Home Asthma Triggers: Barriers to Asthma Control in Chicago Puerto Rican Children

Overview

Journal J Health Care Poor Underserved

Publisher Johns Hopkins University Press

Date 2013 Jun 4

PMID 23728047

Citations 8

Authors

Molly A Martin

Ann Marie Thomas

Giselle Mosnaim

Matthew Greve

Susan M Swider

Steven K Rothschild

Affiliations

Soon will be listed here.

Abstract

We sought objectively to measure, summarize, and contextualize the asthma triggers found in the homes of urban high-risk Puerto Rican children and adolescents with asthma in Chicago. Data were from the baseline home assessments of Project CURA. Research assistants interviewed caregivers, conducted a home visual inspection, and collected saliva samples for cotinine analysis. A trigger behavior summary score was created. The housing inspected was old with multiple units and obvious structural deficiencies. Many allergic and irritant triggers were observed. Having a controller medicine or private insurance was associated with lower trigger behavior summary scores; caregiver depression, caregiver perceived stress, and child negative life events were associated with high trigger scores. The final multivariate model retained had a controller medicine, private insurance, and caregiver perceived stress. The data from this high-risk cohort identified modifiable areas where environmental interventions could reduce morbidity in Puerto Rican children and adolescents.

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