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N.M. CLARK, Ph.D., J.A. DODGE, M.S., R.H. ROBERTS, M.S., D.F. AWAD, M.A., L.J. THOMAS, M.P.H., S. SHAH, M.D., C.L.M. JOSEPH, Ph.D., M. VALERIO, M.P.H.
UNIVERSITY OF MICHIGAN, ANN ARBOR, MICHIGAN, UNITED STATES AND WESTMEAD HOSPITAL, SYDNEY, NEW SOUTH WALES, AUSTRALIA
Many asthma studies rely on parents' reports to assess the impact of asthma on a child. As children Diagnosed Ever by Physician Prescription Use by Nighttime Asthma Severity
reach the preteen years, they may be less available or willing to provide information to a parent
Children with a Diagnosis of Asthma
regarding their day-to-day experiences with the disease. This study of primarily 456 low income, Parent Predicting Child's Response
minority children (aged 10 to 13 years) and their primary caregivers compared their reports of
CHILD PARENT Overall Intermittent Asthma Persistent Asthma
asthma problems experienced at school. Cases were identified from a health screener indicating the Problems at School with. . . % Yes % Yes p-value Agreement Sensitivity Specificity
presence of asthma symptoms in the last 12 months.
Taking medicine 19.0% 16.4% 0.46 71.6% 18.2% 84.0% Anti-inflammatory AND Bronchodilator
Leaving class to take medicine 30.4% 16.5% <0.0001 71.3% 30.0% 89.4%
Bronchodilator only
METHODOLOGY Leaving class when feeling sick 61.2% 37.0% <0.0001 50.9% 40.1% 67.9%
Anti-inflammatory only
Teacher not wanting to give
8.8% 19.9% <0.001 75.7% 25.0% 80.6%
medicines
Preteen data were collected by trained interviewers who conducted face-to-face interviews with the No Prescription Medication
students at school. Data from the parent/guardians were collected using telephone interviews. Too many absences 36.8% 19.5% <0.0001 68.2% 33.3% 88.6%
Overall measures of agreement were computed and specificity and sensitivity were determined 0% 10% 20% 30% 40% 50% 60%
using the preteen's response as the reference. Comparisons in the frequency of positive responses Definitions
Symptomatic, But No Reported Diagnosis Intermittent Asthma = Nighttime symptoms no more than two times per month
reported by preteen and parent were made using McNemar's test. All p-values are two sided. Persistent Asthma = Nighttime symptoms more than two times per month
Parent Predicting Child's Response
15% Unknow n
24% www.postersession.com
62%