ArticleBMC public health2026
Asthma knowledge and health-promoting behaviours among schoolchildren in Oman: a cross-sectional study.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAsthma affects an estimated 6.1 million children worldwide and is associated with impaired quality of life and substantial morbidity and mortality. This study assessed asthma-related knowledge and health promotion behaviours among schoolchildren with bronchial asthma in Oman, examined the relationship between knowledge and health-promotion behaviours.
methodsA cross-sectional exploratory study was conducted between November 2021 and December 2022 in Muscat, North Al Batinah and Al Dhakiliya governorates, Oman. Data were collected using a demographic questionnaire, a Knowledge Questionnaire and a Health-Promoting Behaviour Scale. The sample included schoolchildren aged 10–15 years with a diagnosis of bronchial asthma, enrolled in public schools in Muscat, North Al Batinah and Al Dhakiliya governorates. Associations were assessed using Spearman’s correlation; group differences using Mann–Whitney U and Kruskal–Wallis tests. Variables with p < 0.25 were included in a generalized linear model.
resultsAmong 388 schoolchildren, mean asthma knowledge was 13.71 ± 2.56/24 and mean health-promoting behaviour (HPB) score was 47.78 ± 4.33/66. Most children had average asthma knowledge (n = 275, 70.9%), while 64 (16.5%) had poor knowledge and 49 (12.6%) had good knowledge. Most children had average HPB (n = 313, 80.7%), with 65 (16.8%) classified as poor and 10 (2.6%) classified as good. Knowledge correlated positively with HPB in crude analysis (Spearman’s r = 0.146; p = 0.004) but was not independently associated in the multivariable model (β = 0.118; p = 0.191). Higher HPB scores were independently associated with rural residence (β = 1.379; p = 0.025) and living in owned housing β = 1.629; p = 0.006).
conclusionThis study found that schoolchildren with bronchial asthma in Oman had mostly average asthma knowledge and health-promoting behaviours. Although knowledge correlated with health-promoting behaviours in crude analysis, it was not an independent predictor after adjustment. Rural residence and living in owned housing were associated with higher health-promoting behaviour scores. These findings support the need for structured, regular, child- and caregiver-focused education and standardised asthma care pathways to strengthen self-management and improve quality of life.
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