Predictors of Depressive Symptoms in Caregivers of Children With Poorly Controlled Asthma: Is the Neighborhood Context Important?
Predictors of Depressive Symptoms in Caregivers of Children With Poorly Controlled Asthma: Is the Neighborhood Context Important?
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DOI：
10.1097/fch.0000000000000313
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发表时间：
2022-01-01
影响因子：
2.3
通讯作者：
Morphew, Tricia
中科院分区：
文献类型：
--
作者：
Kub, Joan E.;DePriest, Kelli N.;Bellin, Melissa H.;Butz, Arlene;Lewis-Land, Cassie;Morphew, Tricia
居住在低收入社区的儿童不成比例地受到哮喘发病率和死亡率的影响。邻里暴力已被探讨儿童发病率和健康和发展的结果，但很少有人知道的关系，暴力照顾者的心理健康。本研究的目的是探讨邻里暴力犯罪受害（客观和主观的措施），社区福祉和支持的看法，和抑郁症状之间的样本主要是单一的女性照顾者的儿童不受控制的哮喘。这是对基线数据的二次分析，该基线数据来自一项针对3至12岁儿童的基于家庭的环境控制干预的随机对照试验，这些儿童主要是非洲裔美国人，被诊断患有持续性、不受控制的哮喘。结果表明，客观和主观的犯罪措施，特别是在那些相对较低的生活压力（P <0.001），有限的教育的照顾者（P <0.001），和较少的儿童在家庭（P <0.01）与抑郁症状的儿童哮喘控制的照顾者有直接的关联。邻里的满意度和社区感的看法，以及社会支持的看法，与抑郁症状。我们的研究结果强调，需要筛选抑郁症状，生活压力，以及客观和主观的看法，邻里之间的暴力儿童哮喘控制不佳的照顾者。此外，在为这些照顾者提供全面护理时，减轻压力和提供心理健康资源至关重要。
Children residing in low-income neighborhoods are disproportionately affected by asthma morbidity and mortality. Neighborhood violence has been explored in relationship to child morbidity and health and developmental outcomes, but less is known about the relationship of violence to caregiver mental health. The purpose of this study was to examine the relationship of neighborhood violent crime victimization (objective and subjective measures), perceptions of community well-being and support, and depressive symptoms among a sample of primarily single female caregivers of children with uncontrolled asthma. This is a secondary analysis of baseline data obtained from a randomized controlled trial of a home-based environmental control intervention for children aged 3 to 12 years, who were primarily African American, and diagnosed with persistent, uncontrolled asthma. Results showed that both objective and subjective measures of crime, particularly in those with relatively low life stress (P < .001), limited education of the caregiver (P < .001), and fewer children (P < .01) in the household had direct associations with depressive symptoms in caregivers of children with uncontrolled asthma. Neighborhood perceptions of satisfaction and a sense of community, as well as perceptions of social support, were not associated with depressive symptoms. Our findings emphasize the need to screen for depressive symptoms, life stress, as well as both objective and subjective perceptions of neighborhood violence among caregivers of children with poorly controlled asthma. Furthermore, when providing holistic care to these caregivers, stress reduction and the provision of mental health resources are paramount.