Maternal depressive symptoms and emergency department use among inner-city children with asthma
Maternal depressive symptoms and emergency department use among inner-city children with asthma
复制标题
DOI：
10.1001/archpedi.155.3.347
复制
发表时间：
2001-03-01
影响因子：
--
通讯作者：
Rand, CS
中科院分区：
文献类型：
--
作者：
Bartlett, SJ;Kolodner, K;Rand, CS
内容：内城少数民族儿童哮喘使用急诊室（艾德）frequent.Objective：研究是否与母亲抑郁症状与艾德use.Design，设置，和患者：基线和6个月的调查进行了管理，以母亲的哮喘儿童在内城巴尔的摩，马里兰州和华盛顿特区。主要成果措施：使用的艾德在B个月的后续检查。自变量包括哮喘发病率，年龄，抑郁症状，和其他psychosocial data.Results：在母亲，近一半的抑郁症状的显着水平。患有高度和低度抑郁症状的母亲的孩子之间没有人口统计学或哮喘相关的差异。然而，在双变量分析中，有高度抑郁症状的母亲为40%，（患病率[PR]，1.4; 95%置信区间[CI]，1.0-3.6; P=.04）更有可能报告带孩子去急诊室。（PR，2.2; 95% CI，1.9-9.3; P= 0.001）报告艾德使用，发病率高的儿童也是如此（PR，1.9，95% CI，1.4-7.1; P= 0.006）。儿童年龄和家庭收入不能预测艾德的使用。在控制哮喘症状和母亲的年龄，抑郁症状的母亲仍然有30%的可能性报告艾德use.Conclusions：抑郁症是常见的儿童哮喘的母亲之间的内城。除了哮喘发病率，母亲年龄和抑郁症状是艾德就诊报告的强预测因子。识别和解决母亲心理适应不良可能会减少不必要的艾德就诊，并优化市中心儿童的哮喘管理。
Context: Inner-city minority children with asthma use emergency departments (ED) frequently.Objective: To examine whether maternal depressive symptoms are associated with ED use.Design, setting, and Patients: Baseline and 6-month surveys were administered to mothers of children with asthma in inner-city Baltimore, Md, and Washington, DC.Main Outcome Measures: Use of the ED at B-month follow-up was examined. Independent variables included asthma morbidity, age, depressive symptoms, and other psychosocial data.Results: Among mothers, nearly half reported significant levels of depressive symptoms. There were no demographic or asthma-related differences between the children of mothers with high and low depressive symptoms. However, in bivariate analyses, mothers with high depressive symptoms were 40% (prevalence ratio [PR], 1.4; 95% confidence interval [CI], 1.0-3.6; P=.04) more likely to report taking their child to the ED. Mothers aged 30 to 35 years were more than twice as likely (PR, 2.2; 95% CI, 1.9-9.3; P=.001) to report ED use, as were children with high morbidity (PR, 1.9, 95% CI, 1.4-7.1; P=.006). Child age and family income were not predictive of ED use. After controlling for asthma symptoms and mother's age, mothers with depressive symptoms were still 30% more likely to report ED use.Conclusions: Depression is common among inner-city mothers of children with asthma. Beyond asthma morbidity, maternal age and depressive symptoms are strong predictors of reports of ED visits. Identifying and addressing poor psychological adjustment in mothers may reduce unnecessary ED visits and optimize asthma management among inner-city children.