Article

Tracking Pediatric Asthma:The Massachusetts Experience Using School Health Records

Massachusetts Department of Public Health, Center for Environmental Health, Boston, Massachusetts, USA
Environmental Health Perspectives (Impact Factor: 7.03). 10/2004; 112(14):1424-7. DOI: 10.1289/ehp.7146
Source: PubMed

ABSTRACT The Massachusetts Department of Public Health, in collaboration with the U.S. Centers for Disease Control and Prevention Environmental Public Health Tracking Program, initiated a 3-year statewide project for the routine surveillance of asthma in children using school health records as the primary data source. School district nurse leaders received electronic data reporting forms requesting the number of children with asthma by grade and gender for schools serving grades kindergarten (K) through 8. Verification efforts from an earlier community-level study comparing a select number of school health records with primary care provider records demonstrated a high level of agreement (i.e., > 95%). First-year surveillance targeted approximately one-half (n = 958 schools) of all Massachusetts's K-8 schools. About 78% of targeted school districts participated, and 70% of the targeted schools submitted complete asthma data. School nurse-reported asthma prevalence was as high as 30.8% for schools, with a mean of 9.2%. School-based asthma surveillance has been demonstrated to be a reliable and cost-effective method of tracking disease through use of an existing and enhanced reporting structure.

0 Followers
 · 
79 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Asthma is the most common chronic disease among children today, yet surveillance is limited to national and state estimates which can vary over time, by location and by population types. This article describes a comprehensive statewide school-based asthma surveillance program and examine 5 years of surveillance data. After pilot testing, a 1-page survey was mailed to school nurses in all public, private, and charter schools in Massachusetts. Variables measured included the number of students with a diagnosis of asthma by sex, grade (K-8), race/ethnicity by school and by community of residence. The participation rate increased each year, and by the 5th year it was nearly 100%. The reported asthma prevalence was 10.6% (averaged for the 5-year period) and noted to be higher among males each year. This work provides evidence that a school-based pediatric asthma surveillance system can be developed and successfully implemented. The feasibility of using school health records, as an accessible data source to readily identify asthma cases can provide reliable aggregate community-based pediatric asthma prevalence information.
    Journal of School Health 12/2013; 83(12):907-914. DOI:10.1111/josh.12109 · 1.66 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Significant increases in childhood asthma prevalence and mortality has prompted federal and regulatory agencies to work towards a national framework to address childhood asthma. Quality of life is an important component of chronic disease, and the evaluation of healthcare outcomes. There is little discussion in the literature regarding the implications of QoL as a theoretical construct. This study determined the effect of asthma on the QoL of our study population and caregiver's missed workdays on the child's QoL scores. A negative relationship was found between the child's QoL and the caregiver's missed workdays due to their child's asthma. The use of SEM and multiple group analysis can help increase awareness and understanding among the complex issues related to childhood asthma and quality of life constructs.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Home-based environmental interventions have demonstrated clinical benefit for children with asthma. Although much is known about school-based exposures, few studies have comprehensively examined the role the school environment plays in asthma and how effectively changing the environment might reduce morbidity when adjusting for exposures in the home. This review summarizes the importance and common challenges of school-based environmental assessment and intervention studies linked to health effects. We focus on the key components of study development and the challenges and benefits to implementation. Copyright © 2014 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
    Journal of Allergy and Clinical Immunology 10/2014; 134(6):1232-1237. DOI:10.1016/j.jaci.2014.09.010 · 11.25 Impact Factor

Full-text (3 Sources)

Download
9 Downloads
Available from
Jun 9, 2014