Asthma Self-Management is Sub-Optimal in Urban Hispanic and African American/Black Early Adolescents with Uncontrolled Persistent Asthma
Asthma Self-Management is Sub-Optimal in Urban Hispanic and African American/Black Early Adolescents with Uncontrolled Persistent Asthma
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DOI：
10.3109/02770903.2011.637595
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发表时间：
2012-02-01
影响因子：
1.9
通讯作者：
Evans, David
中科院分区：
文献类型：
--
作者：
Bruzzese, Jean-Marie;Stepney, Cesalie;Evans, David
导言。年仅11岁的年轻人被赋予了管理他们哮喘的责任。然而，对早期青少年哮喘的自我管理行为知之甚少。本研究以城市早期青少年哮喘自我管理行为和哮喘管理责任感为特征，探讨人口统计学差异，探讨哮喘责任感与疾病管理的关系。方法：研究方法。约317名西班牙裔和非裔美国人/黑人早期青少年(平均年龄=12.71岁)报告了持续、未控制的哮喘的预防和症状管理步骤以及哮喘护理的责任。我们使用泊松模型、累积Logistic模型、Logistic模型和线性混合效应回归模型来评估人口统计学预测因素、预防和管理行为以及哮喘护理责任之间的关系。结果。50%的人采取了7-9项预防措施；很少有人在没有症状或每天服用药物时去看医生。当出现症状时，92%的人使用药物来治疗症状，56%的人寻求医疗护理。控制哮喘的责任，较少的老年青年报告说，当哮喘可能开始时，观察他们的感受，观察症状变化，或寻求帮助。更多的男孩报告说，每天或在触发暴露时服用药物。控制了年龄、性别和种族/民族，那些报告哮喘责任更多的人报告采取了管理措施、寻求预防护理、寻求帮助或因哮喘去看医生/医院的可能性较小。结论。青少年早期哮喘自我管理能力较差。随着年龄的增长，他们对自己的哮喘越来越不敏感，也不太可能寻求帮助。尽管他们认为自己有更多的责任来管理他们的哮喘，但早期青少年在照顾他们的哮喘方面做得更少，这表明他们过早地被赋予了照顾哮喘的责任。
Introduction. Youth as young as 11 are given responsibility to manage their asthma. Yet, little is known regarding early adolescents' asthma self-management behaviors. This study characterizes urban early adolescents' asthma self-management behaviors and perceived responsibility to manage asthma, exploring demographic differences and examining the relationship between asthma responsibility and disease management. Methods. About 317 Hispanic and African American/Black early adolescents (mean age = 12.71) with persistent, uncontrolled asthma reported prevention and symptom management steps, and responsibility for asthma care. We used Poisson, cumulative logistic, logistic, and linear mixed-effects regression models to assess the relationships among demographic predictors, prevention and management behaviors, and responsibility for asthma care. Results. Fifty percent took 7-9 prevention steps; few saw physicians when asymptomatic or took daily medication. When symptomatic, 92% used medication to treat symptoms and 56% sought medical attention. Controlling for asthma responsibility, fewer older youth reported observing how they feel when asthma is likely to start, observing symptom changes, or asking for help. More boys reported taking medication daily or upon trigger exposure. Controlling for age, gender, and race/ethnicity, those reporting more asthma responsibility were less likely to report taking management steps, seeking preventive care, asking for help, or going to a doctor/hospital for their asthma. Conclusions. Early adolescents' asthma self-management is suboptimal. With increasing age, they are less observant regarding their asthma and less likely to seek help. Although they perceive themselves to have greater responsibility for managing their asthma, early adolescents do less to care for their asthma, suggesting they are being given responsibility for asthma care prematurely.