多因素模型检验儿童急性哮喘就诊的种族和民族差异。
A multi-factorial model for examining racial and ethnic disparities in acute asthma visits by children.
机构信息
Ohio State University College of Nursing, 1595 Neil Avenue, Columbus, OH 43210, USA.
出版信息
Ann Behav Med. 2012 Feb;43(1):15-28. doi: 10.1007/s12160-011-9328-3.
BACKGROUND
Causes of children's asthma health disparities are complex. Parents' asthma illness representations may play a role.
PURPOSE
The study aims to test a theoretically based, multi-factorial model for ethnic disparities in children's acute asthma visits through parental illness representations.
METHODS
Structural equation modeling investigated the association of parental asthma illness representations, sociodemographic characteristics, health care provider factors, and social-environmental context with children's acute asthma visits among 309 White, Puerto Rican, and African American families was conducted.
RESULTS
Forty-five percent of the variance in illness representations and 30% of the variance in acute visits were accounted for. Statistically significant differences in illness representations were observed by ethnic group. Approximately 30% of the variance in illness representations was explained for whites, 23% for African Americans, and 26% for Puerto Ricans. The model accounted for >30% of the variance in acute visits for African Americans and Puerto Ricans but only 19% for the whites.
CONCLUSION
The model provides preliminary support that ethnic heterogeneity in asthma illness representations affects children's health outcomes.
背景
儿童哮喘健康差距的原因很复杂。父母的哮喘病描述可能起作用。
目的
本研究旨在通过父母的疾病描述，检验一个基于理论的、多因素的儿童急性哮喘就诊中种族差异模型。
方法
结构方程模型调查了父母哮喘病描述、社会人口特征、医疗服务提供者因素和社会环境因素与 309 名白种人、波多黎各人和非裔美国家庭儿童急性哮喘就诊之间的关联。
结果
疾病描述的 45%和急性就诊的 30%差异可以用该模型解释。疾病描述在种族群体之间存在显著差异。大约 30%的白人、23%的非裔美国人和 26%的波多黎各人的疾病描述差异可以用该模型解释。该模型可以解释 30%以上的非裔美国人和波多黎各儿童急性就诊的差异，但仅能解释白人儿童 19%的急性就诊差异。
结论
该模型初步支持哮喘病描述的种族异质性影响儿童的健康结果。
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