Low parental literacy is associated with worse asthma care measures in children

被引:191
作者
DeWalt, Darren A.
Dilling, Marylee H.
Rosenthal, Marjorie S.
Pignone, Michael P.
机构
[1] Univ N Carolina, Div Gen Internal Med, Dept Med, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
[3] Yale Univ, Sch Med, Div Gen Pediat, New Haven, CT USA
关键词
asthma; children; hospitalization; literacy; parents;
D O I
10.1016/j.ambp.2006.10.001
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective.-To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma. Methods.-We performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity, and parental asthma-related knowledge. Results.-We enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.4; 95% confidence interval 0.97, 2.0), hospitalizations (IRR 4.6; 1.8, 12), and days missed from school (IRR 2.8; 2.3, 3.4) even after adjusting for asthma-related knowledge, disease severity, medication use, and other sociodemographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications. Conclusions.-Low parental literacy is associated with worse care measures for children with asthma.
引用
收藏
页码:25 / 31
页数:7
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