OBJECTIVE: To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma. METHODS: We performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity, and parental asthma-related knowledge. RESULTS: We enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.4; 95% confidence interval 0.97, 2.0), hospitalizations (IRR 4.6; 1.8, 12), and days missed from school (IRR 2.8; 2.3, 3.4) even after adjusting for asthma-related knowledge, disease severity, medication use, and other sociodemographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications. CONCLUSIONS: Low parental literacy is associated with worse care measures for children with asthma.
OBJECTIVE: To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma. METHODS: We performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity, and parental asthma-related knowledge. RESULTS: We enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.4; 95% confidence interval 0.97, 2.0), hospitalizations (IRR 4.6; 1.8, 12), and days missed from school (IRR 2.8; 2.3, 3.4) even after adjusting for asthma-related knowledge, disease severity, medication use, and other sociodemographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications. CONCLUSIONS: Low parental literacy is associated with worse care measures for children with asthma.
Authors: Wasim Maziak; Erika von Mutius; Ulrich Keil; Thomas Hirsch; Wolfgang Leupold; Peter Rzehak; Thomas Behrens; Stephan K Weiland Journal: Pediatr Allergy Immunol Date: 2004-04 Impact factor: 6.377
Authors: Andrea K Morrison; Marilyn M Schapira; Marc H Gorelick; Raymond G Hoffmann; David C Brousseau Journal: Acad Pediatr Date: 2014 May-Jun Impact factor: 3.107
Authors: Esther K Chung; Benjamin S Siegel; Arvin Garg; Kathleen Conroy; Rachel S Gross; Dayna A Long; Gena Lewis; Cynthia J Osman; Mary Jo Messito; Roy Wade; H Shonna Yin; Joanne Cox; Arthur H Fierman Journal: Curr Probl Pediatr Adolesc Health Care Date: 2016-04-18
Authors: Christian Rosas-Salazar; Sima K Ramratnam; John M Brehm; Yueh-Ying Han; Edna Acosta-Pérez; María Alvarez; Angel Colón-Semidey; Glorisa Canino; Andrea J Apter; Juan C Celedón Journal: Chest Date: 2013-07 Impact factor: 9.410
Authors: Neeta Thakur; Melissa Martin; Elizabeth Castellanos; Sam S Oh; Lindsey A Roth; Celeste Eng; Emerita Brigino-Buenaventura; Adam Davis; Kelley Meade; Michael A LeNoir; Harold J Farber; Shannon Thyne; Saunak Sen; Kirsten Bibbins-Domingo; Luisa N Borrell; Esteban G Burchard Journal: J Asthma Date: 2014-05-14 Impact factor: 2.515