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. 2013 May;24(2):813-27.
doi: 10.1353/hpu.2013.0073.

Home asthma triggers: barriers to asthma control in Chicago Puerto Rican children

Molly A Martin  1 , Ann Marie Thomas, Giselle Mosnaim, Matthew Greve, Susan M Swider, Steven K Rothschild
Affiliations

Home asthma triggers: barriers to asthma control in Chicago Puerto Rican children

Molly A Martin et al. J Health Care Poor Underserved. 2013 May.

Abstract

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.

Trial registration: ClinicalTrials.gov NCT01061424 NCT01065883.

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Figures

Figure:
Figure:
Behavior Summary Score Distribution (possible range 0–13), N=101
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