School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Res Nurs Health. 2020 Jun;43(3):218-229. doi: 10.1002/nur.22020. Epub 2020 Apr 9.
In this cross-sectional study of 60 American Indian mother-child dyads from Southeastern North Carolina, we examined whether childhood asthma control was related to household-level factors, such as environmental tobacco smoke and family management behaviors. We also examined the relationships among family management behaviors and maternal depressive symptoms. We used logistic regression to assess the relationships among childhood asthma control, the presence of environmental tobacco smoke, and family management behaviors, specifically condition management ability (CMA) and condition management effort (CME). We used linear regression to evaluate the relationships between both CMA and CME and maternal depressive symptoms. Better asthma control in children was associated with the absence of environmental tobacco smoke in the home and the maternal perception of asthma as a manageable condition. Mothers perceived an increase in effort to manage their child's asthma as their depressive symptoms increased. These findings emphasize the importance of environmental triggers, perceptions of condition management, and maternal mental health in controlling asthma in American Indian children. Interventions to reduce environmental triggers, treat maternal depressive symptoms, and support mothers in their ability to manage childhood asthma may yield better asthma control and help to reduce existing racial disparities in this population.
在这项横断面研究中，我们调查了 60 对来自美国北卡罗来纳州东南部的美洲印第安人母婴对子，以确定儿童哮喘控制是否与家庭层面的因素有关，如环境烟草烟雾和家庭管理行为。我们还研究了家庭管理行为与母亲抑郁症状之间的关系。我们使用逻辑回归来评估儿童哮喘控制、环境烟草烟雾的存在与家庭管理行为（具体为病情管理能力[CMA]和病情管理努力[CME]）之间的关系。我们使用线性回归来评估 CMA 和 CME 与母亲抑郁症状之间的关系。儿童哮喘控制更好与家中无环境烟草烟雾以及母亲认为哮喘是可控制的状况有关。随着母亲抑郁症状的增加，她们管理孩子哮喘的努力程度也会增加。这些发现强调了环境触发因素、病情管理认知以及母亲心理健康在控制美洲印第安儿童哮喘中的重要性。减少环境触发因素、治疗母亲抑郁症状以及支持母亲管理儿童哮喘的能力的干预措施可能会改善哮喘控制，并有助于减少该人群中现有的种族差异。
