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Clinical Pediatrics
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Travel Patterns to School Among Children with Asthma

Nicolas M. Oreskovic, MD, MPH

Department of Pediatrics, Center for Child and Adolescent Health Policy, Massachusetts General Hospital, noreskovic{at}partners.org

Gregory S. Sawicki, MD, MPH

Department of Pediatrics, Children's Hospital Boston Harvard Medical School, Boston, Massachusetts

T. Bernard Kinane, MD

Department of Pediatrics, Center for Child and Adolescent Health Policy, Massachusetts General Hospital

Jonathan P. Winickoff, MD, MPH

Department of Pediatrics, Center for Child and Adolescent Health Policy, Massachusetts General Hospital

James M. Perrin, MD

Department of Pediatrics, Center for Child and Adolescent Health Policy, Massachusetts General Hospital

Background. Active commuting to school provides regular exercise, which can improve asthma symptoms. Little is known about how children with asthma travel to school. Objective. To identify travel patterns and parental perceptions surrounding mode of travel to school among children with asthma. Methods. Cross-sectional study of 176 children with asthma aged 5 to 15 years. Parents completed questionnaires assessing mode of travel to school, physical activity, asthma control, physician counseling, and factors influencing parental decisions. Data analysis included descriptive and bivariate statistics. Results. Few (16%) children with asthma actively commute to school. Active travelers lived closer to school, and "distance" was the most frequently reported factor influencing a parent's decision regarding travel mode to school. Parents reported few concerns about pollution and little physician counseling on active travel. Conclusion. Few children with asthma actively travel to school. Asthma-specific concerns do not appear to guide parental decisions on travel mode to school.

Key Words: asthma • active commuting • physical activity • school • environment

This version was published on July 1, 2009

Clinical Pediatrics, Vol. 48, No. 6, 632-640 (2009)
DOI: 10.1177/0009922809335323
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