Document Detail


Ethnic differences in caregiver quality of life in pediatric asthma.
MedLine Citation:
PMID:  23027132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study was to determine ethnic and site differences in quality of life (QOL) in a sample of Latino (Puerto Rican [PR] and Dominican) and non-Latino white caregivers of children with asthma in mainland US and Island PR. We also investigated ethnic and site differences in associations between caregiver QOL and indicators of asthma morbidity.
METHOD: Seven hundred and eighty-seven children with asthma (7-16 years of age) and their primary caregivers participated in the study. Primary caregivers completed a measure of QOL, child asthma control, and emergency department utilization, among other measures.
RESULTS: Ethnic and site differences were found on total QOL scores (ΔF(1,783) = 29.46, p < .001). Island PR caregivers reported worse QOL scores than Rhode Island (Rl) Latino and non-Latino white caregivers; Rl Latino caregivers reported significantly worse QOL scores than non-Latino white caregivers. In Rl Latino and Island PR children, worse caregiver QOL was associated with asthma that was not in control and with one or more emergency department visits.
CONCLUSION: Latino caregivers may be experiencing a greater level of burden related to their child's asthma than non-Latino white caregivers. Caregiver QOL in pediatric asthma may be a reflection of broader contextual stress that some Latino caregivers experience on a daily basis (e.g., cultural beliefs, acculturation). Future research should continue to investigate mechanisms that explain the burden associated with pediatric asthma in Latino families, as well as whether QOL assessments should consider the impact of everyday stressors on caregiver QOL in pediatric asthma.
Authors:
Robin S Everhart; Daphne Koinis-Mitchell; Elizabeth L McQuaid; Sheryl Kopel; Ronald Seifer; Glorisa Canino; Gregory Fritz
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of developmental and behavioral pediatrics : JDBP     Volume:  33     ISSN:  1536-7312     ISO Abbreviation:  J Dev Behav Pediatr     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  2013-04-05     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  8006933     Medline TA:  J Dev Behav Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  599-607     Citation Subset:  IM    
Affiliation:
Bradley/Hasbro Children's Research Center, Alpert Medical School, Brown University, Providence, RI 02903, USA. Robin_Everhart@brown.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Asthma / psychology,  therapy*
Caregivers / psychology*
Child
Dominican Republic / ethnology
Ethnic Groups / psychology*,  statistics & numerical data
European Continental Ancestry Group / psychology,  statistics & numerical data
Female
Hispanic Americans / psychology,  statistics & numerical data
Humans
Male
Poverty
Puerto Rico / ethnology
Quality of Life / psychology*
Rhode Island
Severity of Illness Index
Grant Support
ID/Acronym/Agency:
F32 HL104889/HL/NHLBI NIH HHS; F32 HL104889/HL/NHLBI NIH HHS; U01 HL072438/HL/NHLBI NIH HHS; U01 HL072438/HL/NHLBI NIH HHS
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