Koinis-Mitchell Daphne, Kopel Sheryl J, Salcedo Leslie, McCue Christine, McQuaid Elizabeth L
Bradley/Hasbro Children's Research Center/The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Am J Health Behav. 2014 Jan;38(1):22-30. doi: 10.5993/AJHB.38.1.3.
To examine differences in asthma outcomes by levels of child-reported neighborhood and family stress related to urban living in a sample of children and their caregivers.
A total of 208 urban children with asthma, ages 6-12 and their primary caregivers from African-American, Latino, and non-Latino white backgrounds were included in this study.
Children's report of higher levels of stress was related to poorer asthma control. Children's report of stressors of urban living was associated with asthma functional limitation in families living below the poverty threshold.
The results from this study may inform future avenues for intervention to decrease the effects of specific stressors associated with urban poverty that may serve as barriers to optimal asthma control in this high-risk group.
在一组儿童及其照料者样本中，研究儿童报告的与城市生活相关的邻里和家庭压力水平对哮喘结局的影响差异。
本研究纳入了208名年龄在6至12岁之间的患有哮喘的城市儿童及其来自非裔美国人、拉丁裔和非拉丁裔白人背景的主要照料者。
儿童报告的较高压力水平与较差的哮喘控制相关。在生活在贫困线以下的家庭中，儿童报告的城市生活压力源与哮喘功能受限有关。
本研究结果可为未来的干预途径提供参考，以减少与城市贫困相关的特定压力源的影响，这些压力源可能成为该高危群体实现最佳哮喘控制的障碍。
