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.
Abstract

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