Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Mar;17(1):38-48.
doi: 10.1007/s10880-009-9178-3.

Cultural-related, contextual, and asthma-specific risks associated with asthma morbidity in urban children

Daphne Koinis-Mitchell  1 , Elizabeth L McQuaid, Sheryl J Kopel, Cynthia A Esteban, Alexander N Ortega, Ronald Seifer, Cynthia Garcia-Coll, Robert Klein, Elizabeth Cespedes, Glorisa Canino, Gregory K Fritz
Affiliations

Cultural-related, contextual, and asthma-specific risks associated with asthma morbidity in urban children

Daphne Koinis-Mitchell et al. J Clin Psychol Med Settings. 2010 Mar.

Abstract

The objective of this study was to examine associations between specific dimensions of the multi-dimensional cumulative risk index (CRI) and asthma morbidity in urban, school-aged children from African American, Latino and Non-Latino White backgrounds. An additional goal of the study was to identify the proportion of families that qualify for high-risk status on each dimension of the CRI by ethnic group. A total of 264 children with asthma, ages 7-15 (40% female; 76% ethnic minority) and their primary caregivers completed interview-based questionnaires assessing cultural, contextual, and asthma-specific risks that can impact asthma morbidity. Higher levels of asthma-related risks were associated with more functional morbidity for all groups of children, despite ethnic group background. Contextual and cultural risk dimensions contributed to more morbidity for African-American and Latino children. Analyses by Latino ethnic subgroup revealed that contextual and cultural risks are significantly related to more functional morbidity for Puerto Rican children compared to Dominican children. Findings suggest which type of risks may more meaningfully contribute to variations in asthma morbidity for children from specific ethnic groups. These results can inform culturally sensitive clinical interventions for urban children with asthma whose health outcomes lag far behind their non-Latino White counterparts.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Multiple risk model of asthma morbidity in urban children
Fig. 2
Fig. 2
Percentage of families by ethnic group who qualified for high risk status on a specific number of risks
Fig. 3
Fig. 3
Percentage of families by ethnic group who qualified for high risk status on a specific number of risks
Fig. 4
Fig. 4
Percentage of families by ethnic group who qualified for high risk status on the asthma-related risk dimension
Fig. 5
Fig. 5
Percentage of families by ethnic group who qualified for high risk status on the contextual dimension
Fig. 6
Fig. 6
Percentage of families by ethnic group who qualified for high risk status on the cultural dimension
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Barocas R, Seifer R, Sameroff AJ. Defining environmental risk: Multiple dimensions of pscyhological vulnerability. American Journal of Community Psychology. 1985;13:433–447. - PubMed
    1. Cabana MD, Slish KK, Lewish TC, Brown RW, Nan B, Lin X, et al. Parental management of asthma triggers within a child’s environment. Journal of Allergy and Clinical Immunology. 2004;114:352–357. - PubMed
    1. Canino G, Bravo M. The adaptation and testing of diagnostic and outcome measures for cross-cultural research. International Review of Psychiatry. 1994;6:281–286.
    1. Canino G, Koinis Mitchell D, Ortega A, McQuaid E, Fritz G, Alegria M. Asthma disparities in the prevalence, morbidity and treatment of Latino children. Social Science and Medicine. 2006;63:2926–2937. - PubMed
    1. Canino G, McQuaid EL, Alvarez M, Colon A, Esteban C, Febo V, et al. Issues and methods in disparities research: The Rhode Island-Puerto Rico asthma center. Pediatric Pulmonology. 2009;44:899–908. - PMC - PubMed

Publication types