Tag: Adolescent

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Adolescent Asthma May Not Be an Allergic Disease – Monthly Prescribing Reference (registration)


Monthly Prescribing Reference (registration)

Adolescent Asthma May Not Be an Allergic Disease
Monthly Prescribing Reference (registration)
Asthma for many adolescents should not be considered an allergic disease, a new study published in Respirology suggests. Data on neutrophilic inflammation is well known in adults with non-eosinophilic asthma (NEA); however, not so much is known about …

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Data quality from a longitudinal study of adolescent health at schools near industrial livestock facilities.

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Data quality from a longitudinal study of adolescent health at schools near industrial livestock facilities.

Ann Epidemiol. 2015 Mar 18;

Authors: Guidry VT, Gray CL, Lowman A, Hall D, Wing S

Abstract
PURPOSE: Longitudinal designs enable examination of temporal relationships between exposures and health outcomes, but extended participation can cause study fatigue. We present an approach for analyzing data quality and study fatigue in a participatory, longitudinal study of adolescents.
METHODS: Participants (n = 340) in the Rural Air Pollutants and Children’s Health study completed daily diaries for 3 to 5 weeks in 2009 while we monitored outdoor pollutant concentrations. We used regression models to examine established associations between disease, symptoms, anthropometrics, and lung function as indicators of internal consistency and external validity. We modeled temporal trends in data completeness, lung function, environmental odors, and symptoms to assess study fatigue.
RESULTS: Of 5728 records, 94.2% were complete. Asthma and allergy status were associated with asthma-related symptoms at baseline and during follow-up, for example, prevalence ratio = 8.77 (95% confidence interval: 4.33-17.80) for awakening with wheeze among diagnosed asthmatics versus nonasthmatics. Sex, height, and age predicted mean lung function. Plots depicting outcome reporting over time and associated linear trends showed time-dependent declines for most outcomes.
CONCLUSIONS: We achieved data completeness, internal consistency, and external validity, yet still observed study fatigue, despite efforts to maintain participant engagement. Future investigators should model time trends in reporting to monitor longitudinal data quality.

PMID: 25935712 [PubMed – as supplied by publisher]

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Adolescent boys with asthma – a pilot study on embodied gendered habits.

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Adolescent boys with asthma – a pilot study on embodied gendered habits.

J Multidiscip Healthc. 2012;5:289-297

Authors: Westergren T, Lilleaas UB

Abstract
PURPOSE: Asthma is a common chronic disease with gender differences in terms of severity and quality of life. This study aimed to understand the gendered practices of male asthmatic adolescents in terms of living with and managing their chronic disease. The study applied a sociological perspective to identify the gender-related practices of participants and their possible consequences for health and disease. PATIENTS AND METHODS: The study used a combined ethnomethodology and grounded theory design, which was interpreted using Bourdieu’s theory of practice. We aimed to discover how participants interpreted their social worlds to create a sense of meaning in their everyday lives. The study was based on multistage focus group interviews with five adolescent participants at a specialist center for asthmatic children and youths. We took necessary precautions to protect the participants, according to the principles of the Declaration of Helsinki. The study protocol was approved by the Regional Committee for Medical Research Ethics and the hospital’s research department. RESULTS: The core concept for asthmatic male adolescents was being men. They were focused on being nonasthmatic, and exhibited ambivalence towards the principles of the health services. Physical activity supported their aim of being men and being nonasthmatic, as well as supported their treatment goals. Being fearless, unconcerned, “cool,” and dependent also supported the aim of being men and being nonasthmatic, but not the health service principle of regular medication. Occasionally, the participants were asthmatic when they were not able to or gained no advantages from being nonasthmatic. Their practice of being men independently of being asthmatic emphasized their deeply gendered habits. CONCLUSION: Understanding gender differences in living with and managing asthma is important for health workers. Knowledge of embodied gendered habits and their reproduction in social interactions and clinical work should be exploited as a resource during the supervision of asthmatic adolescent boys.

PMID: 23152687 [PubMed – as supplied by publisher]

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