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Please use this identifier to cite or link to this item: http://pgim.srilankahealthrepository.org/handle/123456789/18692

Title: Prevalence of childhood asthma amoung 5-11 years old children in an urban setting and its impact on the child and the family
Authors: Samarasinghe, AIP
Issue Date: 22-Sep-2007
Publisher: Post Graduate of Medicine (PGIM), University of Colombo, Sri Lanka
Citation: Samarasinghe, AIP. Prevalence of childhood asthma amoung 5-11 years old children in an urban setting and its impact on the child and the family. [Thesis for MD ( Community Medicine)] 2007. Post Graduate of Medicine (PGIM), University of Colombo, Sri Lanka
Language: en
Type: Thesis
Abstract: The present study consist of four phases:Phase 1 is a hospital based cross-sectional study for validation of the western developed CHSA questionnaire. Study population was 100 children who were diagnosed as having .Asthma. It was found that CHSA is a valid and reliable measure to assess the impact of the Disease amoung the children with childhood asthma and their caregivers.The Phase 2 of the study was the community based cross-sectional study to assess the prevalence of childhood asthma and the factors associated with the childhood asthma among 1380, 5 - 11 years old children residing in the CMC area The lifetime prevalence of asthma (ever wheezing) was 22.4 present . the prevalence of wheezing during past twelve months (period prevalence) was 12.8 present child ever hadasthma was 7.4 present and exercise induced asthma prevalence was 7.00.10. Eighty percent of them were diagnosed as having asthma before the age of 4 years. No association was found between prevalence of asthma among girls & boys. Prevalence of asthma was more (17.6 present) among Sinhalese children compared to other ethnic groups and this difference was significant (pO.OOI). Childhood asthma was statistically significantly associated with the f.oll.owing fact.orsChildhood asthma was statistically significantly associated with the following factors ChildHistory of eczema ( p0.05), exclusive , breast feeding beyond six months (p0.05), location .of the house near the dusty environment (pOOl), main source .of fuel as firewood (p"-1.05),place.of sleep(p0.05), the type .of mattress cover (pO.OOl), burning of mosquito coils (pO.05), birth weight less than 2.5Kg (pO.OOl), family history .of asthma (pO.OOl) and smoking habits .of the father (pO.OOl) when at home. The .other factors which were l.ooked into were the age of starting .of complementary feeding (pO.05), age .of starting .of formula feeding (pO.05) and a family history .of allergy and these were not significant. The commonest triggering factors. of childhood asthma were frozen foods (68.4 present ) , cold weather (46.3 present ), artificial food (43. present ), changing weather ( 32.2 present ) and for some selected foods it was 32.2 present. During the phase 3 of the study, assessment of impact of childhoodasthma on the child and the family were done using the CHSA questionnaire. It was found that symptom activity was significantly associated with four of the five domains: physical health of he child (p0.001), emotional health of the family (p,0.001) and the activities of the child ( p 0.001), emotional health of the family (p 0.001) and the activities of the child ( p,0.001). There was no association between symptom activity and the activity of the child mean score( p0.05).During the Phase 4 of the study, respirable dust levels .of the 40 asthmatic children and 40 non asthmatic children were compared. There was no significant association between the respirable dust levels in the houses .of the asthmatic asthmatic and non asthmatic children (pO.005). During the phase 3 of the study, assessment of impact of childhood asthma on the child and the family were done using the CHSA questionnaire. It was found that symptom activity was significantly associated with four of the five domains: physical health of he child (p0.001), emotional health of the family (p,0.001) and the activities of the child ( p 0.001), emotional health of the family (p 0.001) and the activities of the child ( p,0.001). There was no association between symptom activity and the activity of the child mean score( p0.05). During the Phase 4 of the study, respirable dust levels .of the 40 asthmatic children and 40 non asthmatic children were compared. There was no significant association between the respirable dust levels in the houses .of the asthmatic asthmatic and non asthmatic children (pO.005).
Description: Thesis for MD ( Community Medicine)
URI: http://pgim.srilankahealthbiblio.org/handle/123456789/18692
Keywords: MD Community Medicine
Asthma
Chronic Diseases in Childhood
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Appears in Collections:PGIM Theses and Dissertations

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