nach oben

Journal of Clinical Psychology in Medical Settings

Erschienen in:

01.03.2010

Cultural-Related, Contextual, and Asthma-Specific Risks Associated with Asthma Morbidity in Urban Children

verfasst von: Daphne Koinis-Mitchell, Elizabeth L. McQuaid, Sheryl J. Kopel, Cynthia A. Esteban, Alexander N. Ortega, Ronald Seifer, Cynthia Garcia-Coll, Robert Klein, Elizabeth Cespedes, Glorisa Canino, Gregory K. Fritz

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 1/2010

Einloggen, um Zugang zu erhalten

Abstract

The objective of this study was to examine associations between specific dimensions of the multi-dimensional cumulative risk index (CRI) and asthma morbidity in urban, school-aged children from African American, Latino and Non-Latino White backgrounds. An additional goal of the study was to identify the proportion of families that qualify for high-risk status on each dimension of the CRI by ethnic group. A total of 264 children with asthma, ages 7–15 (40% female; 76% ethnic minority) and their primary caregivers completed interview-based questionnaires assessing cultural, contextual, and asthma-specific risks that can impact asthma morbidity. Higher levels of asthma-related risks were associated with more functional morbidity for all groups of children, despite ethnic group background. Contextual and cultural risk dimensions contributed to more morbidity for African-American and Latino children. Analyses by Latino ethnic subgroup revealed that contextual and cultural risks are significantly related to more functional morbidity for Puerto Rican children compared to Dominican children. Findings suggest which type of risks may more meaningfully contribute to variations in asthma morbidity for children from specific ethnic groups. These results can inform culturally sensitive clinical interventions for urban children with asthma whose health outcomes lag far behind their non-Latino White counterparts.

Barocas, R., Seifer, R., & Sameroff, A. J. (1985). Defining environmental risk: Multiple dimensions of pscyhological vulnerability. American Journal of Community Psychology, 13, 433–447.CrossRefPubMed

Cabana, M. D., Slish, K. K., Lewish, T. C., Brown, R. W., Nan, B., Lin, X., et al. (2004). Parental management of asthma triggers within a child’s environment. Journal of Allergy and Clinical Immunology, 114, 352–357.CrossRefPubMed

Canino, G., & Bravo, M. (1994). The adaptation and testing of diagnostic and outcome measures for cross-cultural research. International Review of Psychiatry, 6, 281–286.CrossRef

Canino, G., Koinis Mitchell, D., Ortega, A., McQuaid, E., Fritz, G., & Alegria, M. (2006). Asthma disparities in the prevalence, morbidity and treatment of Latino children. Social Science and Medicine, 63, 2926–2937.CrossRefPubMed

Canino, G., McQuaid, E. L., Alvarez, M., Colon, A., Esteban, C., Febo, V., et al. (2009). Issues and methods in disparities research: The Rhode Island-Puerto Rico asthma center. Pediatric Pulmonology, 44, 899–908.CrossRefPubMed

Centers for Disease Control. (2005). Asthma—United States, 2003: Centers for Disease Control.

Cervantes, R. C., Padilla, A. M., & Salgado de Snyder, N. (1990). Reliability and validity of the Hispanic Stress Inventory. Hispanic Journal of Behavioral Sciences, 12, 76–82.CrossRef

Crain, E. F., Kercsmar, C., Weiss, K. B., Mitchell, H., & Lynn, H. (1998). Reported difficulties in access to quality care for children with asthma in the inner city. Archives of Pediatric and Adolescent Medicine, 151, 333–339.

Duncan, G. J., & Brooks-Gunn, J. (1997). Consequences of growing up poor. New York: Russel Sage Publications.

Evans, R., & English, K. (2002). The environment of poverty: Multiple stressor exposure, psychophysiological stress, and socioemotional adjustment. Child Development, 73, 1238–1248.CrossRefPubMed

Institute of Medicine. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC.

Jackson, J., & Williams, D. (1995). Detroit Area Study, 1995: Social influence on health: Stress, racism, and health protective resources. Ann Arbor, MI: University of Michigan.

Kattan, M., Mitchell, H., Eggleston, P., Gergen, P., Crain, E., Redline, S., et al. (1997). Characteristics of inner-city children with asthma: The National Cooperative Inner-City Asthma Study. Pediatric Pulmonology, 24, 253–262.CrossRefPubMed

Kattan, M., Stearns, S. C., Crain, E. F., Stout, J. W., Gergen, P. J., Evans, R., I. I. I., et al. (2005). Cost-effectiveness of a home-based environmental intervention for inner-city children with asthma. Journal of Clinical Immunology, 116, 1058–1063.CrossRef

Koinis Mitchell, D., McQuaid, E., Seifer, R., Kopel, S., Esteban, C., Canino, G., et al. (2007). Multiple urban and asthma-related risks and their association with asthma morbidity in children. Journal of Pediatric Psychology, 32, 582–595.CrossRefPubMed

Koinis-Mitchell, D., McQuaid, E. L., Friedman, D., Colon, A., Soto, J., Rivera, D. V., et al. (2008). Latino caregivers’ beliefs about asthma: Causes, symptoms, and practices. Journal of Asthma, 45, 205–210.CrossRefPubMed

Lieu, T. A., Finkelstein, J. A., Lozano, P., Capra, A. M., Chi, F. W., Jensvold, N., et al. (2004). Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children. Pediatrics, 114, 102–110.CrossRef

McDaniel, M., Paxson, C., & Waldfogel, J. (2006). Racial disparities in childhood asthma in the United States: Evidence from the National Health Interview Survey, 1997 to 2003. Pediatrics, 117, e868–e877.

McQuaid, E. L., Vasquez, J., Glorisa, C., Fritz, G. K., Ortega, A. N., Colon, A., et al. (2009). Beliefs and barriers to medication use in parents of Latino children with asthma. Pediatric Pulmonology, 44, 892–898.CrossRefPubMed

McQuaid, E., Walders, N., Kopel, S., Fritz, G., & Klinnert, M. (2005). Pediatric asthma management in the family context: The Family Asthma Management System Scale. Journal of Pediatric Psychology, 30, 492–502.CrossRefPubMed

National Institutes of Health. (2002). National asthma education and prevention program, expert panel, report. Guidelines for the diagnosis and management of asthma-update on selected topics 2002. (No. DHHS Publication No. (NIH) 02-3659). Bethesda, MD: National Institutes of Health.

Nelson, D. A., Johnson, C. C., Divine, G. W., Strauchman, C., Joseph, C. L., & Ownby, D. R. (1997). Ethnic differences in the prevalence of asthma in middle class children. Annals of Allergy and Asthma Immunology, 78, 21–26.CrossRef

Ortega, A., Gergen, P., Paltiel, A., Bauchner, H., Belanger, K., & Leaderer, B. (2002). Impact of site care, race, and Hispanic ethnicity on medication use for childhood asthma. Pediatrics, 109, E1.CrossRefPubMed

Pearlman, D. N., Zierler, S., Meersman, S., Kim, H. K., Viner-Brown, S. I., & Caron, C. (2006). Race disparities in childhood asthma: Does where you live matter? Journal of the National Medical Association, 98, 239–247.PubMed

Rand, C. S. (2002). Adherence to asthma therapy in the preschool child. Allergy, 57, 48–57.CrossRefPubMed

Rand, C. S., Butz, A. M., Kolodner, K., Huss, K., Eggleston, P., & Malveaux, F. (2000). Emergency department visits by urban African American children with asthma. Journal of Allergy and Clinical Immunology, 105, 83–90.CrossRefPubMed

Resnick, M., Bearman, P., Blum, R., Bauman, K., Harris, K., Jones, J., et al. (1997). Protecting adolescents from harm. Findings in the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278, 823–832.CrossRefPubMed

Rosier, M. J., Bishop, J., Nolan, T., Robertson, C. F., Carlin, J. B., & Phelan, P. D. (1994). Measurement of functional severity of asthma in children. American Journal of Respiratory and Critical Care Medicine, 149, 1434–1441.PubMed

Solis, J. M., Marks, G., Garcia, M., & Shelton, D. (1990). Acculturation, access to care, and use of preventive services by Hispanics: Findings from HHANES, 1982–84. American Journal of Public Health, 80, 11–19.CrossRefPubMed

Szalacha, L. A., Erkut, S., Garcia Coll, C., Alarcon, O., Fields, J. P., & Ceder, I. (2003). Discrimination and Puerto Rican children’s and adolescents’ mental health. Cultural Diversity and Ethnic Minority Psychology, 9, 141.CrossRefPubMed

U.S. Department of Health and Human Services. (2005). The 2005 HHS poverty guidelines. Washington, DC: U.S. Department of Health and Human Services.

Wamboldt, F. S., Ho, J., Milgrom, H., Wamboldt, M. Z., Sanders, B., Szefler, S. J., et al. (2002). Prevalence and correlates of household exposures to tobacco smoker and pets in children with asthma. Journal of Pediatrics, 141, 109–115.CrossRefPubMed

Warman, K. L., Silver, E. J., & Stein, R. E. (2001). Asthma symptoms, morbidity, and anti-inflammatory use in inner-city children. Pediatrics, 108, 277–282.CrossRefPubMed

Wright, R. J., Mitchell, H., Visness, C. M., Cohen, S., Stout, J., Evans, R., et al. (2004). Community violence and asthma morbidity: The inner-city asthma study. American Journal of Public Health, 94, 625–632.CrossRefPubMed

Titel: Cultural-Related, Contextual, and Asthma-Specific Risks Associated with Asthma Morbidity in Urban Children
verfasst von: Daphne Koinis-Mitchell
Elizabeth L. McQuaid
Sheryl J. Kopel
Cynthia A. Esteban
Alexander N. Ortega
Ronald Seifer
Cynthia Garcia-Coll
Robert Klein
Elizabeth Cespedes
Glorisa Canino
Gregory K. Fritz
Publikationsdatum: 01.03.2010
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 1/2010
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-009-9178-3

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2010

Applicants’ Perspectives on Applying for Psychology Licensure: Experiences, Problems and Recommendations

Psychosocial Factors in Noncompliance During Liver Transplant Selection

Bulimic Eating Disorders in Primary Care: Hidden Morbidity Still?

Anxiety and Depression in Brazilian Orthopaedics Inpatients: A Cross Sectional Study with a Clinical Sample Comparison

Changes in Pediatric Health-Related Quality of Life in Cystic Fibrosis After IV Antibiotic Treatment for Pulmonary Exacerbations

Effects of Illness Representation, Perceived Quality of Information Provided by the Health-Care Professional, and Perceived Social Support on Depressive Symptoms of the Caregivers of Children with Leukemia