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Screening for asthma in Cantonese-speaking immigrant children
Robyn O Greenfield1, Angela C Lee, Roland Tang
1Department of Public Health and Family Medicine, Tufts University School of Medicine, Boston, USA. robyn.greenfield@tufts.edu
BMC Public Health
|May 21, 2005
Summary
Asthma screening for Chinese immigrant children needs improvement. Native-born status and family history impact diagnosis, and cultural understanding of "wheezing" is crucial for accurate assessment.
Area of Science:
- Pediatric Pulmonology
- Epidemiology
- Cross-cultural Health
Background:
- Asthma prevalence in Chinese immigrant children is not well understood.
- Previous screening attempts for this population yielded inconsistent results.
- There is a need to enhance asthma screening strategies for Chinese immigrant children.
Purpose of the Study:
- To investigate factors influencing asthma diagnosis in Chinese immigrant children.
- To identify potential improvements for asthma screening tools.
- To understand the impact of cultural perceptions on asthma symptom reporting.
Main Methods:
- Administered the Brief Pediatric Asthma Screen in Cantonese or English to 152 children.
- Utilized a video intervention depicting wheezing to assess perception.
- Conducted pulmonary function tests (spirometry).
Main Results:
- Diagnosed asthma prevalence was 27.0%, with an additional 5.3% possibly undiagnosed.
- Native-born status and a family history of asthma were significantly associated with diagnosis.
- A majority of children found the video's depiction of wheezing different from their understanding; translation of 'wheeze' proved challenging.
Conclusions:
- Asthma diagnoses appear higher in US-born Chinese children, suggesting the need to analyze data by subgroup.
- Accurate asthma diagnosis in Cantonese speakers requires careful consideration of the term 'wheeze' and its translation.
- Cultural nuances in symptom interpretation necessitate tailored screening approaches.
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