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【medical-news】Special education students may have high as
SOURCE: American Journal of Public Health, September 2006.
Special education students may have high asthma rates
NEW YORK (Reuters Health) - One in three special education students in New York City public schools has asthma, compared to just one in five in the general school population, a new study shows.
"That's a huge number" -- it may be that many children in special education are there because they have asthma, co-author Dr. Luz Claudio of the Mount Sinai School of Medicine in New York City told Reuters Health. "Managing that disease successfully may remove them from special education."
The percentage of kids with asthma in special education was as high as 60 percent in some schools, she added.
Low-income urban children are known to be at greater risk of having their asthma under poor control, Claudio noted. "It's a manageable chronic disease," she added, but "our findings show that a lot of kids from this group are not well managed."
To investigate whether there might be a relationship between having asthma and being in special education classes, Claudio and her colleague Jeanette A. Stingone surveyed 24 randomly chosen New York City public elementary schools via parent questionnaires.
On average, 34 percent of students in special education classes had asthma, compared with 19 percent of children in the general school population. The researchers estimated that children with asthma had a 60 percent increased risk of being in special education compared with children without the disease.
Claudio and Stingone also found that children with asthma who were in special education classes were more likely to be low-income and were three times more likely to have been hospitalized for asthma in the past year, compared to children with asthma in regular classes.
Asthmatic in special education were also half as likely to use a peak flow meter (a device that helps patients control asthma by monitoring their lung function) and 15 percent less likely to use a spacer, a device that delivers asthma medication to the lungs.
However, it was not exactly clear why the asthma rates were higher among special education students. While absenteeism due to illness could be one explanation, Claudio noted, the children in the current study with asthma who were in special education classes did not have significantly more school absences than the asthmatic children in regular classes.
"Because children spend so much of their time in school, there is an opportunity for public health interventions during the school day aimed at improving asthma control among children who are at risk or already experience learning difficulties," the researchers write in the September issue of the American Journal of Public Health.
They are currently evaluating the effectiveness of an asthma management program based at a school in East Harlem, a neighborhood with one of the nation's highest rates of childhood asthma. 我认领 Special education是指为身体上有缺陷或学习上有困难的学生提供的特殊教育。
来自：《美国公共卫生杂志》，2006，9
接受特殊教育的学生中有更高的哮喘发生率。
纽约（健康路透社）：在纽约市公立学校中接受特殊教育的学生中哮喘发生率为三分之一，与之形成对比的是，在学校普通成员中，发生率为五分之一。
“那是一很大的数目。”可能因为接受特殊教育的许多学生就是因为有哮喘才在那些场所学习。纽约市思耐山医学院Luz Claudio合作者说：“成功治疗这一疾病可能需要他们脱离特殊教育。
她补充到，在一些学校中，接受特殊教育的小学生哮喘比例高达60％。
已知低收入城市学生哮喘控制不佳的发生风险更大。 Claudio提到：“它是可以治疗的慢性疾病。”随后补充：“但是我们的发现表明来自这一群体的许多小孩都没有得到理想的控制。”
为了查明是否哮喘与特殊教育群体间存在关系，Claudio和她的同事Jeanette A、Stingone以父母填写问卷表的方式对纽约市公立小学随机调查24所。
平均而言，特殊教育班级的学生34％有哮喘，而普通学生群体中仅19％。研究者们估计，哮喘儿童与无此疾患的儿童相比，成为接受特殊教育学生的风险增加60％。
Claudio和Stingone也发现，特殊教育班级中哮喘儿童与普通班级哮喘儿童相比：更可能来自低收入家庭，既往住院率为三倍。
特殊教育中哮喘儿童可能使用峰流量测量仪（一种测量肺功能仪器，帮助患者控制哮喘）者仅一半，可能使用喷雾剂（一种输送治疗哮喘药达到肺部的装置）的人比例要少15％。
然而，那还不十分清楚为什么哮喘发生率在特殊教育儿童中更高。尽管由于生病而旷课可能是一个原因，Claudio提到：目前的学习情况，在特殊教育班级中的哮喘患儿旷课率并不比普通班级中哮喘患儿的高。
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作者:admin@医学,生命科学 2011-03-30 15:14
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