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Master Thesis

Influence de la précarité sur les connaissances parentales dans l'asthme de l'enfant : étude prospective en Guadeloupe

Abstract : Introduction: Asthma is the most common chronic disease in children. Recommendations call for management based on control with a major emphasis on therapeutic education for parents and children. While precariousness has already been associated with poor control of a child's asthma, the link between precariousness and parental knowledge has been little studied. The aim of this study was to study the link between precariousness and parental knowledge in child asthma in Guadeloupe. Material and method: An anonymous self-questionnaire was submitted to the parents of asthmatic children aged 2 to 15 years old presenting in a paediatric ward at the University Hospital of Guadeloupe between 1 November 2019 and 1 February 2020. Precariousness, parental knowledge and asthma control were studied using the EPICES score, the Rodriguez score and the GINA score respectively. Bivariate and multivariate analyses were used to study the relationships between precariousness, knowledge score and asthma control. Results: One hundred and one parents were included. Fifty-nine percent of the parents were in a precarious situation. The knowledge score averaged 59.6 out of 72 points. Asthma was controlled or partially controlled in 80% of the children. The knowledge score was associated with precariousness (p=0.008). A low knowledge score was also associated with the fact that the guardian did not have a bachelor's degree (56.2 ± 5.0 versus 61.9 ± 6.2; p<.001), the guardian did not pay income taxes (58.7 ± 6.2 versus 61.8 ± 6.5; p=.029), the child did not follow an action plan (57.7 ± 5.4 versus 61.7 ± 6.8; p=.029), and the guardian did not pay income taxes (58.7 ± 6.2 versus 61.8 ± 6.5; p=.029); p=0.002) or that the child did not benefit from a therapeutic education program (58.9 ± 5.8 vs. 65.3 ± 8.0; p=0.027) and that one of the parents is himself asthmatic (57.1 ± 5.8 vs. 60.9 ± 6.5; p=0.038). Finally, the knowledge score was not associated with asthma control (p=0.723). In multivariate analysis, having a guardian with a bachelor's degree increased the knowledge score by 4.1 points (p=.002), having completed a therapeutic education program by 4.3 points (p=.020), having completed an action plan by 2.5 points (p=.028), and having a parent with asthma by 2.4 points (p=.027). Discussion: There is an association between insecurity and parental knowledge in child asthma. This is one more argument showing the negative influence of precariousness on the child's asthma. Therapeutic education and health education are major levers for improving asthma management. Asthma control was not correlated with precariousness in our study, it is not excluded that this is due to poor perception of symptoms by parents. Conclusion: Precariousness has a pejorative effect on parental knowledge of the child's asthma. The identification of precarious populations and their good orientation towards adapted therapeutic education programs would allow to improve the management of asthmatic children.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03280975
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Submitted on : Wednesday, July 7, 2021 - 5:45:20 PM
Last modification on : Tuesday, February 8, 2022 - 3:37:57 AM

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Christophe Carpentier. Influence de la précarité sur les connaissances parentales dans l'asthme de l'enfant : étude prospective en Guadeloupe. Médecine humaine et pathologie. 2020. ⟨dumas-03280975⟩

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