Open AccessHome Asthma Triggers: Barriers to Asthma Control in Chicago Puerto Rican Children
Author(s) -
Molly Martin,
Ann Marie Thomas,
Giselle Mosnaim,
Matthew Greve,
Susan M. Swider,
Steven K. Rothschild
Publication year - 2013
Publication title -
journal of health care for the poor and underserved
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.511
H-Index - 59
eISSN - 1548-6869
pISSN - 1049-2089
DOI - 10.1353/hpu.2013.0073
Subject(s) - asthma , medicine , psychological intervention , depression (economics) , cotinine , cohort , multivariate analysis , environmental health , gerontology , psychiatry , nicotine , economics , macroeconomics
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.