背景:行为问题与哮喘之间的关系是双向的;而哮喘等慢性疾病的存在可能使患者容易受到压力,焦虑,和其他行为问题,行为问题可能通过不坚持哮喘管理策略而导致哮喘失控.在黎巴嫩,行为问题和未控制的哮喘可能是青少年的重大问题.因此,我们发现有必要评估黎巴嫩青少年样本中行为问题与哮喘未控制之间的关联.
方法:这项横断面研究的数据是在2023年7月使用雪球采样技术收集的。问卷是使用GoogleForms开发的,并通过社交媒体平台和消息传递应用程序分发给参与者。哮喘控制测试(ACT)用于检查未控制的哮喘,青年自我报告(YSR)量表用于评估行为问题。它产生了九个分量表(焦虑抑郁,退缩-抑郁,躯体投诉,社会问题,思想问题,注意问题,违反规则的行为,攻击性行为,和其他问题)和总分。
结果:当将每个行为得分作为自变量时,年龄越大,ACT评分越低(哮喘控制越好);F(15,186)=3.66,P=0.014,95%置信区间(CI)[-0.85,-0.10].生活在农村地区,与城市相比,ACT得分更高,P=0.018和95%置信区间(CI)[0.28,2.94]。COVID-19疫苗的摄入量,P=0.003和95%CI[0.73,3.55];水烟吸烟,P=0.017和95%CI[0.38,3.85];并且有更多的躯体投诉,P=0.005和95%CI[0.04,0.25],还与更高的ACT评分(哮喘未控制)显著相关.当将行为总分作为自变量时,较高的YSR评分与较高的ACT评分(哮喘未控制)相关,F(10,191)=4.30,P=0.038,95%CI[0.003,0.10]。
结论:我们的研究结果支持纳入心理健康治疗以更好地控制哮喘,并指出行为问题与未控制的哮喘之间存在联系。在一个没有明确的哮喘预防战略的发展中国家,这项研究的结果可能有助于开发潜在有益的公共卫生治疗方法。
BACKGROUND: The relationship between behavioral problems and asthma is bidirectional; while the presence of a chronic disease such as asthma might predispose the person to stress, anxiety, and other behavioral issues, behavioral problems might in turn cause uncontrolled asthma through nonadherence to asthma management strategies. In Lebanon, behavioral problems and uncontrolled asthma could be of significant concern for adolescents. Consequently, we found it necessary to evaluate association between behavioral problems and uncontrolled asthma in a sample of Lebanese adolescents.
METHODS: Data for this cross-sectional study were collected using the snowball sampling technique in July 2023. The questionnaire was developed with Google Forms and distributed to participants via social media platforms and messaging applications. The Asthma Control Test (ACT) was used to check for uncontrolled asthma, and the Youth Self-Report (YSR) scale was used to assess behavioral problems. It yields nine subscales (anxious-depressed, withdrawn-depressed, somatic complaints, social problems, thought problems, attention problems, rule-breaking behavior, aggressive behavior, and other problems) and a total score.
RESULTS: When taking each behavior score as an independent variable, older age was associated with lower ACT scores (more controlled asthma); F(15, 186) = 3.66, P = 0.014, and 95% Confidence Interval (CI) [-0.85, -0.10]. Living in a rural area, compared to urban was associated with higher ACT scores, P = 0.018, and 95% Confidence Interval (CI) [0.28, 2.94]. The intake of the COVID-19 vaccine, P = 0.003 and 95% CI [0.73, 3.55]; waterpipe smoking, P = 0.017 and 95% CI [0.38, 3.85]; and having more somatic complaints, P = 0.005 and 95% CI [0.04, 0.25], also were significantly associated with higher ACT scores (more uncontrolled asthma). When taking the total behavior score as an independent variable, higher YSR scores were associated with higher ACT scores (more uncontrolled asthma), F(10, 191) = 4.30, P = 0.038, and 95% CI [0.003, 0.10].
CONCLUSIONS: Our findings support the inclusion of mental health treatments for better asthma control and point to a link between behavioral issues and uncontrolled asthma. In a developing nation without a clear established strategy for asthma prevention, the findings of this study could help develop potentially beneficial public health treatments.