Protective Factors in Urban Children with Asthma

城市儿童哮喘的保护因素

• 批准号: 7071673
• 负责人: Daphne Koinis Mitchell
• 金额: $ 7.32万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7071673
• 关键词: African American; Hispanic Americans; asthma; behavioral /social science research tag; belief; caregivers; caucasian American; clinical research; culture; disease /disorder proneness /risk; emergency health services; functional ability; health disparity; health services research tag; hospital utilization; human morbidity; human subject; interview; longitudinal human study; low socioeconomic status; middle childhood (6-11); urban area

DESCRIPTION (provided by applicant): Pediatric asthma is over-represented in children from low income, urban, and ethnic minority backgrounds in the U.S. The NIH is actively promoting research that identifies factors that decrease the health disparities between ethnic minority, low-income children and their healthier, white counterparts. The combined risks related to having asthma and facing social stressors (poverty, acculturative stress) may increase functional impairment (e.g., increased emergency visits). However, there are urban children and families who are managing asthma effectively, despite facing such risks. The primary objectives of this project are to identify child-specific, cultural, and disease-specific protective processes that minimize asthma morbidity despite exposure to adversity in urban, low-income children. Indices of asthma morbidity to be examined at baseline (initial visit) and follow-up (one year later) include: the number of asthma-related emergency room visits, hospitalizations, and degree of functional limitation. A risk and resilience theoretical model will be applied to this study. A Cumulative Risk Index (CRI) will provide a score that indicates the number and severity of several urban risks that families may face. Participants will include low-income and urban, 8-11 year old children from African-American, Latino, and Anglo backgrounds (N= 150, 50 families in each ethnic group). Children with asthma and their primary caregivers will participate in a home observation and interview-based assessments on risk, protective processes, and morbidity. Three months after the baseline interview, families will participate in a longitudinal, follow-up component (for one year). Four phone interviews that occur three months apart will collect information on morbidity. It is proposed that higher levels of child, cultural, and asthma-specific factors will moderate the relation between the cumulative level of risks and minimal asthma morbidity for urban children at baseline and follow-up. Higher levels of child-specific and asthma-specific factors will minimize morbidity for African- American, Hispanic, and Anglo children. Cultural factors (family values and beliefs) related to minimal morbidity will differ by ethnic subgroup. Results will be used to design a culturally sensitive asthma intervention to enhance asthma management behaviors of ethnic minority, urban and poor families.

描述（由申请人提供）：在美国低收入，城市和少数民族背景的儿童中，儿童哮喘代表过多，NIH正在积极促进研究，这些研究鉴定了降低少数民族，低收入儿童及其健康较健康的白人，白人，白人，白人对手之间的健康差异的因素。与患有哮喘和面对社会压力源（贫困，适应性压力）有关的综合风险可能会增加功能障碍（例如，紧急就诊增加）。但是，尽管面临着这种风险，但仍有城市儿童和家庭有效地管理哮喘。 该项目的主要目标是确定儿童特异性，文化和疾病特异性保护过程，尽管在城市，低收入儿童中暴露于逆境中，但可最大程度地减少哮喘发病率。在基线（初次访问）和随访（一年后）将检查哮喘发病率的指标包括：与哮喘相关的急诊室就诊，住院和功能限制程度。风险和弹性理论模型将应用于这项研究。累积风险指数（CRI）将提供一个分数，表明家庭可能面临的几个城市风险的数量和严重性。参加者将包括来自非裔美国人，拉丁裔和盎格鲁背景的8-11岁的低收入和城市，每个族裔中的50个家庭）。患有哮喘及其主要护理人员的儿童将参加有关风险，保护过程和发病率的家庭观察和基于面试的评估。基线访谈三个月后，家庭将参加纵向的后续成分（一年）。相隔三个月进行的四次电话采访将收集有关发病率的信息。 有人提出，较高水平的儿童，文化和哮喘特异性因素将减轻在基线和随访时城市儿童的累积风险水平与最小的哮喘发病率之间的关系。更高水平的儿童特异性和哮喘特异性因素将最大程度地减少非裔美国人，西班牙裔和盎格鲁儿童的发病率。与最小发病率有关的文化因素（家庭价值观和信念）将因族裔亚组而异。结果将用于设计具有文化敏感的哮喘干预措施，以增强少数民族，城市和贫困家庭的哮喘管理行为。

项目成果

The home environment and family asthma management among ethnically diverse urban youth with asthma.

不同种族城市哮喘青少年的家庭环境和家庭哮喘管理。

• DOI: 10.1037/a0032462
• 发表时间: 2013
• 期刊: Families, systems & health : the journal of collaborative family healthcare
• 作者: Sato,AmyF;Kopel,SherylJ;McQuaid,ElizabethL;Seifer,Ronald;Esteban,Cynthia;Coutinho,MariaTeresa;Klein,Robert;Fritz,GregoryK;Koinis-Mitchell,Daphne
• 通讯作者: Koinis-Mitchell,Daphne

Contextual and cultural risks and their association with family asthma management in urban children.

背景和文化风险及其与城市儿童家庭哮喘管理的关联。

• DOI: 10.1177/1367493512456109
• 发表时间: 2013
• 期刊: Journal of child health care : for professionals working with children in the hospital and community
• 作者: Coutinho,MariaTeresa;McQuaid,ElizabethL;Koinis-Mitchell,Daphne
• 通讯作者: Koinis-Mitchell,Daphne