期刊
PATIENT EDUCATION AND COUNSELING
卷 75, 期 3, 页码 368-375出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2009.01.004
关键词
Health literacy; Asthma; Asthma care; Child health; Child asthma; Health behavior; Health beliefs; Provider-patient communication; Pediatric care; Medical care; REALM; Poverty; Low-income; PACQOL; Asthma burden; Urban children
资金
- National Heart, Lung, and Blood Institute [5R01-HL079954]
- Centers for Disease Control and Prevention, Office of the Director [1K01-DP001125]
- NATIONAL CENTER FOR CHRONIC DISEASE PREV AND HEALTH PROMO [K01DP001125] Funding Source: NIH RePORTER
- NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL079954] Funding Source: NIH RePORTER
Health literacy (HL) affects adult asthma management, yet less is known about how parent HL affects child asthma care. Objective: To examine associations between parent HL and measures related to child asthma. Methods: Parents of 499 school-age urban children with persistent asthma in Rochester, New York completed home interviews. Measures: the Rapid Estimate of Adult Literacy in Medicine (REALM) for parent HL: National Heart Lung and Blood Institute (NHLBI) criteria for asthma severity, and validated measures of asthma knowledge, beliefs, and experiences. Analyses: bivariate and multivariate analyses of associations between parent HL measures related to child asthma. Results: Response rate: 72%, mean child age: 7.0 years. Thirty-two percent had a Hispanic parent; 88% had public insurance. Thirty-three percent had a parent with limited HL. Low parent HL was independently associated with greater parent worry, parent perception of greater asthma burden, and lower parent-reported quality of life. Measures of health care use (e.g., emergency care and preventive medicines) were not associated with parent HL. Conclusions: Parents with limited HL worried more and perceived greater overall burden from the child's asthma, even though reported health care use did not vary. Practice implications: Improved parent understanding and provider-parent communication about child asthma could reduce parent-perceived asthma burden, alleviate parent worry, and improve parent quality of life. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
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