Navigation Links
Dysfunctional families and bad neighborhoods may worsen asthma in children and adolescents
Date:9/27/2007

A lack of family support and problems in ones neighborhood are associated with greater asthma symptoms in children and adolescents, according to researchers in Vancouver, Canada.

Social environment has long been thought to be an important factor in asthma manifestations in youth, but few studies have empirically tested social factors at the family, peer and neighborhood levels and their implications for childhood asthma.

Edith Chen, Ph.D., of the University of British Columbia, and other researchers set out to determine whether, and to what extent, social factors influence asthma symptoms and lung function. They reported their results in the first issue for October in the American Journal of Respiratory and critical care Medicine, published by the American Thoracic Society.

The researchers hypothesized that greater neighborhood problems and a lack of peer and family support would all relate to greater asthma morbidity. Furthermore, they hypothesized that social factors would work by altering either biological systems, such as inflammation, or behaviors, such as smoking.

They recruited 78 children who had physician-diagnosed asthma without other chronic illnesses, and assessed the extent to which youth perceived support from family, support from peers and problems in their neighborhood, such as crime and violence. They measured their lung function using standardized spirometry techniques, and assessed their asthma symptoms based on interviews and daily diaries that the subjects kept. They also assessed behaviors, including smoking and compliance with medications, and evaluated biological markers of inflammation including IgE, eosinophil count and IL-4 production.

The investigators found a correlation between social environment and asthma symptoms and lung function. Asthma symptoms were greater among children who reported less family support and lived in worse neighborhoods; lung function also was poorer among children who reported less family support.

To determine possible reasons for these associations, the researchers performed statistical analyses of pathways linking family support and neighborhood problems to asthma symptoms and lung function. They found that family support and asthma outcomes were linked via inflammation, but not behaviors. That is, low levels of family support were associated with greater inflammation, and, in turn, greater inflammation was associated with poorer asthma outcomes. In contrast, family support did not appear to change childrens behaviors.

Neighborhood problems and asthma symptoms were linked through behavioral pathways, but not through inflammation. The more problematic neighborhoods were associated with greater rates of child smoking and exposure to smoke. In turn, smoking was associated with poorer asthma outcomes. In contrast, neighborhood characteristics did not appear to change childrens inflammatory profiles.

Poor family relations may foster psychological experiences with direct physiologic consequences, whereas problematic neighborhoods may operate by providing role models for maladaptive behaviors, wrote Dr. Chen.

Interestingly, peer group support had no significant effects on asthma symptoms or lung function. These findings suggest that among children with asthma, family and ones neighborhood play a more important role in asthma morbidity than do peers.

Dr. Chen noted that the study group was small and that the cross-sectional design of the study precluded drawing a direct causal relationship, stressing that more research is necessary before drawing any definitive conclusions. If these findings are confirmed in future research, however, they could have important implications for asthma interventions. For example, interventions that target family interaction patterns may help improve childrens asthma by altering biological profiles. The neighborhood effects suggest the potential utility of making community-wide changes that could help shape the health behaviors of children with asthma.

To test these implications, future research is needed that investigates the effects of experimental manipulations of social factors on childhood asthma morbidity, said Dr. Chen.


'/>"/>

Contact: Keely Savoie
ksavoie@thoracic.org
212-315-8620
American Thoracic Society
Source:Eurekalert

Related medicine news :

1. Dysfunctional Families Affect The Mental Health Of The Child
2. Alzheimers with psychosis runs in families
3. Early rising from sleep can run in families
4. Alcohol based sanitizer found to reduce illness in families
5. Kidney failure shows a tendency to run in families
6. Tendency To Smoke and Get Addicted Could Run In Families!
7. Snappy Mobiles Known To Cause Snappish Behavior in Families
8. SIDS On The Rise Among Poor Families
9. BPL Families To Receive Health Insurance: Andhra CM
10. Health Insurance Numbers Declining In American Families
11. Government’s Welfare Plan For Deprived Families Affect Other
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... Dickinson Insurance and ... and financial preparation services, is providing an update on a charitable event that ... City Rescue is a locally recognized nonprofit that provides shelter and care for ...
(Date:10/13/2017)... ... October 13, 2017 , ... The American Board of Family ... next President and Chief Executive Officer, succeeding Dr. James C. Puffer upon his retirement. ... 1, 2018 until Dr. Puffer’s retirement at the end of 2018. Upon assuming the ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... Pharmacy (SOP) alumni Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, ... guideline updates for the primary prevention of cardiovascular diseases during the 15th ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Many families have ... many long-term care insurance companies have a waiver for care if the client has ... period, when the family pays for care, is often waived, so the benefits from ...
(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th Annual Kids Fun Run ... This free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed ... geared towards children of all ages; it is a non-competitive, non-timed event, which is ...
Breaking Medicine News(10 mins):
(Date:9/23/2017)... 22, 2017 Janssen Biotech, Inc. (Janssen) announced ... from the U.S. Food and Drug Administration (FDA) for ... for the treatment of moderately to severely active rheumatoid ... data are needed to further evaluate the safety of ... RA. "We ...
(Date:9/22/2017)... , Sept. 22, 2017 AVACEN Medical ... device is now successfully helping those with the widespread ... Fibromyalgia diagnosed Amanda in Essex, England ... and washing my hair, experiencing no sleep at all, ... painful spasm… I cannot recommend [the AVACEN 100] enough, ...
(Date:9/19/2017)... Sept. 19, 2017   ZirMed Inc ., a recognized ... announced that it has been ranked #1 by its users ... Rankings 2017 User Survey. ZirMed was recognized as the ... hospitals and medical centers over 200 beds and holds one ... technology user survey history. ...
Breaking Medicine Technology: