The impact of inadequately controlled asthma in urban children on quality of life and productivity

Jordana K. Schmier, Ranjani Manjunath, Michael T. Halpern, Mechelle L. Jones, Katherine Thompson, Gregory B Diette

Research output: Contribution to journalArticle

Abstract

Background: The burden of inadequately controlled pediatric asthma on education and other daily activities is not well described. Objective: To evaluate asthma-related activity limitations and productivity losses among children and caregivers. Methods: Surveys were mailed to caregivers of children with asthma. Caregivers provided demographics, health-related quality of life (HRQL), workplace productivity, and asthma-related costs. Adolescents (aged 12-18 years) provided HRQL, asthma control, and school-based productivity, and young children (aged 4-11 years) completed an asthma control questionnaire with help from a caregiver. Results: Among the 239 respondents, the mean age was 10.1 years; 49% were girls. More than half were inadequately controlled as measured using the Asthma Control Test. Both HRQL and productivity were significantly lower in patients with inadequately controlled asthma compared with those with controlled asthma. In the previous year, caregivers reported missing 1.4 days of work due to their child's asthma, with the child missing an average of 4.1 school days. Fewer adolescents with controlled asthma reported missing 1 or more school days in the previous week compared with adolescents with inadequately controlled asthma (3.5% vs 34.0%; P <.001). There were similar differences in caregiver workdays missed and health care resource use: both were significantly higher in children with inadequately controlled asthma. Conclusions: Inadequately controlled asthma has a significant impact on asthma-specific HRQL, school productivity and attendance, and work productivity of children and their caregivers.

Original languageEnglish (US)
Pages (from-to)245-251
Number of pages7
JournalAnnals of Allergy, Asthma and Immunology
Volume98
Issue number3
StatePublished - Mar 2007

Fingerprint

Asthma
Quality of Life
Caregivers
Health Resources
Workplace
Demography
Pediatrics
Delivery of Health Care
Education
Costs and Cost Analysis

ASJC Scopus subject areas

  • Immunology and Allergy

Cite this

The impact of inadequately controlled asthma in urban children on quality of life and productivity. / Schmier, Jordana K.; Manjunath, Ranjani; Halpern, Michael T.; Jones, Mechelle L.; Thompson, Katherine; Diette, Gregory B.

In: Annals of Allergy, Asthma and Immunology, Vol. 98, No. 3, 03.2007, p. 245-251.

Research output: Contribution to journalArticle

Schmier, JK, Manjunath, R, Halpern, MT, Jones, ML, Thompson, K & Diette, GB 2007, 'The impact of inadequately controlled asthma in urban children on quality of life and productivity', Annals of Allergy, Asthma and Immunology, vol. 98, no. 3, pp. 245-251.
Schmier, Jordana K. ; Manjunath, Ranjani ; Halpern, Michael T. ; Jones, Mechelle L. ; Thompson, Katherine ; Diette, Gregory B. / The impact of inadequately controlled asthma in urban children on quality of life and productivity. In: Annals of Allergy, Asthma and Immunology. 2007 ; Vol. 98, No. 3. pp. 245-251.
@article{7fdda026d65a4a6e98de42818f6e5de0,
title = "The impact of inadequately controlled asthma in urban children on quality of life and productivity",
abstract = "Background: The burden of inadequately controlled pediatric asthma on education and other daily activities is not well described. Objective: To evaluate asthma-related activity limitations and productivity losses among children and caregivers. Methods: Surveys were mailed to caregivers of children with asthma. Caregivers provided demographics, health-related quality of life (HRQL), workplace productivity, and asthma-related costs. Adolescents (aged 12-18 years) provided HRQL, asthma control, and school-based productivity, and young children (aged 4-11 years) completed an asthma control questionnaire with help from a caregiver. Results: Among the 239 respondents, the mean age was 10.1 years; 49{\%} were girls. More than half were inadequately controlled as measured using the Asthma Control Test. Both HRQL and productivity were significantly lower in patients with inadequately controlled asthma compared with those with controlled asthma. In the previous year, caregivers reported missing 1.4 days of work due to their child's asthma, with the child missing an average of 4.1 school days. Fewer adolescents with controlled asthma reported missing 1 or more school days in the previous week compared with adolescents with inadequately controlled asthma (3.5{\%} vs 34.0{\%}; P <.001). There were similar differences in caregiver workdays missed and health care resource use: both were significantly higher in children with inadequately controlled asthma. Conclusions: Inadequately controlled asthma has a significant impact on asthma-specific HRQL, school productivity and attendance, and work productivity of children and their caregivers.",
author = "Schmier, {Jordana K.} and Ranjani Manjunath and Halpern, {Michael T.} and Jones, {Mechelle L.} and Katherine Thompson and Diette, {Gregory B}",
year = "2007",
month = "3",
language = "English (US)",
volume = "98",
pages = "245--251",
journal = "Annals of Allergy, Asthma and Immunology",
issn = "1081-1206",
publisher = "American College of Allergy, Asthma and Immunology",
number = "3",

}

TY - JOUR

T1 - The impact of inadequately controlled asthma in urban children on quality of life and productivity

AU - Schmier, Jordana K.

AU - Manjunath, Ranjani

AU - Halpern, Michael T.

AU - Jones, Mechelle L.

AU - Thompson, Katherine

AU - Diette, Gregory B

PY - 2007/3

Y1 - 2007/3

N2 - Background: The burden of inadequately controlled pediatric asthma on education and other daily activities is not well described. Objective: To evaluate asthma-related activity limitations and productivity losses among children and caregivers. Methods: Surveys were mailed to caregivers of children with asthma. Caregivers provided demographics, health-related quality of life (HRQL), workplace productivity, and asthma-related costs. Adolescents (aged 12-18 years) provided HRQL, asthma control, and school-based productivity, and young children (aged 4-11 years) completed an asthma control questionnaire with help from a caregiver. Results: Among the 239 respondents, the mean age was 10.1 years; 49% were girls. More than half were inadequately controlled as measured using the Asthma Control Test. Both HRQL and productivity were significantly lower in patients with inadequately controlled asthma compared with those with controlled asthma. In the previous year, caregivers reported missing 1.4 days of work due to their child's asthma, with the child missing an average of 4.1 school days. Fewer adolescents with controlled asthma reported missing 1 or more school days in the previous week compared with adolescents with inadequately controlled asthma (3.5% vs 34.0%; P <.001). There were similar differences in caregiver workdays missed and health care resource use: both were significantly higher in children with inadequately controlled asthma. Conclusions: Inadequately controlled asthma has a significant impact on asthma-specific HRQL, school productivity and attendance, and work productivity of children and their caregivers.

AB - Background: The burden of inadequately controlled pediatric asthma on education and other daily activities is not well described. Objective: To evaluate asthma-related activity limitations and productivity losses among children and caregivers. Methods: Surveys were mailed to caregivers of children with asthma. Caregivers provided demographics, health-related quality of life (HRQL), workplace productivity, and asthma-related costs. Adolescents (aged 12-18 years) provided HRQL, asthma control, and school-based productivity, and young children (aged 4-11 years) completed an asthma control questionnaire with help from a caregiver. Results: Among the 239 respondents, the mean age was 10.1 years; 49% were girls. More than half were inadequately controlled as measured using the Asthma Control Test. Both HRQL and productivity were significantly lower in patients with inadequately controlled asthma compared with those with controlled asthma. In the previous year, caregivers reported missing 1.4 days of work due to their child's asthma, with the child missing an average of 4.1 school days. Fewer adolescents with controlled asthma reported missing 1 or more school days in the previous week compared with adolescents with inadequately controlled asthma (3.5% vs 34.0%; P <.001). There were similar differences in caregiver workdays missed and health care resource use: both were significantly higher in children with inadequately controlled asthma. Conclusions: Inadequately controlled asthma has a significant impact on asthma-specific HRQL, school productivity and attendance, and work productivity of children and their caregivers.

UR - http://www.scopus.com/inward/record.url?scp=33947244407&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947244407&partnerID=8YFLogxK

M3 - Article

C2 - 17378255

AN - SCOPUS:33947244407

VL - 98

SP - 245

EP - 251

JO - Annals of Allergy, Asthma and Immunology

JF - Annals of Allergy, Asthma and Immunology

SN - 1081-1206

IS - 3

ER -