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Identifying risk and resource factors in children with asthma from urban settings: the context-health-development

Daphne Koinis Mitchell1, Karla Klein Murdock

  • 1Brown Medical School/Bradley Hasbro Research Center, Providence, Rhode Island, USA. Daphne_Koinis-Mitchell@Brown.edu

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|November 19, 2005
PubMed

Insights

Neighborhood disadvantage impacts children's asthma, but asthma knowledge, management, and self-competence can improve their health outcomes. These factors together reduce school absences for urban children with asthma.

Area of Science:

  • Pediatric Health
  • Environmental Health
  • Child Development

Background:

  • Children with asthma face challenges influenced by their environment and personal development.
  • Understanding the interplay between sociocultural context, health, and development is crucial for managing childhood asthma.

Purpose of the Study:

  • To examine associations between neighborhood disadvantage, asthma knowledge, asthma management behaviors, self-competence, and children's asthma-related functioning.
  • To investigate concurrent and longitudinal relationships over a two-year period.

Main Methods:

  • Longitudinal study of 31 urban children (8-12 years) with asthma and their caregivers.
  • Data collected at baseline and 1-year follow-up via interviews.
  • Analysis focused on neighborhood disadvantage, asthma knowledge, management behaviors, self-competence, and asthma-related functioning (e.g., school absences).

Main Results:

  • Neighborhood disadvantage was inversely associated with children's asthma knowledge.
  • Lower self-competence was linked to lower asthma knowledge.
  • Higher asthma knowledge, optimal management, and self-competence correlated with fewer school absences.

Conclusions:

  • Children's sociocultural context, health, and developmental characteristics are interdependent.
  • Neighborhood disadvantage poses a risk, while asthma knowledge, management, and self-competence act as protective resources.
  • This multidimensional model supports interventions targeting these factors to improve asthma-related functioning in urban children.

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