期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2017
卷号：24
期号：2
页码：171-175
DOI：10.26444/aaem/74532
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. The presented study of 4,535 children aged 7–17 years in the Upper Silesian region of Poland yielded 186cases of previously known asthma, and 44 children with newly diagnosed asthma. The aim of the presented study was toidentify non-medical factors that could explain why children with a newly established diagnosis (‘undiagnosed asthma’)had not been diagnosed in the past.Materials and method. The study was performed according to a case-control design. Parents of the children answeredquestionnaires on socio-economic status and family-related factors. Statistical determinants of undiagnosed asthma wereexplored using raw (OR) and logistic odds ratios with their 95% confidence intervals (logOR, 95%CI).Results. Children with undiagnosed asthma were younger compared to the group with previously known asthma (11.3±2.1vs. 12.6±2.5 years; p=0.0008). Newly diagnosed cases were more frequent in children who had less parental attention (lessthan 1 hour/day spent by parent with child – OR=4.36; 95%CI: 1.76–10.81) and who were not registered with specializedhealth care (OR=2.20; 95%CI: 0.95–5.06). Results of logistic regression analysis suggest that under-diagnosis of asthma isrelated to age below 12 years – logOR = 3.59 (95%CI: 1.28–10.36), distance to a health centre > 5 km – logOR = 3.45 (95%CI:1.05–11.36), time spent with child < 1 hour/day – logOR = 6.28 (95%CI: 1.98–19.91).Conclusion. Among non-medical determinants of undiagnosed asthma the age of a child plays a major role. Another factorsof importance is the large distance between residence and health centre, and low parental attention at home.
