Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012)
Biological and psychosocial factors are recognized contributors to the worldwide burden of asthma. However, the relationship between psychosocial factors and asthma symptoms among students in low- and middle-income countries remains underexplored. We aimed to identify socioeconomic, environmental, p...
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doaj-7971e3026d144a788c169acadbca0ac52020-11-24T20:49:10ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012018-12-011512290410.3390/ijerph15122904ijerph15122904Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012)Rita C. Ribeiro-Silva0Deborah C. Malta1Laura C. Rodrigues2Dandara O. Ramos3Rosemeire L. Fiaccone4Daiane B. Machado5Maurício L. Barreto6School of Nutrition, Federal University of Bahia, Salvador 40.110-150, BrazilSchool of Nursery, Federal University of Minas Gerais, Belo Horizonte 30.130-100, BrazilDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UKCenter for Data and Knowledge Integration for Health (CIDACS), Institute Gonçalo Moniz (IGM), Oswaldo Cruz Foundation (FIOCRUZ), Salvador 41.745-715, BrazilInstitute of Mathematics and Statistics, Federal University of Bahia, Salvador 40.170-110, BrazilCenter for Data and Knowledge Integration for Health (CIDACS), Institute Gonçalo Moniz (IGM), Oswaldo Cruz Foundation (FIOCRUZ), Salvador 41.745-715, BrazilCenter for Data and Knowledge Integration for Health (CIDACS), Institute Gonçalo Moniz (IGM), Oswaldo Cruz Foundation (FIOCRUZ), Salvador 41.745-715, BrazilBiological and psychosocial factors are recognized contributors to the worldwide burden of asthma. However, the relationship between psychosocial factors and asthma symptoms among students in low- and middle-income countries remains underexplored. We aimed to identify socioeconomic, environmental, psychosocial, family-related and lifestyle factors associated with the self-reporting of asthma symptoms in Brazilian adolescents. This is a cross-sectional study using data from the 2012 PeNSE survey (<i>n</i> = 109,104). We analyzed the following variables: socioeconomic conditions, demographic characteristics, lifestyle, family context and dynamics, psychosocial indicators, smoking, and exposure to violence. Our outcome variable was the self-report of asthma symptoms in the past 12 months. The prevalence of wheezing was 22.7% (21.5⁻23.9). After adjusting for sex, age and the variables from higher hierarchical levels, exposure to violence (feeling unsafe at school, being frequently bullied, being exposed to fights with firearms) and physical aggression by an adult in the family were the environmental factors that showed the strongest associations with self-reporting of asthma symptoms. For psychosocial indicators of mental health and social integration, feelings of loneliness and sleeping problems were the strongest factors, and among individual behavioral factors, the largest associations were found for tobacco consumption. Our findings were consistent with previous studies, showing an association between self-reported asthma symptoms and socio-economic status, family context and dynamics, psychosocial indicators of mental health, exposure to violence and social integration, as well as a sedentary lifestyle and tobacco use.https://www.mdpi.com/1660-4601/15/12/2904wheezingschoolchildrenpsychosocial indicatorsviolencelifestyle |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rita C. Ribeiro-Silva Deborah C. Malta Laura C. Rodrigues Dandara O. Ramos Rosemeire L. Fiaccone Daiane B. Machado Maurício L. Barreto |
spellingShingle |
Rita C. Ribeiro-Silva Deborah C. Malta Laura C. Rodrigues Dandara O. Ramos Rosemeire L. Fiaccone Daiane B. Machado Maurício L. Barreto Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012) International Journal of Environmental Research and Public Health wheezing schoolchildren psychosocial indicators violence lifestyle |
author_facet |
Rita C. Ribeiro-Silva Deborah C. Malta Laura C. Rodrigues Dandara O. Ramos Rosemeire L. Fiaccone Daiane B. Machado Maurício L. Barreto |
author_sort |
Rita C. Ribeiro-Silva |
title |
Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012) |
title_short |
Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012) |
title_full |
Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012) |
title_fullStr |
Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012) |
title_full_unstemmed |
Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012) |
title_sort |
social, environmental and behavioral determinants of asthma symptoms in brazilian middle school students—a national school health survey (pense 2012) |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2018-12-01 |
description |
Biological and psychosocial factors are recognized contributors to the worldwide burden of asthma. However, the relationship between psychosocial factors and asthma symptoms among students in low- and middle-income countries remains underexplored. We aimed to identify socioeconomic, environmental, psychosocial, family-related and lifestyle factors associated with the self-reporting of asthma symptoms in Brazilian adolescents. This is a cross-sectional study using data from the 2012 PeNSE survey (<i>n</i> = 109,104). We analyzed the following variables: socioeconomic conditions, demographic characteristics, lifestyle, family context and dynamics, psychosocial indicators, smoking, and exposure to violence. Our outcome variable was the self-report of asthma symptoms in the past 12 months. The prevalence of wheezing was 22.7% (21.5⁻23.9). After adjusting for sex, age and the variables from higher hierarchical levels, exposure to violence (feeling unsafe at school, being frequently bullied, being exposed to fights with firearms) and physical aggression by an adult in the family were the environmental factors that showed the strongest associations with self-reporting of asthma symptoms. For psychosocial indicators of mental health and social integration, feelings of loneliness and sleeping problems were the strongest factors, and among individual behavioral factors, the largest associations were found for tobacco consumption. Our findings were consistent with previous studies, showing an association between self-reported asthma symptoms and socio-economic status, family context and dynamics, psychosocial indicators of mental health, exposure to violence and social integration, as well as a sedentary lifestyle and tobacco use. |
topic |
wheezing schoolchildren psychosocial indicators violence lifestyle |
url |
https://www.mdpi.com/1660-4601/15/12/2904 |
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