Related Experiment Video
Updated: Jul 17, 2026

Asthma Detection Research Based on Voice Signal Processing and Machine Learning
Published on: July 22, 2025
Low parental literacy is associated with worse asthma care measures in children
Darren A DeWalt1, Marylee H Dilling, Marjorie S Rosenthal
1Division of General Internal Medicine and the Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA. dewaltd@med.unc.edu
Insights
Low parental literacy is linked to increased emergency department visits, hospitalizations, and missed school days for children with asthma. This highlights a critical factor impacting pediatric asthma care outcomes.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Health Literacy
Background:
- Asthma management in children requires effective parental engagement.
- Parental health literacy is a potential determinant of pediatric health outcomes.
- Understanding factors influencing asthma care is crucial for improving child health.
Purpose of the Study:
- To investigate the association between parental literacy levels and key asthma care indicators in children.
- To determine if lower parental literacy correlates with increased healthcare utilization and missed school days for pediatric asthma patients.
Main Methods:
- Retrospective cohort study involving 150 children (3-12 years) with asthma and their parents.
- Data collected on emergency department visits, hospitalizations, and school days missed.
- Adjusted analyses considered asthma knowledge, severity, medication use, and sociodemographic factors.
Main Results:
- Twenty-four percent of parents exhibited low literacy.
- Children of parents with low literacy had significantly higher rates of emergency department visits, hospitalizations, and school days missed.
- Low literacy was also associated with less asthma knowledge, more severe asthma, and greater rescue medication use.
Conclusions:
- Low parental literacy is a significant risk factor for poorer asthma care outcomes in children.
- Interventions to improve parental literacy may enhance pediatric asthma management.
- Addressing health literacy is essential for reducing disparities in pediatric asthma care.
Objective:
To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma.
Methods:
We performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity, and parental asthma-related knowledge.
Results:
We enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.4; 95% confidence interval 0.97, 2.0), hospitalizations (IRR 4.6; 1.8, 12), and days missed from school (IRR 2.8; 2.3, 3.4) even after adjusting for asthma-related knowledge, disease severity, medication use, and other sociodemographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications.
Conclusions:
Low parental literacy is associated with worse care measures for children with asthma.
Related Concept Videos
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-I: Introduction
Asthma I: Introduction
Health Literacy
Asthma-IV: Nursing Management
First, in...
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes: