The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes
The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes
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DOI：
10.1089/ped.2014.0379
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发表时间：
2015-03-01
影响因子：
0.9
通讯作者：
Gerald, Lynn B.
中科院分区：
文献类型：
--
作者：
Harrington, Kathleen F.;Zhang, Bin;Gerald, Lynn B.
背景：健康素养与许多疾病结局的健康差异有关，包括儿童哮喘。孩子的医疗保健大部分由父母负责。因此，父母的健康素养可能会影响儿童的健康结果，包括哮喘控制。本研究旨在确定父母健康素养与儿童哮喘控制之间的关系，研究对象主要是6至12岁的城市少数民族儿童。方法：本横断面研究评估了哮喘患儿及其家长的一次门诊就诊情况。说英语的父母和他们的孩子，年龄在6到12岁之间，患有医生诊断的哮喘，符合这项研究的条件。医疗保健提供者评估哮喘控制和严重程度，家长完成人口统计、健康素养、哮喘控制和哮喘知识测量。儿童完成了肺功能测试，作为哮喘控制问卷（ACQ）评分的一部分。结果：共有281对亲子对提供了数据，大多数父母为母亲和非洲裔美国人，受教育程度为高中或以下。较低的父母健康素养与较差的哮喘控制(由提供者评分（p=0.007）和ACQ评分（p=0.013）相关，尽管评分之间只有适度的一致性(rho=0.408, p
Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years.Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring.Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (rho=0.408, p