Burden and risk factors associated with bronchial asthma among secondary school children in Abha City, Saudi Arabia

Background and Objective: Certain regional demographic factors, such as high altitude, may serve as an aggravating factor that may further jeopardize the already burdened airways of asthmatic children. Abha city is located at a high altitude in the Aseer Province of Saudi Arabia. Therefore, this study explored the prevalence of bronchial asthma among secondary school students residing in Abha city and the associated risk factors for the same. Materials and Methods: This cross-sectional study used a simple random sampling technique to collect the data. The study enrolled 487 students (243 males and 244 females). A self-designed questionnaire was used to interview the students regarding personal, family, and environmental characteristics that could be associated with asthma. Results: The prevalence of bronchial asthma among secondary school students in Abha city was found to be 9%. 40% of cases of asthma were seasonal. The most frequent allergens were dust (95.6%), smoke (80%), incense (65.9%), perfumes (29.5%), and some food items. Only 37.8% of cases regularly took treatment and just 24.4% regularly visited asthma clinics. Cigarette smoking, the presence of overcrowding, and cockroaches in house were significantly associated with asthma in comparison to nonasthmatics. Conclusions: It is recommended that asthmatic students must quit smoking and avoid exposure to dust, smoke, and animal pets. Proper house cleaning and insect control measures must be adopted. Health education and awareness about triggers of bronchial asthma should be increased. People must be educated about the harmful effects of incense burning in asthma.