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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Cultural-Related, Contextual, and Asthma-Specific Risks Associated with Asthma Morbidity in Urban Children
Journal of clinical psychology in medical settings, v 17(1), pp 38-48
01 Mar 2010
PMID: 20157798
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The objective of this study was to examine associations between specific dimensions of the multi-dimensional cumulative risk index (CRI) and asthma morbidity in urban, school-aged children from African American, Latino and Non-Latino White backgrounds. An additional goal of the study was to identify the proportion of families that qualify for high-risk status on each dimension of the CRI by ethnic group. A total of 264 children with asthma, ages 7-15 (40% female; 76% ethnic minority) and their primary caregivers completed interview-based questionnaires assessing cultural, contextual, and asthma-specific risks that can impact asthma morbidity. Higher levels of asthma-related risks were associated with more functional morbidity for all groups of children, despite ethnic group background. Contextual and cultural risk dimensions contributed to more morbidity for African-American and Latino children. Analyses by Latino ethnic subgroup revealed that contextual and cultural risks are significantly related to more functional morbidity for Puerto Rican children compared to Dominican children. Findings suggest which type of risks may more meaningfully contribute to variations in asthma morbidity for children from specific ethnic groups. These results can inform culturally sensitive clinical interventions for urban children with asthma whose health outcomes lag far behind their non-Latino White counterparts.
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Details
- Title
- Cultural-Related, Contextual, and Asthma-Specific Risks Associated with Asthma Morbidity in Urban Children
- Creators
- Daphne Koinis-Mitchell - Brown UniversityElizabeth L. McQuaid - Brown UniversitySheryl J. Kopel - Brown UniversityCynthia A. Esteban - Brown UniversityAlexander N. Ortega - University of California, Los AngelesRonald Seifer - Brown UniversityCynthia Garcia-Coll - Brown UniversityRobert Klein - Brown UniversityElizabeth Cespedes - Brown UniversityGlorisa Canino - University of Puerto Rico at Río PiedrasGregory K. Fritz - Brown University
- Publication Details
- Journal of clinical psychology in medical settings, v 17(1), pp 38-48
- Publisher
- Springer Nature
- Number of pages
- 11
- Grant note
- U01-HL072438-01; F32 HL074570; F32 HL74570; U01 HL072438-01; F32 HL074570-01 / NHLBI NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) U01HL072438 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000274547300005
- Scopus ID
- 2-s2.0-77249107522
- Other Identifier
- 991019296797104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical