Parental Numeracy and Asthma Exacerbations in Puerto Rican Children

Rosas‐Salazar, Christian; Ramratnam, Sima; Brehm, John M.; Han, Yueh‐Ying; Acosta‐Pérez, Edna; Alvarez, María; Colón-Semidey, Angel; Canino, Glorisa; Apter, Andrea J.; Celedón, Juan C.

doi:10.1378/chest.12-2693

Cited by 31 publications

(47 citation statements)

References 29 publications

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“…Some authors suggest that this may be due to the fact that older adolescents, particularly those with chronic illness, have more experience with the health care system [30,43] or have been socialized about health, via media and interpersonal experiences, longer than their younger counterparts [30,26]. This finding is also consistent with prior research demonstrating an association between limited caregiver health literacy and poor asthma management [13–17]. Our use of Mother’s education as a proxy for caregiver health literacy is supported by previous research findings that mother’s education is a significant predictor of low health literacy [44–46].…”

Section: Discussionsupporting

confidence: 78%

“…For example, among adult patients, the literature consistently demonstrates that asthma management, quality of life, and satisfaction with health care delivery are negatively impacted by inadequate health literacy [5–8]. Research has likewise demonstrated that children are likely to have poor asthma outcome if their caregivers have inadequate health literacy [13–17]. While the literature of adult health literacy is abundant and rich, less is known about adolescent health literacy and its impact on their health [18].…”

Section: Introductionmentioning

confidence: 99%

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Examining health literacy among urban African-American adolescents with asthma

et al. 2016

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Objective This exploratory study assessed health literacy among urban African-American high school students to improve understanding of the association between adolescent health literacy and asthma. Methods We conducted a secondary data analysis of the control group (n = 181) of the Puff City randomized controlled trial (2006–2010), a web-based intervention to promote asthma management among students, grades 9 through 12. A validated self-report 3-item health literacy screening instrument was completed at final online follow-up survey. Logistic regression was used to explore the association between health literacy, demographic characteristics, quality of life, asthma management, and health care utilization. Results Multivariate analysis revealed that an overall inadequate health literacy score was associated with students who were more likely to be younger (OR 0.61; 95% CI 0.44–0.84), not on Medicaid (OR 0.36; 95% CI 0.17–0.76), have at least one hospitalization (OR 1.29; 95% CI 1.07–1.56); and a lower overall quality of life (OR 0.75; 95% CI 0.59–0.95). Those lacking confidence in filling out medical forms, needing help reading hospital materials, and having difficulty understanding written information were more likely to not have a rescue inhaler (OR 0.49; 95% CI 0.25–0.94), have one or more emergency visits (OR 1.21–95% CI 1.02–1.43), and one or more hospitalizations (OR 1.19; 95% CI 1.01–1.41), respectively. Conclusions The findings indicate a significant association between inadequate health literary and suboptimal asthma management. It is important to advance understanding of adolescent health literacy, especially those at-risk, as they assume asthma self-management tasks and move toward independent adult self-care.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Examining health literacy among urban African-American adolescents with asthma

et al. 2016

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“…130,131 Health literacy means much more than the ability to read: it is defined as 'the degree to which individuals have the capacity to obtain, process and understand basic health information and services to make appropriate health decisions'. 130 Low health literacy is associated with reduced knowledge and worse asthma control.…”

Section: Health Literacy and Asthmamentioning

confidence: 99%

“…132 In one study, low numeracy among parents of children with asthma was associated with higher risk of exacerbations. 131 Interventions adapted for cultural and ethnicity perspectives have been associated with improved knowledge and significant improvements in inhaler technique. 133 Suggested communication strategies for reducing the impact of low health literacy are shown in Box 3-1.…”

Section: Health Literacy and Asthmamentioning

confidence: 99%

Mortality in Asthma-Chronic Obstructive Pulmonary Disease Overlap in the United States

Kumbhare

Strange

2018

Southern Medical Journal

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“…The reasons behind ED over-utilization by this population are multi-factorial. Low parental health literacy has been associated with increased asthma morbidity and ED utilization [19,20]. Parental perspectives describe fear, lack of understanding about an illness, barriers to health care access and lack of identification with a medical home as contributing factors [12,21,22].…”

Section: Introductionmentioning

confidence: 99%