{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T02:17:39Z","timestamp":1774664259828,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"6373","license":[{"start":{"date-parts":[[1983,4,16]],"date-time":"1983-04-16T00:00:00Z","timestamp":419299200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1983,4,16]]},"abstract":"<jats:p>A total of 179 Tyneside children who had suffered at least one episode of wheeze since school entry were seen at the age of 7. All but 14 had visited a doctor for chest symptoms, but a diagnosis of asthma had been offered to the parents of only 21 children, including three of the 56 children experiencing four to 12 wheezy episodes a year and 11 of the 31 children experiencing more than 12 episodes a year. Bronchodilator treatment was rarely offered in the absence of such a diagnosis, and two thirds of the children had never received a bronchodilator. Of the children experiencing four or more episodes a year, only a third had received bronchodilator drugs regularly, though half had lost more than 50 days from school because of wheeze. School absenteeism fell 10-fold in the 31 children finally offered continuous prophylactic treatment. Although many doctors had feared that use of the word \"asthma\" would cause anxiety, parents were uniformly relieved when given an explanation of their child's recurrent wheeze. This study uncovered a disturbing amount of ill health in children that was easily rectified. Probably this same problem exists in other areas.<\/jats:p>","DOI":"10.1136\/bmj.286.6373.1253","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1253-1256","source":"Crossref","is-referenced-by-count":393,"title":["Underdiagnosis and undertreatment of asthma in childhood."],"prefix":"10.1136","volume":"286","author":[{"given":"A N","family":"Speight","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D A","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E N","family":"Hey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1983,4,16]]},"reference":[{"key":"ref_1","first-page":"1258","article-title":"Prevalence and spectrum of asthma in childhood. Br Med3","volume":"286","author":"Lee, D.A.; Winslow, N.R.; Speight, A.N.P.; Hey, E.N.","year":"1983","unstructured":"Lee DA, Winslow NR, Speight ANP, Hey EN. Prevalence and spectrum of asthma in childhood. Br Med3 1983;286:1258-60."},{"key":"ref_2","first-page":"231","article-title":"Is childhood asthma being underdiagnosed and undertreated? Br MedJ7","volume":"ii:","author":"Speight, A.N.P.","year":"1978","unstructured":"Speight ANP. Is childhood asthma being underdiagnosed and undertreated? Br MedJ7 1978;ii:231-2."},{"key":"ref_3","first-page":"1030","article-title":"Influence of morbidity, illness label, and social, family, and health service factors on drug treatment of childhood asthma","volume":"ii:","author":"Anderson, H.R.; Bailey, P.A.; Cooper, J.S.; Palmer, J.C.","year":"1981","unstructured":"Anderson HR, Bailey PA, Cooper JS, Palmer JC. Influence of morbidity, illness label, and social, family, and health service factors on drug treatment of childhood asthma. Lancet 1981;ii:1030-2.","journal-title":"Lancet"},{"key":"ref_4","first-page":"323","article-title":"Asthma-a challenge for general practice","volume":"31","author":"Anonymous","year":"1981","unstructured":"Anonymous. Asthma-a challenge for general practice. J R Coll Gen Pract 1981;31:323-4.","journal-title":"J R Coll Gen Pract"},{"key":"ref_5","first-page":"321","article-title":"Prevalence, natural history, and relationship of wheezy bronchitis and asthma in children. An epidemiological study","volume":"iv:","author":"Williams, H.; McNicol, K.N.","year":"1969","unstructured":"Williams H, McNicol KN. Prevalence, natural history, and relationship of wheezy bronchitis and asthma in children. An epidemiological study. Br MedJ7 1969;iv:321-5."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1136\/adc.55.5.354","article-title":"A family study of the genetic basis of asthma and wheezy bronchitis","volume":"55","author":"Sibbald, B.; Horn, M.E.C.; Gregg, I.","year":"1980","unstructured":"Sibbald B, Horn MEC, Gregg I. A family study of the genetic basis of asthma and wheezy bronchitis. Arch Dis Child 1980;55:354-7.","journal-title":"Arch Dis Child"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1136\/adc.53.6.468","article-title":"Recurrent wheeze in the preschool child","volume":"53","author":"Lenney, W.; Milner, A.D.","year":"1978","unstructured":"Lenney W, Milner AD. Recurrent wheeze in the preschool child. Arch Dis Child 1978;53:468-73.","journal-title":"Arch Dis Child"},{"key":"ref_8","article-title":"The role of viral infections in asthma and bronchitis","volume-title":"Symposium: viral diseases","author":"Gregg, I.","year":"46.)","unstructured":"Gregg I. The role of viral infections in asthma and bronchitis. In: Proudfoot AT, ed. Symposium: viral diseases. Edinburgh: Royal College of Physicians of Edinburgh, 1975. (Publication No 46.)"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1542\/peds.67.1.1","article-title":"Chronic bronchitis in childhood: what is it?","volume":"67","author":"Taussig, L.M.; Smith, S.M.; Blumefeld, R.","year":"1981","unstructured":"Taussig LM, Smith SM, Blumefeld R. Chronic bronchitis in childhood: what is it? Pediatrics 1981;67:1-5.","journal-title":"Pediatrics"},{"key":"ref_10","article-title":"Accepted","year":"1983","unstructured":"(Accepted 9 February 1983)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.286.6373.1253","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.286.6373.1253","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T21:03:38Z","timestamp":1765314218000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.286.6373.1253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,4,16]]},"references-count":10,"journal-issue":{"issue":"6373","published-online":{"date-parts":[[1983,4,16]]},"published-print":{"date-parts":[[1983,4,16]]}},"alternative-id":["10.1136\/bmj.286.6373.1253"],"URL":"https:\/\/doi.org\/10.1136\/bmj.286.6373.1253","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"value":"0007-1447","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1983,4,16]]}}}