Examining Social Determinants of Health in Childhood Asthma Management.
Examining Social Determinants of Health in Childhood Asthma Management.
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DOI：
10.1097/nur.0000000000000542
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Horner SD
中科院分区：
文献类型：
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作者：
Horner SD
健康的社会决定因素影响家庭对儿童哮喘的治疗效果。本研究的目的是探讨健康的社会决定因素对家庭哮喘管理的影响。对 292 名患有哮喘的 2-5 年级儿童及其父母进行了一项横断面探索性研究，以检查健康的社会决定因素与家庭哮喘管理、生活质量和医疗保健利用之间的关联。数据是从孩子和家长那里收集的。健康的社会决定因素包括孩子的种族/民族、年龄、性别和哮喘严重程度、家庭的社会经济地位、家里使用的语言以及学校是社区层面的变量。家长和孩子完成了哮喘管理和生活质量量表，家长报告了孩子因哮喘而去急诊室就诊和住院的情况。社会经济地位较低的家庭和非裔美国儿童的生活质量较差。哮喘严重程度与父母的哮喘管理有关，但与儿童的哮喘自我管理无关。在家说西班牙语的家庭社会经济地位最低，但哮喘管理却比说英语的家庭要多得多。研究结果强调了临床护士专家在教育干预中应解决的因素。
Social determinants of health influence how well a family manages children’s asthma. The aim of this study was to examine the influence of social determinants of health on family asthma management. A cross-sectional exploratory study was conducted with 292 children in grades 2–5 who had current asthma and their parents to examine associations between social determinants of health and the families’ asthma management, quality of life, and health care utilization. Data were collected from both child and parent. Social determinants of health include the child’s race/ethnic group, age, gender, and asthma severity, the family’s socioeconomic status, language spoken in the home, and the school was the community-level variable. Parents and children completed asthma management and quality of life scales and parents reported on the children’s emergency department visits and hospitalizations for asthma. Worse quality of life was reported by families with lower socioeconomic status and African American children. Asthma severity was associated with parents’ asthma management but not children’s asthma self-management. Families who spoke Spanish at home had the lowest socioeconomic status yet performed significantly more asthma management than English-speaking families. The findings highlight factors the clinical nurse specialist should address in educational interventions.