Children who were physically or sexually assaulted more than two times more likely to have asthma than their peers, according to a recent study of urban children in Puerto Rico. In fact, physical and sexual abuse was only from asthma in all maternal risk factors tests, including asthma and paternal socio-economic status.
"To our knowledge, this is the first report of a direct link between child abuse and asthma and asthma-related outcomes," wrote Robyn T. Cohen, MD, MPH, lead author of a document Channing Laboratory of Brigham and Women's Hospital in Boston.
Articles published the first edition of September American Journal of respiratory and Critical Care Medicine, published by the American Thoracic Society.
"We would like to know whether the effects of stress and violence associated with increased risk of asthma among children in urban areas live in Puerto Rico," said Principal Investigator, Juan C. Celedón, MD, Dr.PH "We know that is high prevalence of asthma among children in Puerto Rico, and many studies have linked stress and the impact of violence on health problems in children, such as asthma. "
Researchers surveyed parents and children to 1353 pairs from 2001 to 2003, and again polled almost 90 per cent of the same pair of two years after their first interview. They used a questionnaire to provide information on the verification of stress and violence in the world living children (where possible without the father present), and doctor diagnosed asthma, allergic rhinitis, asthma drug use and doctor visits for asthma and / or allergic rhinitis in Over the past year to assess children's asthma and allergies.
"Children with a history of abuse of all results of higher frequencies than those who had no history of abuse," says Dr. Cohen. "Adjusted for covariates, history of abuse associated with approximately twice the likelihood of current asthma, the use of medical care for asthma and allergies." For example, while 15 (20 percent) of 75 children with a history of abuse of current asthma, 128 (11.5 percent) from 1117 children left without a history of abuse of current asthma.
The study, however, found no connection between violence and asthma neighborhood, as other studies in the past. Researchers suggest that the discrepancy may be the result of the fact that "it's just the influence of stress, but also physiological reactions to stress predicts that the results of physical health."
Individual responses to stress, such as communal violence vary, and, after some data, the Puerto Rican culture itself may have a protective function. "Places of Latino culture, emphasizing certain social values and supports mitigate the effects of poverty and violence against children in Puerto Rico," said Dr. Cohen. Direct physical or sexual violence, but could lead to the breakdown of the buffer.
Researchers postulated that the abuse hypothalamus-pituitary-adrenal (HPA) - axis, which, in turn, can express the reaction of glucocorticoids, which reduced the suppression of inflammatory reactions of the respiratory tract. Other studies have that opportunity, especially in patients with PTSD.
But while the exact route remains uncertain, and beyond cross-sectional study has not yet been proven, the results have direct relevance for social workers and doctors: "Our results underscore the importance that both tests detect diseases such as asthma in children who are abused and aware of the possibility of abuse in children with asthma, "says Dr. Cohen.
This in itself NewsBrief el Pasco article in the American Thoracic Society peer-reviewed, American Journal Respiratory and Critical Care Medicine.
source : http://www.medicalnewstoday.com/articles/119691.php
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