Kasim M. Al-Dawood

Schoolboys with Bronchial Asthma in Al-Khobar City, Saudi Arabia: Are They at Increased Risk of School Absenteeism?

The objective of this cross-sectional study was to determine the mean period of school absenteeism (MPSA) among asthmatic Saudi schoolboys of Al-Khobar City and to determine the factors associated with the absenteeism. The methodology included the distribution of a self-administered questionnaire, which was completed by the parents of 1482 schoolboys who satisfied the selection criteria of the study. The prevalence rate of questionnaire-diagnosed asthma (QDA) was 9.5% (141/1482). The MPSA among questionnaire-diagnosed asthmatic boys (QDAs) was 13.6 ± 3.4 days compared to 3.7 ± 2.2 days among non questionnaire-diagnosed asthmatic boys (non QDAs). Among QDAs, the MPSA was associated significantly and positively with those who were younger, and with decreasing levels of socioeconomic class, histories of pets at home, presence of a currently smoking family member (father or both parents), visit to a hospital emergency room, and admission to hospital. It was significantly and negatively associated with concomitant use of prophylactic medication(s), including those used appropriately. The QDAs from middle and lower socioeconomic classes showed less use of prophylactic medication(s) but more histories of visits to an emergency room and of admissions to hospital. The multiple linear regression equation for the total period of school absenteeism (TPSA) during the 1995 academic year was generated. Asthmatic school children have a higher MPSA compared to their non asthmatic classmates. The risk of suffering the impacts of this disease is shown to be particularly increased among QDAs belonging to less socioeconomically advantaged families.

Parental Smoking and the Risk of Respiratory Symptoms Among Schoolboys in Al-Khobar City, Saudi Arabia

The objective of this study was to measure the prevalence of parental smoking and its association with respiratory symptoms among 6- through 15-year-old schoolboys in Al-Khobar City, Saudi Arabia. This was a cross-sectional study. The methodology included the distribution of a self-administered questionnaire, which was completed by the parents of 1482 schoolboys who satisfied the selection criteria of the study. The overall rate of smoking among parents of this sample was 18.2% (32% among fathers and 4% among mothers). There was an increased risk associated with parental smoking and respiratory symptoms among asthmatic and nonasthmatic children. The magnitude of this risk was variable for different respiratory symptoms. The smoking rate among parents of asthmatic children was significantly higher than that of parents of normal children. The logistic regression model showed paternal smoking to be significantly associated with asthmatic children. The study concluded that there is an increased risk of respiratory symptoms among asthmatic and nonasthmatic children because of parental smoking. The smoking rate and trend among fathers and mothers were comparable to those reported earlier, indicating an ongoing problem. Schoolchildren with smoking parents may be better screened for bronchial asthma. Management of children presenting with respiratory symptoms should include an inquiry about exposure to passive smoking. Tobacco smoking should be considered a public health problem with serious implications, and the importation of tobacco should be banned.

Pattern and risk factors associated with hospital emergency visits among schoolboys with bronchial asthma in Al-Khobar.

BACKGROUND The objective of this cross-sectional study was to determine the prevalence of a history of hospital emergency visits (HHEV) among asthmatic Saudi schoolboys in the city of Al-Khobar and factors associated with such visits. SUBJECTS AND METHODS The methodology included the distribution of a self-administered questionnaire, which was completed by the parents of 1482 schoolboys who satisfied the selection criteria of the study. RESULTS The prevalence rate of questionnaire-diagnosed asthma (QDA) was 9.5%. The prevalence rate of a positive HHEV among QDA boys (QDAs0 was 65%. Positive HHEV among QDAs was associated significantly with those who were younger (P <0.00001), with decreasing levels of socioeconomic class (P <0.00001), histories of pets at home (P <0.00001), presence of a currently smoking family member (P <0.00001), and/or a smoking father (P <0.00001), with mean period of school absenteeism (P <0.00001), and previous admission to hospital (P <0.05). It was also significantly associated with concomitant use of prophylactic medication(s) (P <0.00001). The multiple linear regression equation for the total number of hospital emergency visits during the current academic year was generated. CONCLUSION Asthmatic school children have a relatively higher rate of HHEV compared to the normal population. Modifying the preventable factors associated with the total number of hospital emergency visits is expected to decrease the severity and the disability associated with this disease.

Risk factors of mental retardation in children attending an educationally subnormal/mental school in Dammam, Saudi Arabia.

The objective of this case control study was no identify the possible associated risk factors of mild mental retardation in children. Sixty-nine parents of mildly mentally retarded (MR group) male children and a similar number of matched parents of normal male children (control) were interviewed using a questionnaire. The MR group was found to belong to the middle and the lower socioeconomic classes. Histories of maternal smoking, skin rash, fever, and less attendance to antenatal clinics during pregnancy were reported significantly more by mothers of the MR group (P = 0.027, 0.008, 0.027 and 0.0018, respectively). Furthermore, these mothers reported more collective occurrence of newborn jaundice, fever, convulsions, incubator need, and head trauma (P = 0.004). More consanguineous marriages were found in the control group (73.9%) as compared to the MR group (59.4%) (P = 0.056). A family history of mental retardation was, however, more in the latter group compared to the former group (P=0.027). The risk of having another mentally retarded member in the family was found to be a higher if the familial degree of another closeness to the mentally retarded member was more. Well planned health education programs, genetic counseling units, and sufficient antenatal and neonatal services are of prime importance.