Asthma Indicators and Neighborhood and Family Stressors Related to Urban Living in Children

Koinis-Mitchell, Daphne; Kopel, Sheryl J.; Salcedo, Leslie; McCue, Christine; McQuaid, Elizabeth L.

doi:10.5993/ajhb.38.1.3

Cited by 29 publications

(19 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Koinis-Mitchell, Kopel, Salcedo, McCue, and McQuaid (2014) used a mixed methods exploratory study with cross-sectional data from two separate studies ( N = 208 total) to analyze children’s stress perception related to their asthma. Children with poorly controlled asthma reported a higher rate of neighborhood stress compared to children with well-controlled asthma, F (1, 145) = 4.5, p = .04.…”

Section: Resultsmentioning

confidence: 99%

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

DePriest

Butz

2016

The Journal of School Nursing

View full text Add to dashboard Cite

Asthma disproportionately affects children who are non-White and of low socioeconomic status. One innovative approach to address these health disparities is to investigate the child’s neighborhood environment and factors influencing asthma symptoms. The purpose of this integrative review is to critique research investigating the relationships between neighborhood-level factors and asthma morbidity in urban children. Three literature databases were searched using the terms “asthma,” “child,” “neighborhood,” and “urban.” The articles included were organized into six themes within the larger domains of prevalence, physical, and social factors. Literature tables provide in-depth analysis of each article and demonstrate a need for strengthening analysis methods. The current research points to the necessity for a multilevel study to analyze neighborhood-level factors that are associated with increased asthma morbidity in urban children. School nurse clinicians, working within children’s neighborhoods, are uniquely positioned to assess modifiable neighborhood-level determinants of health in caring for children with asthma.

show abstract

Section: Resultsmentioning

confidence: 99%

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

DePriest

Butz

2016

The Journal of School Nursing

View full text Add to dashboard Cite

show abstract

“…This scale has good internal consistency (α = .72-.86; Koinis-Mitchell, Kopel, Salcedo, McCue, & McQuaid, 2014). The range of scores is 0-4 with lower scores indicating fewer limitations.…”

Section: Methodsmentioning

confidence: 99%

The role of caregiver social support, depressed mood, and perceived stress in changes in pediatric secondhand smoke exposure and asthma functional morbidity following an asthma exacerbation.

Clawson¹,

Borrelli²,

McQuaid³

et al. 2016

Health Psychology

Self Cite

View full text Add to dashboard Cite

Objective Caregiver depressed mood and stress are associated with increased child asthma functional morbidity (AFM) and secondhand smoke exposure (SHSe), while social support (SS) reduces risk. This study extends previous literature by examining: (1) longitudinal patterns of pediatric AFM and SHSe and (2) how caregiver stress, depressed mood, and SS are related to child SHSe and AFM changes. Methods Participants were 334 caregivers who smoked, had a child with asthma, and who were enrolled in a smoking cessation induction/asthma intervention. SHSe and AFM were measured at baseline and 4, 6, and 12 months. All measures were caregiver self-report. We used an autoregressive latent trajectory model to examine the intercept, linear, and quadratic growth factors and autoregressive and cross-lagged effects of SHSe and AFM. Results After an asthma exacerbation, decreases in child AFM and SHSe were followed by respective increases over time. Child SHSe at 4-months and 6-months predicted subsequent child AFM. Autoregressive paths were only significant for AFM. Higher baseline caregiver depressed mood and stress predicted higher baseline child AFM, but not other growth factors. Higher baseline caregiver self-esteem SS was only associated with lower baseline child AFM and fewer increases in AFM across time. Exploratory analyses indicated higher baseline caregiver depressed mood and stress were associated with less favorable changes in child SHSe and AFM. Conclusions Caregiver depressed mood, stress, and SS should be considered when addressing pediatric SHSe and AFM. Caregiver support may be needed to maintain intervention gains.

show abstract

“…20,21 Further, urban minority children with asthma are exposed to a range of contextual and cultural risk factors that can increase asthma symptoms, 2,3,22 challenge symptom management 23 and affect optimal sleep. 3,24 These urban risks, detailed elsewhere, 3,22 include increased poverty, which can contribute to higher levels of stress within the home, neighborhood stressors (e.g., crime), and acculturative stress and discrimination. 25 Further, urban stressors (e.g., noise, crowded housing) can affect children’s sleep environment 2 and sleep behaviors (e.g., inconsistent sleep/wake times).…”

Section: Introductionmentioning

confidence: 99%

Asthma-related lung function, sleep quality, and sleep duration in urban children

et al. 2017

Self Cite

View full text Add to dashboard Cite

Objectives Examine 1) the extent to which changes in objectively measured asthma-related lung function (FEV1 % predicted) within a sleep period are associated with sleep quality and sleep duration during that sleep period, in a group of urban children with persistent asthma; and 2) associations between morning and evening asthma-related lung function and sleep quality and duration on the adjacent night, and 3) whether these associations differ by ethnic group. Design Cross-sectional, multi-method approach. Children completed a clinic assessment of asthma and allergy status and used home-based objective measurements of asthma-related lung function and sleep. Setting Children and their caregivers participated in a clinic assessment at an asthma and allergy clinic and completed additional assessments at home. Participants Two hundred and sixteen African American, Latino, and non-Latino white urban children, ages 7–9 years, and their primary caregivers. Measurements Participants took part in a clinic assessment of asthma and allergy status, completed interview-based questionnaires including a diary to track asthma symptoms and sleep patterns, and used actigraphy and home-based spirometry daily across a 4-week period to assess sleep and lung function. Results and Conclusions Results from analyses using structural equation modeling revealed an association between worsening FEV1 and poor sleep quality in the full sample, as well as better asthma-related lung function at night and more optimal sleep efficiency that night. Ethnic group differences emerged in the association with morning or nighttime lung function measurements and sleep quality. Urban minority children with asthma may be at heightened risk for poorer quality sleep. Timing of lung function worsening may be important when considering when and how to improve both asthma health outcomes and sleep quality within specific groups.

show abstract

Asthma Indicators and Neighborhood and Family Stressors Related to Urban Living in Children

Abstract: The results from this study may inform future avenues for intervention to decrease the effects of specific stressors associated with urban poverty that may serve as barriers to optimal asthma control in this high-risk group.

Cited by 29 publications

References 36 publications

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

The role of caregiver social support, depressed mood, and perceived stress in changes in pediatric secondhand smoke exposure and asthma functional morbidity following an asthma exacerbation.

Asthma-related lung function, sleep quality, and sleep duration in urban children

Contact Info

Product

Resources

About