Analysis on the level of COVID-19 in children's asthma control and its influencing factors

Objective To investigate the influence of COVID-19 on childhood asthma control and risk factors affecting it in Chongqing and provide reference for the management of childhood asthma during the epidemic. Methods From February 18 to 20, 2020, a cross-sectional questionnaire survey was conducted.Children with asthma and their caregivers filled in personal information and childhood asthma control test questionnaires. Results A total of 220 children were included in this survey, 31 (14.09%) children had uncontrolled asthma. Children in the uncontrolled group had higher incidence of poor medication adherence and negative emotions than those in the controlled group (25.8% vs 7.9%, 22.6% vs 6.9%, respectively) , the differences were statistically significant(P<0.05). Inconvenience of obtaining medications (30.43%) and unwilling to obtain medications for fear of infection (26.09%) were the main reasons for poor medication adherence in childhood asthma. Negative emotions of the caregivers was associated with the negative emotions of their children (P<0.01). Conclusion During the outbreak of COVID-19, the uncontrolled rate of childhood asthma in Chongqing is low. Poor medication adherence and negative emotions may be the risk factors for uncontrolled asthma in children. Key words: COVID-19; Asthma; Children; Control; Risk factors