Asthma in adolescence

Adolescence is generally defined as 12 to 18 years of age. For adolescents older than 14 years, the recommendations for managing asthma in adults usually apply. For younger adolescents, the recommendations for managing asthma in children usually apply.

About one-third of adolescents experience asthma remission during puberty; the reason for this is unknown. However, asthma may improve or worsen in adolescence, or it may be the time of first presentation.

Give adolescents the opportunity to be seen without parents or carers present. This allows discussion of sensitive issues impacting on asthma management, such as tobacco and drug use, adherence and their concerns about their asthma. Assure appropriate confidentiality will be maintained.

Assess health literacy and provide the appropriate level of verbal and written information.