Journal article
Maternal Mental Health and Childhood Asthma among Puerto Rican Youth: The Role of Prenatal Smoking
The Journal of asthma, v 46(7), pp 726-730
01 Jan 2009
PMID: 19728214
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Rationale. Childhood asthma is a major public health problem, with mainland and island Puerto Rican children having the highest asthma rates of any ethnic group in the United States. Objectives. To examine the relationship between maternal mental health problems, prenatal smoking, and risk of asthma among children in Puerto Rico and the Bronx, New York. Methods. A cross-sectional community-based study was conducted in the South Bronx in New York City and the San Juan Standard Metropolitan Area in Puerto Rico. Participants were Puerto Rican children 5 to 13 years of age and their adult caretakers with probability samples of children 5 to 13 years of age and their caregivers drawn at two sites: the South Bronx in New York City (n = 1,135) and San Juan and Caguas, Puerto Rico (n = 1,351). Measurements. Self-reported maternal mental health, prenatal smoking, and rates of childhood asthma. Results. Maternal mental health problems were associated with significantly higher levels of prenatal smoking, compared with that among women without mental health problems (p 0.0001). Both maternal mental health problems and prenatal smoking appear to make a contribution to increased odds of asthma among youth. After adjusting for prenatal smoking, the relationship between maternal mental health problems and childhood asthma was no longer statistically significant. Conclusions. Previous research suggests children of Puerto Rican descent are especially vulnerable to asthma. Our results suggest that maternal mental health problems and prenatal smoking are both associated with increased odds of asthma among Puerto Rican youth and that prenatal smoking may partly explain the observed relationship between maternal psychopathology and childhood asthma. Future longitudinal and geographically diverse epidemiological studies may help to identify the role of both maternal mental health problems and prenatal smoking in the health disparities in childhood asthma.
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Details
- Title
- Maternal Mental Health and Childhood Asthma among Puerto Rican Youth: The Role of Prenatal Smoking
- Creators
- Renee D. Goodwin - Columbia UniversityGlorisa Canino - University of Puerto Rico SystemAlexander N. Ortega - Department of Health Services, School of Public Health, University of California, Los Angeles, CaliforniaHector R. Bird - Columbia University
- Publication Details
- The Journal of asthma, v 46(7), pp 726-730
- Publisher
- Taylor & Francis
- Number of pages
- 5
- Grant note
- P60MD002261 / NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) 5P60 MD002261-02; DA20892 / NIH/NCMHHD; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA R01DA020892 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000269499900019
- Scopus ID
- 2-s2.0-70249147598
- Other Identifier
- 991019296809504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Allergy
- Respiratory System