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. 1998 Jun;52(6):359–363. doi: 10.1136/jech.52.6.359

School absence and treatment in school children with respiratory symptoms in The Netherlands: data from the Child Health Monitoring System

d Spee-van, J F Meulmeester, J J Radder, S P Verloove-Vanhoric
PMCID: PMC1756725  PMID: 9764256

Abstract

STUDY OBJECTIVE: To assess the prevalence of respiratory problems, and the relation of these problems with school attendance, medicine use, and medical treatment. DESIGN: The Child Health Monitoring System. SETTING: Nineteen public health services across the Netherlands. PARTICIPANTS: 5186 school children aged 4-15 years, who were eligible for a routine health assessment in the 1991/1992 school year. MAIN RESULTS: Respiratory symptoms were present in 12% of the children. Recent symptoms suggestive of asthma (wheezing or episodes of shortness of breath with wheezing in the past 12 months, or chronic cough, or a combination of these) were reported for 8%. These symptoms were most frequent in the younger children, and in children at school in towns with less than 20,000 inhabitants. Of the children with recent symptoms suggestive of asthma, 37% reported school absence for at least one week during the past 12 months, compared with 16% in children without respiratory symptoms. School absence because of respiratory illness was reported for 22%, and medicine use for respiratory problems for 38% of the children with recent symptoms suggestive of asthma. Of these children, 21% were receiving medical treatment, compared with 15% of the asymptomatic children. CONCLUSIONS: Respiratory symptoms are a common health problem in children, and they are an important cause of school absence and medicine use. However, the percentage of children receiving medical treatment seemed quite low, indicating that proper diagnosis and treatment are probably still a problem.

 

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Selected References

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  1. Anderson H. R., Bailey P. A., Cooper J. S., Palmer J. C., West S. Morbidity and school absence caused by asthma and wheezing illness. Arch Dis Child. 1983 Oct;58(10):777–784. doi: 10.1136/adc.58.10.777. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Anderson H. R., Butland B. K., Strachan D. P. Trends in prevalence and severity of childhood asthma. BMJ. 1994 Jun 18;308(6944):1600–1604. doi: 10.1136/bmj.308.6944.1600. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Austin J. B., Russell G., Adam M. G., Mackintosh D., Kelsey S., Peck D. F. Prevalence of asthma and wheeze in the Highlands of Scotland. Arch Dis Child. 1994 Sep;71(3):211–216. doi: 10.1136/adc.71.3.211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bauman A. Has the prevalence of asthma symptoms increased in Australian children? J Paediatr Child Health. 1993 Dec;29(6):424–428. doi: 10.1111/j.1440-1754.1993.tb03013.x. [DOI] [PubMed] [Google Scholar]
  5. Bremberg S. G., Kjellman N. I. Children with asthma: how do they get along at school? Acta Paediatr Scand. 1985 Nov;74(6):833–840. doi: 10.1111/j.1651-2227.1985.tb10045.x. [DOI] [PubMed] [Google Scholar]
  6. Britton J. Asthma's changing prevalence. BMJ. 1992 Apr 4;304(6831):857–858. doi: 10.1136/bmj.304.6831.857. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Brunekreef B., Groot B., Rijcken B., Hoek G., Steenbekkers A., de Boer A. Reproducibility of childhood respiratory symptom questions. Eur Respir J. 1992 Sep;5(8):930–935. [PubMed] [Google Scholar]
  8. Burney P. G., Chinn S., Rona R. J. Has the prevalence of asthma increased in children? Evidence from the national study of health and growth 1973-86. BMJ. 1990 May 19;300(6735):1306–1310. doi: 10.1136/bmj.300.6735.1306. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Fowler M. G., Davenport M. G., Garg R. School functioning of US children with asthma. Pediatrics. 1992 Dec;90(6):939–944. [PubMed] [Google Scholar]
  10. Kalyoncu A. F., Selçuk Z. T., Karakoca Y., Emri A. S., Cöplü L., Sahin A. A., Bariş Y. I. Prevalence of childhood asthma and allergic diseases in Ankara, Turkey. Allergy. 1994 Jul;49(6):485–488. doi: 10.1111/j.1398-9995.1994.tb00846.x. [DOI] [PubMed] [Google Scholar]
  11. Lask B. Psychological treatments for childhood asthma. Arch Dis Child. 1992 Jul;67(7):891–891. doi: 10.1136/adc.67.7.891. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lindgren S., Lokshin B., Stromquist A., Weinberger M., Nassif E., McCubbin M., Frasher R. Does asthma or treatment with theophylline limit children's academic performance? N Engl J Med. 1992 Sep 24;327(13):926–930. doi: 10.1056/NEJM199209243271305. [DOI] [PubMed] [Google Scholar]
  13. Nocon A. Social and emotional impact of childhood asthma. Arch Dis Child. 1991 Apr;66(4):458–460. doi: 10.1136/adc.66.4.458. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Peat J. K., Woolcock A. J., Leeder S. R., Blackburn C. R. Asthma and bronchitis in Sydney school children. I. Prevalence during a six-year study. Am J Epidemiol. 1980 Jun;111(6):721–727. doi: 10.1093/oxfordjournals.aje.a112950. [DOI] [PubMed] [Google Scholar]
  15. Peat J. K., van den Berg R. H., Green W. F., Mellis C. M., Leeder S. R., Woolcock A. J. Changing prevalence of asthma in Australian children. BMJ. 1994 Jun 18;308(6944):1591–1596. doi: 10.1136/bmj.308.6944.1591. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Powell C. V., Primhak R. A. Asthma treatment, perceived respiratory disability, and morbidity. Arch Dis Child. 1995 Mar;72(3):209–213. doi: 10.1136/adc.72.3.209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Robertson C. F., Bishop J., Sennhauser F. H., Mallol J. International comparison of asthma prevalence in children: Australia, Switzerland, Chile. Pediatr Pulmonol. 1993 Oct;16(4):219–226. doi: 10.1002/ppul.1950160403. [DOI] [PubMed] [Google Scholar]
  18. Shaw R. A., Crane J., O'Donnell T. V. Prevalence of asthma in children. BMJ. 1990 Jun 23;300(6740):1652–1653. doi: 10.1136/bmj.300.6740.1652-d. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Singleton C. D., Gatrell A. C., Briggs J. Prevalence of asthma and related factors in primary school children in an industrial part of England. J Epidemiol Community Health. 1995 Jun;49(3):326–327. doi: 10.1136/jech.49.3.326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Warner J. O., Götz M., Landau L. I., Levison H., Milner A. D., Pedersen S., Silverman M. Management of asthma: a consensus statement. Arch Dis Child. 1989 Jul;64(7):1065–1079. doi: 10.1136/adc.64.7.1065. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Wever-Hess J., Wever A. M., Yntema J. L. Mortality and morbidity from respiratory diseases in childhood in The Netherlands, 1980-1987. Eur Respir J. 1991 Apr;4(4):429–433. [PubMed] [Google Scholar]
  22. de Kok M. E., Mertens P. L., Cuijpers C. E., Swaen G. M., Wesseling G. J., Broer J., Sturmans F., Wouters E. F. The rate of respiratory symptoms among primary school children in two Dutch regions. Eur J Pediatr. 1996 Jun;155(6):506–511. doi: 10.1007/BF01955191. [DOI] [PubMed] [Google Scholar]
  23. von Mutius E., Fritzsch C., Weiland S. K., Röll G., Magnussen H. Prevalence of asthma and allergic disorders among children in united Germany: a descriptive comparison. BMJ. 1992 Dec 5;305(6866):1395–1399. doi: 10.1136/bmj.305.6866.1395. [DOI] [PMC free article] [PubMed] [Google Scholar]

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