Urban Caregiver Empowerment: Caregiver Nativity, Child-Asthma Symptoms, and Emergency-Department Use
Urban Caregiver Empowerment: Caregiver Nativity, Child-Asthma Symptoms, and Emergency-Department Use
复制标题
DOI：
10.1037/fsh0000206
复制
发表时间：
2016-09-01
影响因子：
1.3
通讯作者：
Koinis-Mitchell, Daphne
中科院分区：
文献类型：
--
作者：
Coutinho, Maria Teresa;Kopel, Sheryl J.;Koinis-Mitchell, Daphne
简介：在这项研究中，我们研究了照顾者授权，儿童哮喘症状，急诊室（艾德）使用的学龄城市哮喘儿童的样本之间的关联。我们研究了照顾者授权的差异，以及照顾者授权、儿童哮喘症状天数比例和艾德使用作为照顾者出生函数之间的关联。方法：这项研究的参与者是一项更大的纵向研究的一部分，包括拉丁美洲人、非洲裔美国人和非拉丁美洲白色城市照顾者及其哮喘儿童（7-9岁; N = 130）。在家庭、哮喘服务和社区领域评估了照顾者的赋权。结果：儿童的照顾者报告说，在家庭中的权力更大（即，有足够的知识和能力照顾家人），哮喘症状较少。其照顾者报告在哮喘服务中获得更大权力的儿童（即，与哮喘提供者和卫生保健系统合作的能力），表现出更多的哮喘症状。外国出生的照顾者赞同在家庭内部赋予更大的权力，而美国-据报告，在哮喘服务方面，天生的照顾者获得了更大的权力。对于外国出生的照顾者，家庭中更高水平的授权与更少的儿童哮喘症状有关。对于美国-出生的照顾者，更高水平的授权哮喘服务与更多的儿童哮喘症状。讨论内容：结果表明，那些感到更有信心和更好地管理家庭问题的照顾者可能会更好地管理孩子的哮喘症状。外国出生的照顾者可能会受益于更多的支持，以更有效地浏览哮喘卫生保健系统和管理他们的孩子的哮喘。
Introduction: In this study, we examined the associations between caregiver empowerment, child-asthma symptoms, and emergency-department (ED) use in a sample of school-age urban children with asthma. We examined differences in caregiver empowerment, and in the associations among caregiver empowerment, proportion of days with child-asthma symptoms, and ED use as a function of caregiver nativity. Method: Participants for this study were part of a larger longitudinal study and included Latino, African American and non-Latino White urban caregivers and their children with asthma (ages 7-9; N = 130). Caregiver empowerment was assessed within family, asthma services, and community domains. Results: Children whose caregivers reported greater empowerment within the family (i.e., possessing sufficient knowledge and ability to care for their families) presented with fewer asthma symptoms. Children whose caregivers reported greater empowerment within asthma services (i.e., the ability to collaborate with asthma providers and the health-care system), presented with more asthma symptoms. Foreign-born caregivers endorsed greater empowerment within the family, whereas U.S.-born caregivers reported greater empowerment within asthma services. For foreign-born caregivers, higher levels of empowerment in the family were associated with fewer child-asthma symptoms. For U.S.-born caregivers, higher levels of empowerment in asthma services were associated with more child-asthma symptoms. Discussion: Results suggest that caregivers who feel more confident and better able to manage problems within their families may better manage their children's asthma symptoms. Foreign-born caregivers may benefit from increased support to more effectively navigate the asthma health-care system and manage their children's asthma.