Martin Molly A, Thomas Ann Marie, Mosnaim Giselle, Greve Matthew, Swider Susan M, Rothschild Steven K
Rush University Medical Center (RUMC), Department of Preventive Medicine, Chicago, Illinois, USA.
J Health Care Poor Underserved. 2013 May;24(2):813-27. doi: 10.1353/hpu.2013.0073.
We sought objectively to measure, summarize, and contextualize the asthma triggers found in the homes of urban high-risk Puerto Rican children and adolescents with asthma in Chicago. Data were from the baseline home assessments of Project CURA. Research assistants interviewed caregivers, conducted a home visual inspection, and collected saliva samples for cotinine analysis. A trigger behavior summary score was created. The housing inspected was old with multiple units and obvious structural deficiencies. Many allergic and irritant triggers were observed. Having a controller medicine or private insurance was associated with lower trigger behavior summary scores; caregiver depression, caregiver perceived stress, and child negative life events were associated with high trigger scores. The final multivariate model retained had a controller medicine, private insurance, and caregiver perceived stress. The data from this high-risk cohort identified modifiable areas where environmental interventions could reduce morbidity in Puerto Rican children and adolescents.
我们旨在客观地测量、总结并梳理出芝加哥市区患有哮喘的高危波多黎各儿童和青少年家中发现的哮喘诱发因素。数据来自CURA项目的基线家庭评估。研究助理对照顾者进行了访谈，进行了家庭视觉检查，并收集了唾液样本用于可替宁分析。创建了一个诱发行为总结分数。所检查的房屋老旧，有多个单元且存在明显的结构缺陷。观察到许多过敏和刺激性诱发因素。使用控制药物或拥有私人保险与较低的诱发行为总结分数相关；照顾者抑郁、照顾者感知到的压力以及儿童负面生活事件与较高的诱发分数相关。最终保留的多变量模型中有控制药物、私人保险和照顾者感知到的压力。来自这个高危队列的数据确定了一些可改变的领域，在这些领域进行环境干预可以降低波多黎各儿童和青少年的发病率。
