Racial/ethnic variation in parent perceptions of asthma
Racial/ethnic variation in parent perceptions of asthma
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DOI：
10.1016/j.ambp.2007.10.007
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发表时间：
2008-03-01
期刊：
影响因子：
--
通讯作者：
Lieu, Tracy A.
中科院分区：
文献类型：
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作者：
Wu, Ann Chen;Smith, Lauren;Lieu, Tracy A.
客观。-与白色同龄人相比，患有哮喘的黑人和拉丁裔儿童的发病率更高，接受的控制性药物更少。关于父母对哮喘的看法存在种族/民族差异的信息很少。比较父母对黑人、拉丁裔和白色哮喘儿童在4个领域的看法：（1）对哮喘功能的期望;（2）对药物的担忧;（3）与提供者的互动;（4）竞争家庭优先权。在这项横断面研究中，我们对马萨诸塞州的一个医疗补助健康计划和一个多专业提供者小组中患有持续性哮喘的儿童的父母进行了电话采访。为了衡量对功能和其他领域的期望，我们从过去的研究中改编了多项量表。在控制年龄、性别、家庭收入、父母教育、保险和语言的多变量分析中评估了种族/民族与这些领域之间的关联。应答率为72%。在739名研究儿童中，24%是黑人，21%是拉丁裔，43%是白色。与白色儿童的父母相比，黑人和拉丁裔儿童的父母对儿童哮喘功能的期望较低（P <0.001），对儿童哮喘的担忧程度较高（P <0.001），并且家庭优先事项更具竞争性（P = 0.004）。与黑人或白色儿童的父母相比，拉丁裔儿童的父母对哮喘药物的关注程度更高（P = .002）。在与儿童哮喘护理提供者的互动报告中，种族/民族群体之间没有差异。消除儿童哮喘差异的努力可能需要解决少数族裔和白色家庭之间的期望差异和相互竞争的优先事项。
Objective.- Black and Latino children with asthma have worse morbidity and receive less controller medication than their white peers. Scant information exists on racial/ethnic differences in parent perceptions of asthma. To compare parent perceptions among black, Latino, and white children with asthma in 4 domains: (1) expectations for functioning with asthma; (2) concerns about medications; (3) interactions with providers; and (4) competing family priorities.Methods.-In this cross-sectional study, we conducted telephone interviews with parents of children with persistent asthma in a Medicaid health plan and a multispecialty provider group in Massachusetts. To measure expectations for functioning and other domains, we adapted multi-item scales from past studies. Associations between race/ethnicity and these domains were evaluated in multivariate analyses that controlled for age, gender, household income, parental education, insurance, and language. The response rate was 72%.Results.-Of the 739 study children, 24% were black, 21% Latino, and 43% white. Parents of black and Latino children had lower expectations for their children's functioning with asthma (P < .001), higher levels of worry about their children's asthma (P < .001), and more competing family priorities (P = .004) compared with parents of white children. Parents of Latino children had higher levels of concern about medications for asthma than parents of black or white children (P = .002). There were no differences among racial/ethnic groups in reports of interactions with the provider of their children's asthma care.Conclusions.-Efforts to eliminate disparities in childhood asthma may need to address variation in expectations and competing priorities between minority and white families.