{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T18:30:38Z","timestamp":1735583438812},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,6,4]],"date-time":"2015-06-04T00:00:00Z","timestamp":1433376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to estimate the prevalence of asthma control and determinants of poor control in the Portuguese pediatric population (&lt;18\u00a0years); secondarily, we described asthma\u2010related healthcare services and medication use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data of 98 children with current asthma, from the second phase of a nationwide population\u2010based telephone survey (<jats:styled-content style=\"fixed-case\">INA<\/jats:styled-content>sma study), were analyzed. Asthma control definition was based on <jats:styled-content style=\"fixed-case\">GINA<\/jats:styled-content> criteria, grouping partially controlled and uncontrolled asthma as \u2018not\u2010controlled asthma\u2019 (<jats:styled-content style=\"fixed-case\">NCA<\/jats:styled-content>). We used multivariate logistic regression to study factors associated with <jats:styled-content style=\"fixed-case\">NCA<\/jats:styled-content> and with unscheduled medical visits for asthma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About half of the children had <jats:styled-content style=\"fixed-case\">NCA<\/jats:styled-content> (49%, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 39\u201359%). In the multivariate model, risk factors for <jats:styled-content style=\"fixed-case\">NCA<\/jats:styled-content> were as follows: substantial nasal symptoms (<jats:styled-content style=\"fixed-case\"><jats:sub>a<\/jats:sub>OR<\/jats:styled-content> 6.80), overweight\/obesity (<jats:styled-content style=\"fixed-case\"><jats:sub>a<\/jats:sub>OR<\/jats:styled-content> 3.44), and not having health insurance (<jats:styled-content style=\"fixed-case\"><jats:sub>a<\/jats:sub>OR<\/jats:styled-content> 3.78). All the children with <jats:styled-content style=\"fixed-case\">NCA<\/jats:styled-content> had nasal symptoms, and the lack of asthma control was also associated with the increasing number of nasal symptoms (p\u00a0&lt;\u00a00.001). In the previous year, 90% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 84\u201396%) of children with current asthma had healthcare visits and 67% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 58\u201377%) used medication for asthma. The risk of unscheduled medical visits was higher in children with nasal symptoms (<jats:styled-content style=\"fixed-case\"><jats:sub>a<\/jats:sub>OR<\/jats:styled-content> 3.63) and in those without health insurance (<jats:styled-content style=\"fixed-case\"><jats:sub>a<\/jats:sub>OR<\/jats:styled-content> 2.79), and lower in adolescents (<jats:styled-content style=\"fixed-case\"><jats:sub>a<\/jats:sub>OR<\/jats:styled-content> 0.19).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Half of the children with asthma were poorly controlled. Nasal symptoms and obesity are important determinants of asthma control. Children without health insurance are at greater risk of poor asthma outcomes; this association is reported for the first time in a European country.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pai.12395","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T14:07:02Z","timestamp":1430748422000},"page":"466-473","source":"Crossref","is-referenced-by-count":15,"title":["Asthma control in children is associated with nasal symptoms, obesity, and health insurance: a nationwide survey"],"prefix":"10.1111","volume":"26","author":[{"given":"Manuel","family":"Ferreira\u2010Magalh\u00e3es","sequence":"first","affiliation":[{"name":"Department of Pediatrics Centro Hospitalar de S. Jo\u00e3o Porto Portugal"},{"name":"CINTESIS \u2013 Center for Research in Health Technologies and Information Systems \u2013 Faculty of Medicine University of Porto Porto Portugal"},{"name":"Department of Pediatrics \u2013 Faculty of Medicine University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Margarida","family":"Pereira","sequence":"additional","affiliation":[{"name":"CINTESIS \u2013 Center for Research in Health Technologies and Information Systems \u2013 Faculty of Medicine University of Porto Porto Portugal"},{"name":"Allergy Unit CUF Institute &amp; Hospital Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Sa\u2010Sousa","sequence":"additional","affiliation":[{"name":"CINTESIS \u2013 Center for Research in Health Technologies and Information Systems \u2013 Faculty of Medicine University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio","family":"Morais\u2010Almeida","sequence":"additional","affiliation":[{"name":"Allergy and Clinical Immunology Division Unit CUF Descobertas and CUF Infante Santo Hospital Lisbon Portugal"},{"name":"Sociedade Portuguesa de Alergologia e Imunologia Cl\u00ednica Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Centro Hospitalar de S. 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