Asthma Control and Medication Use Behaviors Among Children with Written Asthma Action Plans at Home and School - 2010 Behavioral Risk Factor Surveillance System Child Asthma Call-Back Survey

Abstract

Objectives. To estimate the proportion of US children that have a written asthma action plan (WAAP) at home and school and the association of asthma control and medication use behaviors. Design. A cross-sectional analysis of the 2010 child Asthma Call Back Survey (ACBS). Results. Among the ACBS survey participants, 44.5% (95% CI=40.5-48.7) were ever given a WAAP and 34.4% (95% CI= 30.4-38.6) had a WAAP at school. Children that had routine care were more likely to have ever been given a WAAP (adjusted relative risk (aRR) 1.8, 95% CI 1.1-2.9) and to have a WAAP at school (ARR 4.1, 95% CI= 2.7-6.1). Children with not well-controlled asthma were more likely to have ever been given a WAAP (ARR 1.6, 95% CI 1.1-2.3) and to have a WAAP at school (ARR 1.8, 95% CI 1.2-2.7). There was not a significant difference in asthma medication use behaviors between those having a WAAP or not and those with a WAAP on file at school or not. Conclusions. Children with not well-controlled or poorly controlled asthma were more likely to have ever been given a WAAP and to have a WAAP on file at school; this likelihood persisted after controlling for socio-economic factors and routine care visits.