Steven Stellman - Asthma Control in Adolescents 10 to 11 Years after Exposure to the World Trade Center Disaster

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      Gargano, L. M., Thomas, P. A., Stellman, S. D. -

      Abstract: BackgroundLittle is known about asthma   control in adolescents who were exposed to the World Trade Center   (WTC) attacks of 9/11/2001 and diagnosed with asthma after 9/11.   This report examines asthma and asthma control 10-11 years after   9/11 among exposed adolescents.MethodsThe WTC Health Registry   adolescent Wave 3 survey (2011-2012) collected data on asthma   diagnosed by a physician after 9/11/2001, extent of asthma   control based on modified National Asthma Education and   Prevention Program criteria, probable mental health conditions,   and behavior problems. Parents reported healthcare needs and   9/11-exposures. Logistic regression was used to evaluate   associations between asthma and level of asthma control and   9/11-exposure, mental health and behavioral problems, and unmet   healthcare needs.ResultsPoorly/very poorly controlled asthma was   significantly associated with a household income of </=$75,000   (AOR: 3.0; 95% CI: 1.1-8.8), having unmet healthcare needs (AOR:   6.2; 95% CI: 1.4-27.1), and screening positive for at least one   mental health condition (AOR: 5.0; 95% CI: 1.4-17.7), but not   with behavioral problems. The impact of having at least one   mental health condition on the level of asthma control was   substantially greater in females than in   males.ConclusionsComprehensive care of post-9/11 asthma in   adolescents should include management of mental health-related   comorbidities.

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