J Health Care Poor Underserved. 2021;32(4):2191-2201. doi: 10.1353/hpu.2021.0191.
To effectively support asthma self-management among children most at risk for poor outcomes, it is important to examine potential disparities in parents' asthma-related knowledge. This study draws on baseline data collected from a randomized controlled trial to analyze how knowledge of asthma self-management varies by sociodemographic characteristics in a racially and economically diverse sample of Medicaid-insured children seeking emergency asthma care (N=221). Multivariable linear regression revealed that parent race/ethnicity, preferred language, and education were independently associated with scores on the Asthma Self Management Knowledge Questionnaire, and there was a significant interaction between parent race/ethnicity and education. In analyses stratified by parent education level, Latinx race/ethnicity was associated with lower-self-management knowledge among parents with higher education level, but not among those with a lower level of education. Our findings call for further research to understand and address the unique barriers to improving asthma self-management knowledge among Latinx parents and parents with limited English proficiency.
为了有效支持最有可能出现不良结果的儿童进行哮喘自我管理,重要的是要检查父母在哮喘相关知识方面的潜在差异。本研究利用一项随机对照试验的基线数据,分析了在一个种族和经济多样化的寻求急诊哮喘护理的医疗补助保险儿童样本(N=221)中,社会人口统计学特征如何影响哮喘自我管理知识。多变量线性回归显示,父母的种族/民族、首选语言和教育程度与哮喘自我管理知识问卷的得分独立相关,父母的种族/民族和教育程度之间存在显著的交互作用。在按父母教育程度分层的分析中,拉丁裔种族/民族与教育程度较高的父母的自我管理知识较低有关,但与教育程度较低的父母无关。我们的研究结果呼吁进一步研究,以了解和解决提高拉丁裔父母和英语水平有限的父母的哮喘自我管理知识方面的独特障碍。