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Clinical Pediatrics, Vol. 43, No. 8, 709-719 (2004)
DOI: 10.1177/000992280404300804

Factors Associated with Preventive Asthma Care in Inner-City Children

Arlene M. Butz, ScD, RN

The Johns Hopkins University, School of Medicine, Department of Pediatrics and School of Nursing

Kristin A. Riekert, PhD

The Johns Hopkins University, Division of Pulmonary and Critical Medicine

Peyton Eggleston, MD

The Johns Hopkins University, School of Medicine, Department of Pediatrics

Marilyn Winkelstein, PhD, RN

The Johns Hopkins University, School of Nursing

Richard E. Thompson, PhD

The Johns Hopkins University Bloomberg School of Public Health, Department of Biostatistics

Cynthia Rand, PhD

The Johns Hopkins University, Division of Pulmonary and Critical Medicine

The goal of this cross-sectional study was to determine if the caregiver’s quality of life was associated with the child receiving appropriate preventive asthma care (2 or more preventive asthma care visits per year) in a sample of inner-city children with moderate to severe persistent asthma. Our findings confirm that children with moderate to severe persistent asthma are not receiving adequate preventive asthma care despite experiencing frequent asthma symptoms. Having a recent emergency department (ED) visit and increased number of school absences due to asthma were the strongest factors associated with these children receiving guideline-based preventive asthma care. However, for a subgroup of children without recent ED care, we found that low caregiver education level, increased school absences, and decreased caregiver’s quality of life, albeit a trend, were associated with the child’s receiving adequate preventive asthma care. This suggests that in a subgroup of children receiving adequate preventive care, other issues beyond basic asthma management may need to be addressed.


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[Abstract] [Full Text] [PDF]