Department of Environmental and Occupational Health, Graduate School of Public Health, University of Pittsburgh, PA 15219-3130, USA.
J Natl Med Assoc. 2011 May;103(5):388-91. doi: 10.1016/s0027-9684(15)30334-5.
Parents' knowledge and control of asthma triggers in home environments can help reduce risks associated with asthmatic children's respiratory health. This pilot study used both qualitative and quantitative methods to determine parental knowledge of their children's asthma triggers in home environments, control of those triggers, and information received and trusted. Twelve parents of asthmatic children in the greater Pittsburgh area--8 white and 4 African American--participated in one-on-one interviews about home exposures to asthma triggers. All parents described the link between asthma symptoms and both environmental tobacco smoke (ETS) and pet dander exposures. House dust mites and mold were also commonly identified asthma triggers. All 8 white parents reported receiving information from physicians about controlling home environmental triggers of asthma, but the 4 African American parents reported having received no such information. However, all 12 parents reported having greater trust in information received from physicians than from other sources. White parents were significantly more aware of potential asthma triggers and performed significantly more actions to control the triggers in their homes. African American parents noted stressful experiences with primary and secondary care, less recall of information sharing about asthma triggers, and a focus on symptom management vs trigger avoidance.
家长对儿童哮喘诱因在家庭环境中的了解和控制有助于降低与哮喘儿童呼吸健康相关的风险。本试点研究采用定性和定量方法，确定家长对其子女在家庭环境中哮喘诱因的了解程度、对这些诱因的控制程度，以及他们所获得和信任的信息。匹兹堡地区的 12 名哮喘儿童的家长（8 名白人，4 名非裔美国人）参加了关于家庭环境中哮喘诱因的一对一访谈。所有家长都描述了哮喘症状与环境烟草烟雾（ETS）和宠物皮屑暴露之间的联系。尘螨和霉菌也是常见的哮喘诱因。8 名白人家长报告说从医生那里获得了控制家庭环境哮喘诱因的信息，但 4 名非裔美国家长报告说没有收到此类信息。然而，所有 12 名家长都表示更信任从医生那里获得的信息，而不是从其他来源获得的信息。白人家长明显更了解潜在的哮喘诱因，并在家中采取了更多的行动来控制这些诱因。非裔美国家长则指出在初级和二级保健方面经历了压力，对有关哮喘诱因的信息共享的回忆较少，更关注症状管理而不是避免诱因。
