Journal
AMBULATORY PEDIATRICS
Volume 7, Issue 1, Pages 25-31Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.ambp.2006.10.001
Keywords
asthma; children; hospitalization; literacy; parents
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Funding
- NATIONAL CENTER FOR RESEARCH RESOURCES [K12RR017667, M01RR000046] Funding Source: NIH RePORTER
- NCRR NIH HHS [5M01 RR 000046, M01 RR000046, K12 RR017667, 5K12 RR 017667-04] Funding Source: Medline
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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.
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