Agreement between parent and student responses to an asthma and allergy questionnaire in a diverse, inner-city elementary school population

Baxi, Sachin N.; Sheehan, William J.; Gaffin, Jonathan M.; Yodying, Jirawadee; Panupattanapong, Sirada; Lane, Jeffrey P.; Fu, Chunxia; Hoffman, Elaine; Gold, Diane R.; Phipatanakul, Wanda

doi:10.1016/j.anai.2011.08.007

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…Another potential limitation is that perceived neighborhood safety and the participants' symptoms were reported by the caregiver rather than the participant. However, our group has previously shown that in this cohort, there was good agreement between caregiver and participant responses on screening surveys . Prior studies have also used caregiver responses to predict childhood outcomes and there is extensive research linking parental stress and depression to childhood asthma morbidity .…”

Section: Discussionmentioning

confidence: 95%

“…However, our group has previously shown that in this cohort, there was good agreement between caregiver and participant responses on screening surveys. 35 Prior studies have also used caregiver responses to predict childhood outcomes 2,17,20,30 and there is extensive research linking parental stress and depression to childhood asthma morbidity. 36 Furthermore, this study was of an elementary school-aged population, with 97.3% of participants aged 11 years or younger, which is an age at which parents typically assist with providing the medical history.…”

Section: Discussionmentioning

confidence: 99%

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Perceived neighborhood safety and asthma morbidity in the School Inner‐City Asthma Study

Kopel

Gaffin

Ozonoff

et al. 2014

Pediatric Pulmonology

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Summary Aim: The aim of this study was to investigate whether neighborhood safety as perceived by primary caregivers is associated with asthma morbidity outcomes among inner-city school children with asthma. Methods: School children with asthma were recruited from 25 inner-city schools between 2009 and 2012 for the School Inner-City Asthma Study (N = 219). Primary caregivers completed a baseline questionnaire detailing their perception of neighborhood safety and their children’s asthma symptoms, and the children performed baseline pulmonary function tests. In this cross-sectional analysis, asthma control was compared between children whose caregivers perceived their neighborhood to be unsafe versus safe. Results: After adjusting for potential confounders, those children whose primary caregivers perceived the neighborhood to be unsafe had twice the odds of having poorly controlled asthma (odds ratio [OR] adjusted = 2.2, 95% confidence interval [CI] = 1.2–3.9, P = 0.009), four times the odds of dyspnea and rescue medication use (OR adjusted = 4.7; 95% CI = 1.7–13.0, P = 0.003, OR adjusted = 4.0; 95% CI = 1.8–8.8, P < 0.001, respectively), three times as much limitation in activity (OR adjusted = 3.2; 95% CI = 1.4–7.7, P = 0.008), and more than twice the odds of night-time symptoms (OR adjusted = 2.2; 95% CI = 1.3–4.0, P = 0.007) compared to participants living in safe neighborhoods. There was no difference in pulmonary function test results between the two groups. Conclusions: Primary caregivers’ perception of neighborhood safety is associated with childhood asthma morbidity among inner-city school children with asthma. Further study is needed to elucidate mechanisms behind this association, and future intervention studies to address social disadvantage may be important.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Perceived neighborhood safety and asthma morbidity in the School Inner‐City Asthma Study

Kopel

Gaffin

Ozonoff

et al. 2014

Pediatric Pulmonology

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“…However, we have previously demonstrated good caregiver-subject agreement on screening surveys in this cohort. (9) Prior studies have also used caregiver responses to predict childhood outcomes. (1, 5).…”

Section: To the Editormentioning

confidence: 99%

Caregiver stress among inner-city school children with asthma

Kopel

Petty

Gaffin

et al. 2017

The Journal of Allergy and Clinical Immunology: In Practice

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Introducing an environmental assessment and intervention program in inner-city schools

Huffaker

Phipatanakul

2014

Journal of Allergy and Clinical Immunology

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Home-based environmental interventions have demonstrated clinical benefit for children with asthma. Although much is known about school-based exposures, few studies have comprehensively examined the role the school environment plays in asthma and how effectively changing the environment may reduce morbidity, when adjusting for exposures in the home. This review summarizes the importance and common challenges of school-based environmental assessment and intervention studies linked to health effects. We focus on the key components of study development and the challenges and benefits to implementation.

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Agreement between parent and student responses to an asthma and allergy questionnaire in a diverse, inner-city elementary school population

Cited by 5 publications

References 5 publications

Perceived neighborhood safety and asthma morbidity in the School Inner‐City Asthma Study

Perceived neighborhood safety and asthma morbidity in the School Inner‐City Asthma Study

Caregiver stress among inner-city school children with asthma

Introducing an environmental assessment and intervention program in inner-city schools

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