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Steven L. Gortmaker, PhD
Harvard School of Public Health Boston, Mass

Michael Weitzman, MD
University of Rochester (NY) School of Medicine and Dentistry

JAMA. 1993;269(15):1941.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—We examined measures of functional status among all children up to 17 years of age without asthma or another chronic health condition in 1981 and 1988 (n=14 368 and 15 902, respectively). We estimated the relative risk of change in these measures, comparing rates of functional problems in 1988 with rates in 1981. These relative risks are tabulated in the Table, along with comparable estimated relative risks among children and adolescents with asthma. Statistics were calculated taking into account the sample design, as described in our article.

If we use as the standard the changes in functional status among the population that is not chronically ill, then four of the measures provide no evidence for decreasing functional status of children with asthma. One measure (fair/poor health status) indicates improvements in the functional status of children with asthma when compared with changes observed in the population that is not . . . [Full Text PDF of this Article]

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