.00%

发文量

100

审稿时长

11 weeks

期刊介绍： The Revista Paulista de Pediatria publishes original contributions, case reports and review of clinical research with methodological approach in the areas of health and disease of neonates, infants, children and adolescents. The objective is to disseminate research with methodological quality on issues that comprise the health of children and adolescents. All articles are freely available online, via SciELO. Its abbreviated title is Rev. Paul. Pediatr., which should be used in bibliographies, footnotes and bibliographical references and strips.