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Clinical Pediatrics, Vol. 34, No. 11, 581-590 (1995)
DOI: 10.1177/000992289503401103

Social Factors Associated With Behavioral Problems in Children With Asthma

Arlene M. Butz, B.S.N., Sc.D.

Johns Hopkins University School of Nursing

Floyd J. Malveaux, M.D., Ph.D.

Department of Microbiology, Howard University, Washington, DC

Peyton Eggleston, M.D.

Department of Pediatric Allergy and Immunology

Lera Thompson, M.S.P.H.

Department of Microbiology, Howard University, Washington, DC

Karen Huss, B.S.N., D.N.Sc.

Johns Hopkins University School of Nursing

Ken Kolodner, Sc.D.

School of Hygiene and Public Health, Johns Hopkins University School of Medicine, Baltimore, Maryland

Cynthia S. Rand, Ph.D.

Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland

The objective of this study was to describe the proportion of children with a behavior problem and examine which independent variables are associated with the presence of a behavior problem in a group of 392 inner-city children with asthma. Data on child asthma symptoms, medication use, health-care utilization, and school absences were obtained from the parent during a structured telephone interview. Included in the interview was a measure of behavior problems and social support questions. Children classified with a high level of asthma symptoms were more than twice as likely to experience a behavior problem than children classified with a low level of asthma symptoms (P= 0.002). Use of theophylline medication was not correlated with behavior problems (P = 0.45). Significant variables were low level of social support and high or moderate level of asthma symptoms. We have identified a group of children at risk for behavior problems, specifically in families that lack adequate social and financial resources.


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