Skip to main content
Log in

Sub-optimal asthma control in teenagers in the midland region of Ireland

  • Original Article
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Background

Internationally, many children with asthma are not attaining achievable asthma control.

Aims

To examine the prevalence of asthma in teenagers in four midland counties, their asthma control and the barriers, if any, to gaining control of asthma.

Methodology

International Study of Asthma and Allergies in Children (ISAAC) methodology was used in a survey of Junior Cycle Year 2 second-level students.

Results

The prevalence of “wheeze ever” was 49.8%, “wheeze in the last 12 months” was 32.6% and “asthma ever” was 23.5%. Of teenagers with current asthma, 96% had evidence of sub-optimal asthma control during the previous year. For the majority of the teenagers with asthma, treatment was not guideline concordant; infrequent lung function testing, insufficient review after acute care and poor use of written asthma action plans. Barriers included lack of awareness of need for treatment.

Conclusions

If asthma guidelines are implemented fully, these children may experience better health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. WHO (2008) Asthma—fact sheet no 307. WHO, Geneva

  2. Masoli M, Fabian D, Holt S et al (2004) for the Global Initiative for Asthma (GINA)Program. The global burden of asthma: executive summary of the GINA Dissemination Committee Report. Allergy 59(5):469–478

    Article  PubMed  Google Scholar 

  3. Manning P, Greally P, Shanahan E (2005) Asthma control and management: a patient’s perspective. IMJ 98(10):231–235

    PubMed  CAS  Google Scholar 

  4. Gustafsson PM, Watson L, Davis KJ et al (2006) Poor asthma control in children: evidence from epidemiological surveys and implications for clinical practice. Int J Clin Pract 60(3):321–334

    Article  PubMed  CAS  Google Scholar 

  5. ISAAC (International Study of Asthma and Allergies in Childhood) (1993) Manual [Online]

  6. Roberts C, Tynjälä J, Currie D, King M (2004) Annex 1: methods. In: Currie C, Roberts C, Morgan A et al (eds) Young people’s health in context: health behaviour in school-aged children (HBSC) study: international report from the 2001/2002 survey. World Health Organization, Geneva, pp 217–227

  7. Global Initiative for Asthma (GINA) (2006) Pocket guide for asthma management and prevention in children [Online]. (Revised)

  8. Boyce W, Dallago L (2004) Socioeconomic inequality, in chapter 2: life circumstances of young people. In: Currie C, Roberts C, Morgan A et al. (eds) Young people’s health in context. Health behaviour in school-aged children (HBSC) study: International report from the 2001/2002 survey. Health Policy for Children and Adolescents, No 4. WHO, Europe, pp 13–25

  9. Tabak C, Wijga AH, de Meer G et al (2006) Diet and asthma in Dutch school children (ISAAC-2). Thorax 61(12):1048–1053

    Article  PubMed  CAS  Google Scholar 

  10. Sistek D, Tschopp JM, Schindler C et al (2001) Clinical diagnosis of current asthma: predictive value of respiratory symptoms in the SAPALDIA study. Eur Respir J 17(2):214–219

    Article  PubMed  CAS  Google Scholar 

  11. Clancy L ISAAC phase one data—Republic of Ireland: international study of asthma and allergies in children [Online]. http://isaac.auckland.ac.nz/phases/phaseone/results/results.php (Accessed at 16/2/2011)

  12. Manning P, Goodman P, O’Sullivan A et al (2007) Rising prevalence of asthma but declining wheeze in teenagers (1995–2003). IMJ 100(10):614–615

    PubMed  CAS  Google Scholar 

  13. Yoos HL, Kitzman H, McMullen A et al (2003) Symptom perception in childhood asthma: how accurate are children and their parents? J Asthma 40(1):27–39

    Article  PubMed  Google Scholar 

  14. Yoos HL, Kitzman H, Halterman JS et al (2006) Treatment Regimens and Health Care Utilization in Children with Persistent Asthma Symptoms. J Asthma 43(5):385–391

    Article  PubMed  Google Scholar 

  15. Hyland ME, Stahl E (2004) Asthma treatment needs: a comparison of patients’ and health care professionals’ perceptions. Clin Ther 26(12):2141–2152

    Article  PubMed  Google Scholar 

  16. Braganza S, Sharif I, Ozuah PO (2003) Documenting asthma severity: do we get it right? J Asthma 40(6):661–665

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to I. Kelly.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kelly, I., Fitzpatrick, P. Sub-optimal asthma control in teenagers in the midland region of Ireland. Ir J Med Sci 180, 851–854 (2011). https://doi.org/10.1007/s11845-011-0725-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-011-0725-1

Keywords

Navigation