Child and Family Psychiatry, Bradley/Hasbro Research Center, 1 Hoppin Street, Providence, RI 02903, USA.
J Pediatr Psychol. 2012 May;37(4):424-37. doi: 10.1093/jpepsy/jss002. Epub 2012 Mar 9.
The goal of this study is to identify individual, family/cultural, and illness-related protective factors that may minimize asthma morbidity in the context of multiple urban risks in a sample of inner-city children and families.
Participating families are from African-American (33), Latino (51) and non-Latino white (47) backgrounds. A total of 131 children with asthma (56% male), ages 6-13 years and their primary caregivers were included.
Analyses supported the relationship between cumulative risks and asthma morbidity across children of the sample. Protective processes functioned differently by ethnic group. For example, Latino families exhibited higher levels of family connectedness, and this was associated with lower levels of functional limitation due to asthma, in the context of risks.
This study demonstrates the utility of examining multilevel protective processes that may guard against urban risks factors to decrease morbidity. Intervention programs for families from specific ethnic groups can be tailored to consider individual, family-based/cultural and illness-related supports that decrease stress and enhance aspects of asthma treatment.
本研究旨在确定个体、家庭/文化和与疾病相关的保护因素，以最小化在多个城市风险背景下，城市内儿童和家庭的哮喘发病率。
参与的家庭来自非裔美国人（33%）、拉丁裔（51%）和非拉丁裔白人（47%）背景。共有 131 名年龄在 6-13 岁之间的哮喘儿童（56%为男性）及其主要照顾者参与了研究。
分析支持了样本中儿童的累积风险与哮喘发病率之间的关系。保护机制因族裔群体而异。例如，在面临风险的情况下，拉丁裔家庭表现出更高的家庭凝聚力，这与因哮喘导致的功能受限程度较低有关。
本研究表明，检查可能预防城市风险因素以降低发病率的多层次保护机制是有用的。可以针对特定族裔群体的家庭量身定制干预计划，以考虑减少压力和增强哮喘治疗方面的个体、家庭/文化和与疾病相关的支持。
