{"title":"未经治疗的中学生过敏症:与社会经济不利条件及学业、行为和健康困难的关系。","authors":"Kénora Chau MD, PhD, Nearkasen Chau PhD","doi":"10.1111/josh.13447","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> BACKGROUND</h3>\n \n <p>Many adolescents with allergy do not receive physician treatment (allergy<sub>untreated</sub>). We explored its association with socioeconomic adversities and academic-behavior-health difficulties, which remain unaddressed.</p>\n </section>\n \n <section>\n \n <h3> METHODS</h3>\n \n <p>This cross-sectional school-based-population study compared the above factors of middle-school adolescents with allergy<sub>untreated</sub> and those with treated allergy (allergy<sub>treated</sub>) (mean age = 13.5 ± 1.2) from north-eastern France. Participants completed a questionnaire collecting socioeconomic adversities (nonintact family, low parents' education, insufficient family income, poor social support, suffered verbal/physical violence, and sexual abuse), low academic performance, excessive screen time, substance use, sleep difficulty, poor physical health, depressive symptoms, suicide attempt, poor quality of life, and allergy<sub>treated</sub>/allergy<sub>untreated</sub>.</p>\n </section>\n \n <section>\n \n <h3> RESULTS</h3>\n \n <p>Logistic regression models showed that allergy<sub>untreated</sub> was associated with all the factors considered (sex-age-class-level-adjusted odds ratio (saclOR) reaching 3.94, <i>p</i> < .001) and the risk score (number of main criteria: suffered sexual abuse, excessive screen time, poor quality of life, cannabis use, low parents' education, and poor social support): saclOR 4.75, 9.23, 15.64, and 31.73 (<i>p</i> < .001) for risk scores 1, 2, 3, and ≥4, versus risk score = 0 (pseudo-<i>R</i><sup>2</sup> = 11.1%).</p>\n </section>\n \n <section>\n \n <h3> CONCLUSIONS</h3>\n \n <p>Socioeconomic adversities and academic-behavior-health difficulties may be used to detect adolescents with allergy<sub>untreated</sub> for care.</p>\n </section>\n </div>","PeriodicalId":50059,"journal":{"name":"Journal of School Health","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Untreated Allergy Among Middle School Students: Associations with Socioeconomic Adversities and Academic, Behavior, and Health Difficulties\",\"authors\":\"Kénora Chau MD, PhD, Nearkasen Chau PhD\",\"doi\":\"10.1111/josh.13447\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> BACKGROUND</h3>\\n \\n <p>Many adolescents with allergy do not receive physician treatment (allergy<sub>untreated</sub>). We explored its association with socioeconomic adversities and academic-behavior-health difficulties, which remain unaddressed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> METHODS</h3>\\n \\n <p>This cross-sectional school-based-population study compared the above factors of middle-school adolescents with allergy<sub>untreated</sub> and those with treated allergy (allergy<sub>treated</sub>) (mean age = 13.5 ± 1.2) from north-eastern France. Participants completed a questionnaire collecting socioeconomic adversities (nonintact family, low parents' education, insufficient family income, poor social support, suffered verbal/physical violence, and sexual abuse), low academic performance, excessive screen time, substance use, sleep difficulty, poor physical health, depressive symptoms, suicide attempt, poor quality of life, and allergy<sub>treated</sub>/allergy<sub>untreated</sub>.</p>\\n </section>\\n \\n <section>\\n \\n <h3> RESULTS</h3>\\n \\n <p>Logistic regression models showed that allergy<sub>untreated</sub> was associated with all the factors considered (sex-age-class-level-adjusted odds ratio (saclOR) reaching 3.94, <i>p</i> < .001) and the risk score (number of main criteria: suffered sexual abuse, excessive screen time, poor quality of life, cannabis use, low parents' education, and poor social support): saclOR 4.75, 9.23, 15.64, and 31.73 (<i>p</i> < .001) for risk scores 1, 2, 3, and ≥4, versus risk score = 0 (pseudo-<i>R</i><sup>2</sup> = 11.1%).</p>\\n </section>\\n \\n <section>\\n \\n <h3> CONCLUSIONS</h3>\\n \\n <p>Socioeconomic adversities and academic-behavior-health difficulties may be used to detect adolescents with allergy<sub>untreated</sub> for care.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50059,\"journal\":{\"name\":\"Journal of School Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-02-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of School Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/josh.13447\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of School Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/josh.13447","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
Untreated Allergy Among Middle School Students: Associations with Socioeconomic Adversities and Academic, Behavior, and Health Difficulties
BACKGROUND
Many adolescents with allergy do not receive physician treatment (allergyuntreated). We explored its association with socioeconomic adversities and academic-behavior-health difficulties, which remain unaddressed.
METHODS
This cross-sectional school-based-population study compared the above factors of middle-school adolescents with allergyuntreated and those with treated allergy (allergytreated) (mean age = 13.5 ± 1.2) from north-eastern France. Participants completed a questionnaire collecting socioeconomic adversities (nonintact family, low parents' education, insufficient family income, poor social support, suffered verbal/physical violence, and sexual abuse), low academic performance, excessive screen time, substance use, sleep difficulty, poor physical health, depressive symptoms, suicide attempt, poor quality of life, and allergytreated/allergyuntreated.
RESULTS
Logistic regression models showed that allergyuntreated was associated with all the factors considered (sex-age-class-level-adjusted odds ratio (saclOR) reaching 3.94, p < .001) and the risk score (number of main criteria: suffered sexual abuse, excessive screen time, poor quality of life, cannabis use, low parents' education, and poor social support): saclOR 4.75, 9.23, 15.64, and 31.73 (p < .001) for risk scores 1, 2, 3, and ≥4, versus risk score = 0 (pseudo-R2 = 11.1%).
CONCLUSIONS
Socioeconomic adversities and academic-behavior-health difficulties may be used to detect adolescents with allergyuntreated for care.
期刊介绍:
Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.