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.
Abstract

Related Concept Videos

Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
39
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
99
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
3.5K
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
3.6K
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
4.0K
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
3.3K