| Elevated asthma morbidity in Puerto Rican children: a review of possible risk and prognostic factors. | |
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MedLine Citation:
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PMID: 10063393 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Latino children represent a significant proportion of all US children, and asthma is the most common chronic illness affecting them. Previous research has revealed surprising differences in health among Latino children with asthma of varying countries of family origin. For instance, Puerto Rican children have a higher prevalence of asthma than Mexican American or Cuban American children. In addition, there are important differences in family structure and socioeconomic status among these Latino populations: Cuban Americans have higher levels of education and family income than Mexican-Americans and Puerto Ricans; mainland Puerto Rican children have the highest proportion of households led by a single mother. Our review of past research documents differences in asthma outcomes among Latino children and identifies the possible genetic, environmental, and health care factors associated with these differences. Based on this review, we propose research studies designed to differentiate between mutable and immutable risk and prognostic factors. We also propose that the sociocultural milieus of Latino subgroups of different ethnic and geographic origin are associated with varying patterns of risk factors that in turn lead to different morbidity patterns. Our analysis provides a blue-print for future research, policy development, and the evaluation of multifactorial interventions involving the collaboration of multiple social sectors, such as health care, public health, education, and public and private agencies. |
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Authors:
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M Lara; H Morgenstern; N Duan; R H Brook |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: The Western journal of medicine Volume: 170 ISSN: 0093-0415 ISO Abbreviation: West. J. Med. Publication Date: 1999 Feb |
Date Detail:
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Created Date: 1999-03-09 Completed Date: 1999-03-09 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0410504 Medline TA: West J Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 75-84 Citation Subset: AIM; IM |
Affiliation:
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UCLA/RAND Program on Latino Children with Asthma, UCLA Department of Pediatrics, USA. lara@rand.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Asthma
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ethnology*,
prevention & control Child Hispanic Americans* Humans Prevalence Prognosis Puerto Rico / ethnology Research Risk Factors United States / epidemiology |
| Comments/Corrections | |
Comment In:
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West J Med. 1999 Feb;170(2):73-4
[PMID:
10063392
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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