From: Factors related to under-diagnosis and under-treatment of childhood asthma in metropolitan France
Entire sample | Asthma | |||||
---|---|---|---|---|---|---|
All (&) | Undiagnosed | Diagnosed (^) | Diagnosed | |||
N = 7,781 | N = 903 | N = 377 | N = 526 | Untreated N = 76 | Treated (§) N = 353 | |
Variable | ||||||
Age (year, mean ± DS) | 10.40 ± 0.75 | 10.42 ± 0.74 | 10.40 ± 0.75 | 10.43 ± 0.74 | 10.43 ± 0.73 | 10.43 ± 0.71 |
Gender, N (%) | ||||||
Boys | 3,872 (49.77) | 545 (60.35)* | 222 (58.89) | 323 (61.41) | 45 (59.21) | 222 (62.89) |
Girls | 3,908 (50.23) | 358 (39.65) | 155 (41.11) | 203 (38.59) | 31 (40.79) | 131 (37.11) |
BMI, N (%) | ||||||
8 Kg/m2 | 4,751 (61.07) | 529 (58.58) | 224 (59.42) | 305 (57.98) | 45 (59.21) | 199 (56.37) |
18-25 Kg/m2 | 2,842 (36.53) | 347 (38.43) | 140 (37.14) | 207 (39.35) | 27 (35.53) | 145 (41.08) |
5 Kg/m2 | 187 (2.40) | 27 (2.99) | 13 (3.45) | 14 (2.66) | 4 (5.26) | 9 (2.55) |
Mother’s asthma, N (%) | 521 (7.27) | 151 (16.72)* | 62 (16.45) | 89 (16.92) | 10 (13.16) | 62 (17.56) |
Birth order, First, N (%) | 3,940 (55.01) | 517 (57.32) | 207 (55.05) | 310 (58.94) | 46 (60.53) | 218 (61.76) |
Ethnic origin of the parents, N (%) | ||||||
Metropolitan France | 4,272 (54.90) | 524 (78.80)* | 205 (75.65) | 319 (80.96) | 49 (84.48) | 215 (80.83) |
Overseas Departments | 98 (1.26) | 14 (2.11) | 4 (1.48) | 10 (2.54) | 2 (3.45) | 8 (3.01) |
South Europe | 142 (1.82) | 15 (1.78) | 8 (2.95) | 7 (1.78) | 0 | 5 (1.88) |
North Africa | 461 (5.92) | 57 (7.61) | 27 (9.96) | 30 (7.61) | 4 (6.90) | 21 (7.89) |
Asia | 169 (2.17) | 24 (2.79) | 13 (4.80) | 11 (2.79) | 1 (1.72) | 7 (2.63) |
Sub-Saharian Africa | 137 (1.76) | 11 (1.78) | 4 (1.48) | 7 (1.78) | 0 | 5 (1.88) |
Others | 190 (2.44) | 20 (2.54) | 10 (3.69) | 10 (2.54) | 2 (3.45) | 5 (1.88) |
Education, N (%) | ||||||
Elementary | 599 (9.10) | 58 (7.00) | 21 (6.03) | 37 (7.71) | 7 (10.14) | 19 (5.88) |
Secondary | 2745 (41.70) | 344 (41.55) | 150 (43.10) | 194 (40.42) | 22 (31.88) | 129 (39.94) |
High School, College | 3,103 (47.14) | 404 (48.79) | 165 (47.41) | 239 (49.79) | 38 (55.07) | 169 (52.32) |
Others | 135 (2.05) | 22 (2.66) | 12 (3.45) | 10 (2.08) | 2 (2.90) | 6 (1.86) |
Parental socio-economic status, N (%) | ||||||
Artisan, own activity | 339 (5.33) | 39 (4.88) | 15 (4.55) | 24 (5.11) | 2 (2.99) | 17 (5.36) |
Liberal profession | 1,525 (23.97) | 185 (23.13) | 75 (22.73) | 110 (23.40) | 14 (20.90) | 76 (23.97) |
Intermediate profession | 1,393 (21.89) | 195 (24.38) | 73 (22.12) | 122 (25.96) | 25 (37.31) | 83 (26.18) |
Employees | 1856 (29.17) | 228 (28.50) | 105 (31.82) | 123 (26.17) | 11 (16.42) | 79 (24.92) |
Blue collars | 871 (13.69) | 98 (12.25) | 38 (11.52) | 60 (12.77) | 12 (17.91) | 39 (12.30)* |
Farmer, retired, inactive | 379 (5.96) | 55 (6.88) | 24 (7.27) | 31 (6.60) | 3 (4.48) | 23 (7.26) |
Medical coverage, N (%) | ||||||
Social Security | 6,846 (87.99) | 864 (95.68) | 363 (96.29) | 501 (95.25) | 69 (90.79) | 341 (96.60)* |
Complementary insurance | 5,813 (74.71) | 733 (81.17)* | 305 (80.90) | 428 (81.37) | 63 (82.89) | 285 (80.74) |
Free medical care | 514 (6.61) | 74 (8.19) | 37 (9.81) | 37 (7.03) | 8 (10.53) | 24 (6.52) |
Personal insurance | 990 (12.72) | 106 (11.74) | 43 (11.41) | 63 (11.98) | 14 (18.42) | 37 (10.48) |
No protection | 12 (0.15) | 5 (0.55) | 1 (0.27) | 4 (0.76) | 0 | 2 (0.57) |
Type of family, N (%) | ||||||
Live with his/her 2 parents | 5,140 (72.24) | 584 (64.82)* | 236 (62.93) | 348 (66.16) | 51 (67.10) | 237 (67.14) |
Live with his/her mother only | 1,487 (20.90) | 234 (25.97)* | 101 (26.93) | 133 (25.29) | 17 (22.37) | 87 (24.65) |
Live with his/her father only | 179 (2.52) | 23 (2.55) | 12 (3.20) | 11 (2.09) | 1 (1.32) | 7 (1.98) |