Socioeconomic factors and asthma control in children
Article first published online: 9 JUL 2008
Copyright © 2008 Wiley-Liss, Inc.
Volume 43, Issue 8, pages 745–752, August 2008
How to Cite
Cope, S. F., Ungar, W. J. and Glazier, R. H. (2008), Socioeconomic factors and asthma control in children. Pediatr. Pulmonol., 43: 745–752. doi: 10.1002/ppul.20847
- Issue published online: 24 JUL 2008
- Article first published online: 9 JUL 2008
- Manuscript Accepted: 29 MAR 2008
- Manuscript Revised: 27 MAR 2008
- Manuscript Received: 25 JUL 2007
- AllerGen NCE Inc.
- asthma control;
- disease management;
- inhaled corticosteroid;
- socioeconomic status
The objective of this study was to evaluate the association between socioeconomic factors and asthma control in children, as defined by the Canadian Pediatric Asthma Consensus Guidelines.
Patients and Methods
Cross-sectional data from a completed study of 879 asthmatic children between the ages of 1 and 18 residing in the Greater Toronto Area were used. The database included data on demographics, health status, asthma control, and health-related quality of life. Stepwise forward modeling multiple regression was used to investigate the impact of socioeconomic status on asthma control, based on six control parameters from the 2003 Canadian Pediatric Asthma Consensus Guidelines.
Only 11% of patients met the requirements for acceptable control, while 20% had intermediate control, and 69% had unacceptable asthma control. Children from families in lower income adequacy levels had poorer control.
Disparities in asthma control between children from families of different socio-economic strata persist, even with adjustment for utilization of primary care services and use of controller medications. Pediatr Pulmonol. 2008; 43:745–752. © 2008 Wiley-Liss, Inc.