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Adolescents' perception of asthma symptoms and health care utilization.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rhee, Hyekyun Belyea, Michael J. Halterman, Jill S.
Description	Country affiliation: United States Author Affiliation: Rhee H ( University of Rochester, School of Nursing, 601 Elmwood Ave, Box SON, Rochester, NY 14642, USA. hyekyun_rhee@urmc.rochester.edu)
Abstract	INTRODUCTION: Pediatric asthma is accountable for a substantial use of health care services. The purpose of this study was to systemically examine the extent to which inaccurate perception of asthma symptoms is associated with the use of health care services. METHODS: This exploratory study included 126 adolescents with asthma who were between 13 and 20 years of age. Subjects were classified as having inaccurate symptom perception (IG); well-controlled accurate symptom perception (WCA); and poorly controlled accurate symptom perception (PCA). These groups were compared with respect to health care utilization, including emergency department (ED) visits, hospitalization, and office visits and school absenteeism in the past 3 months. RESULTS: More adolescents in the IG group had at least one hospitalization compared with adolescents in the PCA or WCA groups (23.1% vs. 11.1% vs. 2.6%, respectively). A similar trend was seen for ED visits. Compared with the WCA group, adolescents in the IG group were nearly nine times more likely to have been hospitalized, 3.4 times more likely to have visited an ED, and four times more likely to have missed school days. DISCUSSION: Adolescents with inaccurate symptom perception are more likely to have hospitalizations, ED visits, and missed days from school compared with those who have accurate perceptions. The findings underscore the importance of screening for perceptual accuracy of asthma symptoms and call for interventions promoting accurate symptom assessment in adolescents with asthma to ensure appropriate care.
File Format	HTM / HTML
ISSN	08915245
e-ISSN	1532656X
DOI	10.1016/j.pedhc.2009.10.003
Journal	Journal of Pediatric Health Care
Issue Number	2
Volume Number	25
Language	English
Publisher	Elsevier
Publisher Date	2011-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Pediatrics Asthma Psychology Health Services Utilization Adolescent Physiopathology Cross-sectional Studies Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health

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