BACKGROUND: Causes of children's asthma health disparities are complex. Parents' asthma illness representations may play a role. PURPOSE: The study aims to test a theoretically based, multi-factorial model for ethnic disparities in children's acute asthma visits through parental illness representations. METHODS: Structural equation modeling investigated the association of parental asthma illness representations, sociodemographic characteristics, health care provider factors, and social-environmental context with children's acute asthma visits among 309 White, Puerto Rican, and African American families was conducted. RESULTS: Forty-five percent of the variance in illness representations and 30% of the variance in acute visits were accounted for. Statistically significant differences in illness representations were observed by ethnic group. Approximately 30% of the variance in illness representations was explained for whites, 23% for African Americans, and 26% for Puerto Ricans. The model accounted for >30% of the variance in acute visits for African Americans and Puerto Ricans but only 19% for the whites. CONCLUSION: The model provides preliminary support that ethnic heterogeneity in asthma illness representations affects children's health outcomes.
BACKGROUND: Causes of children's asthma health disparities are complex. Parents' asthma illness representations may play a role. PURPOSE: The study aims to test a theoretically based, multi-factorial model for ethnic disparities in children's acute asthma visits through parental illness representations. METHODS: Structural equation modeling investigated the association of parental asthma illness representations, sociodemographic characteristics, health care provider factors, and social-environmental context with children's acute asthma visits among 309 White, Puerto Rican, and African American families was conducted. RESULTS: Forty-five percent of the variance in illness representations and 30% of the variance in acute visits were accounted for. Statistically significant differences in illness representations were observed by ethnic group. Approximately 30% of the variance in illness representations was explained for whites, 23% for African Americans, and 26% for Puerto Ricans. The model accounted for >30% of the variance in acute visits for African Americans and Puerto Ricans but only 19% for the whites. CONCLUSION: The model provides preliminary support that ethnic heterogeneity in asthma illness representations affects children's health outcomes.
Authors: Lee M Pachter; Susan C Weller; Roberta D Baer; Javier E Garcia de Alba Garcia; Robert T Trotter; Mark Glazer; Robert Klein Journal: J Asthma Date: 2002-04 Impact factor: 2.515
Authors: Andrew F Beck; Bin Huang; Jeffrey M Simmons; Terri Moncrief; Hadley S Sauers; Chen Chen; Patrick H Ryan; Nicholas C Newman; Robert S Kahn Journal: Pediatrics Date: 2014-02-02 Impact factor: 7.124
Authors: Jennifer L Ridgeway; Zhen Wang; Lila J Finney Rutten; Michelle van Ryn; Joan M Griffin; M Hassan Murad; Gladys B Asiedu; Jason S Egginton; Timothy J Beebe Journal: BMJ Open Date: 2017-08-04 Impact factor: 2.692
Authors: Brian C Hsia; Anjani K Singh; Obumneme Njeze; Emine Cosar; Wenzhu B Mowrey; Jonathan Feldman; Marina Reznik; Sunit P Jariwala Journal: Ann Allergy Asthma Immunol Date: 2020-07-22 Impact factor: 6.347