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Racial/Ethnic variation in parent perceptions of asthma.
- Source :
-
Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association [Ambul Pediatr] 2008 Mar-Apr; Vol. 8 (2), pp. 89-97. - Publication Year :
- 2008
-
Abstract
- Objective: Black and Latino children with asthma have worse morbidity and receive less controller medication than their white peers. Scant information exists on racial/ethnic differences in parent perceptions of asthma. To compare parent perceptions among black, Latino, and white children with asthma in 4 domains: (1) expectations for functioning with asthma; (2) concerns about medications; (3) interactions with providers; and (4) competing family priorities.<br />Methods: In this cross-sectional study, we conducted telephone interviews with parents of children with persistent asthma in a Medicaid health plan and a multispecialty provider group in Massachusetts. To measure expectations for functioning and other domains, we adapted multi-item scales from past studies. Associations between race/ethnicity and these domains were evaluated in multivariate analyses that controlled for age, gender, household income, parental education, insurance, and language. The response rate was 72%.<br />Results: Of the 739 study children, 24% were black, 21% Latino, and 43% white. Parents of black and Latino children had lower expectations for their children's functioning with asthma (P < .001), higher levels of worry about their children's asthma (P < .001), and more competing family priorities (P = .004) compared with parents of white children. Parents of Latino children had higher levels of concern about medications for asthma than parents of black or white children (P = .002). There were no differences among racial/ethnic groups in reports of interactions with the provider of their children's asthma care.<br />Conclusions: Efforts to eliminate disparities in childhood asthma may need to address variation in expectations and competing priorities between minority and white families.
- Subjects :
- Asthma ethnology
Asthma therapy
Child
Child, Preschool
Cross-Sectional Studies
Female
Humans
Male
Patient Acceptance of Health Care psychology
Physician-Patient Relations
Professional-Family Relations
Asthma psychology
Black People psychology
Hispanic or Latino psychology
Parents psychology
Patient Acceptance of Health Care ethnology
White People psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1539-4409
- Volume :
- 8
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association
- Publication Type :
- Academic Journal
- Accession number :
- 18355737
- Full Text :
- https://doi.org/10.1016/j.ambp.2007.10.007