Prevalence of asthma, its correlates, and validation of the Pre-School Asthma Risk Factors Scale (PS-ARFS) among preschool children in Lebanon

Objectives: The Asthma Risk Factor Scale (ARFS) is used to screen for asthma in Lebanese pre-school children (aged 3-16 years). The study objective was to describe factors associated with asthma, confirm ARFS score validity among Lebanese preschool children, and develop a risk score for asthma diagnosis in this age group (Pre-School Asthma Risk Factor Scale [PS-ARFS]). Methods: A cross-sectional study enrolled 515 preschool children (November 2018 and March 2019). The ARFS is a 15-item toot that assesses children's environmental exposure, parental history of asthma, and dietary habits. Results: The percentage of asthmatic children was 8.2%. Higher odds of asthma in children were associated with living near a prairie sprayed with pesticides (odds ratio [OR]=2.33), playing out-doors (OR=2.89), having a heater in the bedroom (OR=10.73), attending a nursery (OR=2.91), having a mother who smokes cigarettes (OR=3.35) or water pipe (OR=2.46), a sister with a history of seasonal allergy (OR=6.81), and a parental history (mother and father) of asthma (OR=6.15 and OR=9.83, respectively). Higher ARFS scores (OR= 1.144) were associated with higher odds of asthma. Accordingly, the PS-ARFS was created according to the following formula: ARFS score+ (playing out-doorx 2.4)+ (heating system in the bedroom x12.9)+ (having attended a nursery x 2.5) (area under the curve=0.908 [0.860-0.957]; P<0.001); at value: 14.20, Se =84.3% and Sp=90.9%. Conclusion: PS-ARFS is suggested for screening of asthma in preschool children in an epidemiological setting and in the absence of spirometry. (C) 2021 Codon Publications. Published by Codon Publications.