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Asthma and academic performance in urban children
Daphne Koinis-Mitchell1, Sheryl J Kopel2, Michael L Farrow3
1Bradley/Hasbro Children's Research Center, Providence, Rhode Island; Alpert Medical School, Brown University, Providence, Rhode Island; Department of Child Psychiatry and Pediatrics, Hasbro Children's Hospital/Rhode Island Hospital, Providence, Rhode Island.
Summary
Children with asthma, especially Latino children, face higher risks of poor academic performance and increased school absences. Effective asthma management in urban schools is crucial for improving educational outcomes.
Area of Science:
- Pediatric Pulmonology
- Child Psychology
- Urban Health Disparities
Background:
- Urban minority children exhibit high asthma morbidity, impacting overall health.
- Poorly controlled asthma can manifest as diminished academic performance.
- Limited research exists on the real-time relationship between asthma and academic outcomes in high-risk urban youth.
Purpose of the Study:
- To investigate academic performance indicators in urban children with asthma versus healthy controls.
- To examine ethnic disparities in asthma-related academic outcomes.
- To explore the association between asthma control and academic performance within diverse ethnic groups.
Main Methods:
- A cohort of 216 urban children (ages 7-9) including Black/African American, Latino, and non-Latino White participants.
- Assessment of asthma and allergy status, lung function, and academic functioning.
- Clinic- and home-based data collection protocols.
Main Results:
- Children with asthma had significantly more school absences than healthy peers.
- Ethnic differences exacerbated academic outcome disparities.
- Latino children with asthma showed poorer academic results, with a strong link between poor asthma control and reduced academic performance across all ethnic groups.
Conclusions:
- Asthma negatively impacts academic performance across various metrics.
- Urban minority children, particularly Latino children with asthma, are at elevated risk for academic challenges.
- Enhanced, tailored asthma management strategies are essential for urban school settings.
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