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. 2012 May;37(4):424-37.
doi: 10.1093/jpepsy/jss002. Epub 2012 Mar 9.

Identifying individual, cultural and asthma-related risk and protective factors associated with resilient asthma outcomes in urban children and families

Daphne Koinis-Mitchell  1 , Elizabeth L McQuaid, Barbara Jandasek, Sheryl J Kopel, Ronald Seifer, Robert B Klein, Christina Potter, Gregory K Fritz
Affiliations

Identifying individual, cultural and asthma-related risk and protective factors associated with resilient asthma outcomes in urban children and families

Daphne Koinis-Mitchell et al. J Pediatr Psychol. 2012 May.

Abstract

Objective: The goal of this study is to identify individual, family/cultural, and illness-related protective factors that may minimize asthma morbidity in the context of multiple urban risks in a sample of inner-city children and families.

Methods: Participating families are from African-American (33), Latino (51) and non-Latino white (47) backgrounds. A total of 131 children with asthma (56% male), ages 6-13 years and their primary caregivers were included.

Results: Analyses supported the relationship between cumulative risks and asthma morbidity across children of the sample. Protective processes functioned differently by ethnic group. For example, Latino families exhibited higher levels of family connectedness, and this was associated with lower levels of functional limitation due to asthma, in the context of risks.

Conclusions: This study demonstrates the utility of examining multilevel protective processes that may guard against urban risks factors to decrease morbidity. Intervention programs for families from specific ethnic groups can be tailored to consider individual, family-based/cultural and illness-related supports that decrease stress and enhance aspects of asthma treatment.

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Figures

Figure 1.
Figure 1.
Risk and resilience-based model of asthma morbidity in children: identifying protective factors in urban children with asthma.
Figure 2.
Figure 2.
CRI and asthma functional limitation, by low, medium and high asthma self-efficacy groups (Latinos).
Figure 3.
Figure 3.
CRI and asthma functional limitation by family connectedness tertiles (Latinos).
Figure 4.
Figure 4.
CRI and asthma-related ED visit in the past 12 months by high and low ethnic identity (NLW).
See this image and copyright information in PMC

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