Vaida Taminskiene1, Tomas Alasevicius2, Algirdas Valiulis3, Egle Vaitkaitiene4, Rimantas Stukas1, Adamos Hadjipanayis5, Steve Turner6, Arunas Valiulis7,8. 1. Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, M.K Ciurlionio str. 21, 03101, Vilnius, Lithuania. 2. Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Antakalnio str. 57, 10207, Vilnius, Lithuania. 3. Department of Rehabilitation, Physical and Sports Medicine, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, M.K Ciurlionio str. 21, 03101, Vilnius, Lithuania. 4. Medical Academy, Lithuanian University of Health Sciences, Tilzes str. 18, 47181, Kaunas, Lithuania. 5. European University of Cyprus, 6, Diogenis Str, 2404 Engomi, Nicosia, Cyprus. 6. Child Health, University of Aberdeen, Aberdeen, AB25 2ZG, UK. 7. Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, M.K Ciurlionio str. 21, 03101, Vilnius, Lithuania. arunas.valiulis@mf.vu.lt. 8. Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Antakalnio str. 57, 10207, Vilnius, Lithuania. arunas.valiulis@mf.vu.lt.
Abstract
The quality of life for the family is an important outcome of childhood asthma. The aim of the study was to describe the quality of life in families who have a child with asthma. The Pediatric Quality of Life Inventory Family Impact Module was completed by the parents of 527 children with asthma. The median overall score was 75.0 (interquartile range 63.9, 87.5). The following factors were independently associated with lower quality of life: additional difficulties such as anxiety and financial hardship (3.81 [2.45, 5.93]), waking with asthma symptoms one or more nights a week (odds ratio 2.53 [1.34, 4.75]), regular use of symptoms reliever medication (2.47 [1.57, 3.87]), and female gender (1.97 [1.27, 3.05]). Lower socioeconomic status of the family and exposure to molds at home doubled the odds for lower quality of life. Physician's diagnosed asthma severity and control were associated with quality of life in univariate, but not multivariate analysis. Conclusion: Multiple factors, several of which are not related to asthma, contribute to the family burden of having a child with asthma. Clinicians should be mindful of the impact of asthma on the child and the family, and consider exploring factors not directly related to childhood asthma. What is Known: • Childhood asthma as a chronic disease impacts the quality of life of the patient, but there is also an impact on the immediate family. • There are relatively few studies exploring the quality of life of parents of a child with asthma; the results are heterogeneous and none has been carried out in an Eastern European country. What is New: • This is the first study to describe caregiver's quality of life in an Eastern European population in the context of childhood asthma. • The quality of life of the family of asthmatic child depends not only on factors related to asthma, but also non-asthma related factors such as poverty which play even more important role.
The quality of life for the family is an important outcome of childhood asthma. The aim of the study was to describe the quality of life in families who have a child with asthma. The Pediatric Quality of Life Inventory Family Impact Module was completed by the parents of 527 children with asthma. The median overall score was 75.0 (interquartile range 63.9, 87.5). The following factors were independently associated with lower quality of life: additional difficulties such as anxiety and financial hardship (3.81 [2.45, 5.93]), waking with asthma symptoms one or more nights a week (odds ratio 2.53 [1.34, 4.75]), regular use of symptoms reliever medication (2.47 [1.57, 3.87]), and female gender (1.97 [1.27, 3.05]). Lower socioeconomic status of the family and exposure to molds at home doubled the odds for lower quality of life. Physician's diagnosed asthma severity and control were associated with quality of life in univariate, but not multivariate analysis. Conclusion: Multiple factors, several of which are not related to asthma, contribute to the family burden of having a child with asthma. Clinicians should be mindful of the impact of asthma on the child and the family, and consider exploring factors not directly related to childhood asthma. What is Known: • Childhood asthma as a chronic disease impacts the quality of life of the patient, but there is also an impact on the immediate family. • There are relatively few studies exploring the quality of life of parents of a child with asthma; the results are heterogeneous and none has been carried out in an Eastern European country. What is New: • This is the first study to describe caregiver's quality of life in an Eastern European population in the context of childhood asthma. • The quality of life of the family of asthmatic child depends not only on factors related to asthma, but also non-asthma related factors such as poverty which play even more important role.
Entities:
Keywords:
Asthma; Children; Family; Impact; Quality of life
Authors: Michelle M Cloutier; Michael Schatz; Mario Castro; Noreen Clark; H William Kelly; Rita Mangione-Smith; James Sheller; Christine Sorkness; Stuart Stoloff; Peter Gergen Journal: J Allergy Clin Immunol Date: 2012-03 Impact factor: 10.793
Authors: Jill S Halterman; H Lorrie Yoos; Kelly M Conn; Patrick M Callahan; Guillermo Montes; Tia L Neely; Peter G Szilagyi Journal: J Asthma Date: 2004-09 Impact factor: 2.515
Authors: Konstantinos Th Petsios; Kostas N Priftis; Elpis Hatziagorou; John N Tsanakas; George Antonogeorgos; Vasiliki N Matziou Journal: Pediatr Pulmonol Date: 2013-02-08
Authors: J Bousquet; S Arnavielhe; A Bedbrook; M Bewick; D Laune; E Mathieu-Dupas; R Murray; G L Onorato; J L Pépin; R Picard; F Portejoie; E Costa; J Fonseca; O Lourenço; M Morais-Almeida; A Todo-Bom; A A Cruz; J da Silva; F S Serpa; M Illario; E Menditto; L Cecchi; R Monti; L Napoli; M T Ventura; G De Feo; D Larenas-Linnemann; M Fuentes Perez; Y R Huerta Villabolos; D Rivero-Yeverino; E Rodriguez-Zagal; F Amat; I Annesi-Maesano; I Bosse; P Demoly; P Devillier; J F Fontaine; J Just; T P Kuna; B Samolinski; A Valiulis; R Emuzyte; V Kvedariene; D Ryan; A Sheikh; P Schmidt-Grendelmeier; L Klimek; O Pfaar; K C Bergmann; R Mösges; T Zuberbier; R E Roller-Wirnsberger; P Tomazic; W J Fokkens; N H Chavannes; S Reitsma; J M Anto; V Cardona; T Dedeu; J Mullol; T Haahtela; J Salimäki; S Toppila-Salmi; E Valovirta; B Gemicioğlu; A Yorgancioglu; N Papadopoulos; E P Prokopakis; S Bosnic-Anticevich; R O'Hehir; J C Ivancevich; H Neffen; E Zernotti; I Kull; E Melen; M Wickman; C Bachert; P Hellings; S Palkonen; C Bindslev-Jensen; E Eller; S Waserman; M Sova; G De Vries; M van Eerd; I Agache; T Casale; M Dykewickz; R N Naclerio; Y Okamoto; D V Wallace Journal: Clin Transl Allergy Date: 2018-10-25 Impact factor: 5.871
Authors: Filiberto Toledano-Toledano; José Moral de la Rubia; Laura A Nabors; Miriam Teresa Domínguez-Guedea; Guillermo Salinas Escudero; Eduardo Rocha Pérez; David Luna; Ahidée Leyva López Journal: Healthcare (Basel) Date: 2020-11-03