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Published on: November 4, 2010
Asthma and adaptive functioning among homeless kindergarten-aged children in emergency housing
Insights
Children experiencing homelessness have high asthma rates, impacting healthcare use and peer relationships. This highlights a critical health issue for young children in emergency shelters.
Area of Science:
- Pediatric Health
- Public Health
- Child Development
Background:
- Homeless children exhibit higher asthma prevalence.
- Asthma is a significant risk factor for other childhood health issues.
Purpose of the Study:
- To investigate asthma rates in young children residing in family emergency shelters.
- To analyze the relationship between asthma, healthcare utilization, and adaptive functioning.
Main Methods:
- 138 children and caregivers participated in shelter-based assessments.
- Evaluated child cognitive functioning, healthcare service use, and school functioning.
- Utilized parent and teacher reports for comprehensive data collection.
Main Results:
- Asthma diagnosed in 21% of 4-to-6-year-olds, double national/state rates.
- Children with asthma accessed more healthcare services and had poorer peer relationships.
- No significant association found between asthma and cognitive or academic performance.
Conclusions:
- Elevated asthma rates persist among children in emergency family housing.
- This vulnerable population faces high risks for toxic stress and developmental challenges.
Background:
Children who experience homelessness have elevated rates of asthma, a risk factor for other problems. Purpose. Examine rates of asthma and its relation to health care use and adaptive functioning among young children staying in family emergency shelters.
Methods:
Children and caregivers (N = 138) completed assessments in shelters, including measurement of child cognitive functioning, parent report of child health care service utilization and asthma diagnosis, and teacher report of child school functioning.
Results:
Asthma diagnosis was reported for 21% of 4-to-6-year-old children, about twice the national and state prevalences. Children with asthma used more health care services and had worse peer relationships. Asthma did not relate to cognitive test performance or subsequent academic performance, or to other behavior problems in school.
Conclusions:
High rates of asthma remain an important issue for children in emergency family housing, a context with high levels of child risk for toxic stress exposure and developmental problems.
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