Influence of ethnic group on asthma treatment in children in 1990-1 : national cross sectional study.
To examine the extent to which the prescription of drugs for asthma adhered to recommended guidelines in 1990-1 and to assess the influence of ethnic group on prescription.
Setting-Primary schools in England and Scotland in 1990-1.
Subjects-Children aged mainly 5-11 years
The representative samples included 10 628 children.
The inner city sample included 7049 children, 4866 (69%) from ethnic minority groups.
For the prevalence estimation 14490 children were included in the analysis (82% of the eligible children).
For the treatment analysis a subgroup of 5494 children with respiratory symptoms was selected.
Main outcome measure-Prevalence of respiratory symptoms and drugs commonly prescribed for asthma, method of administration, inappropriate treatment, and odds ratios to assess the effect of ethnic group on rate of prescription and method of administration.
Children with respiratory symptoms in the inner city sample were less likely to be diagnosed as having asthma.
Of children with reported asthma attacks, those in inner city areas had a higher risk of not having been prescribed any drug for asthma (odds ratio 1.87 (95% confidence interval 1.26 to 2.77).
Overall, 773 (75%) of these children had received a bêta2 agonist, 259 (25%) had received steroids, 148 (14%) had received sodium cromoglycate, and 194 (19%) had received no drug treatment in the previous year. (...)
Mots-clés Pascal : Asthme, Enfant, Homme, Diagnostic, Traitement, Etude comparative, Ethnie, Ecosse, Grande Bretagne, Royaume Uni, Europe, Angleterre, Prévalence, Epidémiologie, Evaluation, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Child, Human, Diagnosis, Treatment, Comparative study, Ethnic group, Scotland, Great Britain, United Kingdom, Europe, England, Prevalence, Epidemiology, Evaluation, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0351945
Code Inist : 002B11B. Création : 10/04/1997.