Kathleen F Harrington1, Bin Zhang2, Teresa Magruder3, William C Bailey1, Lynn B Gerald4. 1. Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham , Birmingham, Alabama. 2. Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio. 3. Division of Pulmonary and Sleep Medicine, University of Alabama at Birmingham , Birmingham, Alabama. 4. Mel and Enid Zuckerman College of Public Health and the Arizona Respiratory Center, University of Arizona , Tucson, Arizona.
Abstract
Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years. Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring. Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (ρ=0.408, p<0.0001). Lower parent health literacy also was associated with less asthma knowledge, which was associated with worse asthma control. Conclusions: Higher parent health literacy was associated with more parent asthma knowledge and better child asthma control. Pediatric providers should consider tailoring education or treatment plans or utilizing universal precautions for low health literacy.
Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years. Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring. Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (ρ=0.408, p<0.0001). Lower parent health literacy also was associated with less asthma knowledge, which was associated with worse asthma control. Conclusions: Higher parent health literacy was associated with more parent asthma knowledge and better child asthma control. Pediatric providers should consider tailoring education or treatment plans or utilizing universal precautions for low health literacy.
Authors: Cecilia M Patino; Sande O Okelo; Cynthia S Rand; Kristin A Riekert; Jerry A Krishnan; Kathy Thompson; Ruth I Quartey; Deanna Perez-Williams; Andrew Bilderback; Barry Merriman; Laura Paulin; Nadia Hansel; Gregory B Diette Journal: J Allergy Clin Immunol Date: 2008-10-11 Impact factor: 10.793
Authors: Pranav K Gandhi; Kelly M Kenzik; Lindsay A Thompson; Darren A DeWalt; Dennis A Revicki; Elizabeth A Shenkman; I-Chan Huang Journal: Respir Res Date: 2013-02-23
Authors: David M Washington; Laura M Curtis; Katherine Waite; Michael S Wolf; Michael K Paasche-Orlow Journal: J Racial Ethn Health Disparities Date: 2017-11-29