Medications used by children with asthma living in the inner city

Peyton A. Eggleston, Floyd J. Malveaux, Arlene Manns Butz, Karen Huss, Lera Thompson, Ken Kolodner, Cynthia S Rand

Research output: Contribution to journalArticle

Abstract

Objective. The purpose of the study was to examine medication use reported by families participating in an urban school-based community intervention program and to relate this use to other social and medical variables. Design. The design of the study was a cross-sectional questionnaire survey. Setting. Patients and their families recruited from elementary schools in a community setting were interviewed between December 1991 and January 1992. Participants. A total of 508 children with asthma were identified by school health records and teacher surveys. Their families confirmed the diagnosis and agreed to enter the study. Questionnaires were completed by 392 families. Intervention. The 392 families participated in a controlled trial of asthma education after providing the data that are the basis of this report. Results. More than half of the children took two or more medications for asthma. Thirty-one percent took theophylline alone or in combination with an adrenergic agent; 11% took some form of daily antiinflammatory medication, either cromolyn (8%) or inhaled steroids (3%). The pattern of medication use related to measures of severity and to regular visits to physicians or nurses. In general, however, children were undermedicated. A total of 78 children (20%) reported no medication or over- the-counter medication use, although 37% reported asthma severe enough to be associated with ≤20 days of school missed per month, and 37% had had an emergency room visit for asthma in the past 6 months. More than half of children ≤9 years old supervised their own medication. Conclusions. We concluded that undermedication is common in poor children with asthma living in urban areas. Antiinflammatory medications are used less commonly than in the general population, and theophylline is used more often. School children may be likely to supervise their own medication.

Original languageEnglish (US)
Pages (from-to)349-354
Number of pages6
JournalPediatrics
Volume101
Issue number3 I
DOIs
StatePublished - Mar 1998

Fingerprint

Asthma
Theophylline
Anti-Inflammatory Agents
Cromolyn Sodium
School Health Services
Adrenergic Agents
Hospital Emergency Service
Cross-Sectional Studies
Steroids
Nurses
Physicians
Education
Population
Surveys and Questionnaires

Keywords

  • Asthma
  • Epidemiology
  • Medications
  • Minorities

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Medications used by children with asthma living in the inner city. / Eggleston, Peyton A.; Malveaux, Floyd J.; Butz, Arlene Manns; Huss, Karen; Thompson, Lera; Kolodner, Ken; Rand, Cynthia S.

In: Pediatrics, Vol. 101, No. 3 I, 03.1998, p. 349-354.

Research output: Contribution to journalArticle

Eggleston, PA, Malveaux, FJ, Butz, AM, Huss, K, Thompson, L, Kolodner, K & Rand, CS 1998, 'Medications used by children with asthma living in the inner city', Pediatrics, vol. 101, no. 3 I, pp. 349-354. https://doi.org/10.1542/peds.101.3.349
Eggleston PA, Malveaux FJ, Butz AM, Huss K, Thompson L, Kolodner K et al. Medications used by children with asthma living in the inner city. Pediatrics. 1998 Mar;101(3 I):349-354. https://doi.org/10.1542/peds.101.3.349
Eggleston, Peyton A. ; Malveaux, Floyd J. ; Butz, Arlene Manns ; Huss, Karen ; Thompson, Lera ; Kolodner, Ken ; Rand, Cynthia S. / Medications used by children with asthma living in the inner city. In: Pediatrics. 1998 ; Vol. 101, No. 3 I. pp. 349-354.
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