Navigation Links
Latino children with asthma less accurate in determining their lung function
Date:8/9/2010

EAST PROVIDENCE, RI A new study by researchers at the Bradley Hasbro Children's Research Center and the University of Puerto Rico may help explain some of the well-documented ethnic disparities in pediatric asthma.

Compared to non-Latino white children with asthma, Latino children in the study tended to think they were experiencing asthma symptoms, such as shortness of breath, when tests actually revealed normal lung function. According to researchers, inaccurate symptom perception was associated with more asthma-related emergency room visits, hospitalizations and unscheduled clinic visits.

The study, published in the American Journal of Respiratory and Critical Care Medicine, is the first to demonstrate clear differences in pulmonary function perception ability between Latino and non-Latino white children with asthma. Perception of lung function and asthma symptoms is an important component in the home management of asthma.

"There are a couple of possible explanations for these cultural differences in perceptual ability. For example, Latino children often have limited access to asthma health care, so families might expect to be seen by a physician only if the child is experiencing severe asthma symptoms. This might cause anxious parents, and kids, to inadvertently magnify symptoms in order to receive the care they believe is needed," said lead author Gregory K. Fritz, MD, academic director of Bradley Hospital and director of the Bradley Hasbro Children's Research Center (BHCRC).

"On the other hand, since greater symptom magnification leads to higher emergency department use, unscheduled office visits and hospitalizations, this tendency toward magnification could be viewed as a contributor to asthma disparities rather than a result," added Fritz, who is also a professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University.

Overall, asthma has now become the most common pediatric chronic illness in the United States, affecting an estimated 4.8 million children. Minority children are disproportionately affected by asthma. Non-Latino black and Puerto Rican children have higher prevalence rates compared to non-Latino white children. Overall, Puerto Rican children have the highest prevalence of all groups 140 percent higher than non-Latino white children.

The study included 512 children with asthma between the ages 7-16; 222 were from the Providence area and 290 from San Juan, Puerto Rico. Of the Rhode Island children, 115 were Latino and 107 were non Latinos whites. All children were trained to use a home spirometer to measure their peak expiratory flow rate (PEFR), a test that determines how fast a person can exhale air, twice a day for five weeks. Study participants guessed what they thought their PERF would be, based on how they were feeling, before performing the actual test. The results were compared to determine the child's perceptual accuracy, which fell into three zones: accurate, danger (child misses clinically significant pulmonary function compromise), and magnification (oversensitivity to minimal compromise).

The results show that in addition to ethnicity, younger age, female sex, lower intelligence and poverty were also associated with less accurate pulmonary function perception. Island Puerto Rican children had the lowest accuracy and highest magnification scores followed by Rhode Island Latinos; both differed significantly from non-Latino white children.


'/>"/>

Contact: Jessica Collins Grimes
jgrimes2@lifespan.org
401-432-1328
Lifespan
Source:Eurekalert

Related medicine news :

1. New intervention helps Latino parents of asthmatic children quit smoking
2. Are Latino teens sexual risk takers? Its complicated, researcher says
3. Spanish Only, Please: Special Latino Clinic Launched For Potential Abdominal Transplant Patients
4. For Latino Community, Health Reform Cant Wait
5. US Latinos have high rates of developing vision loss and certain eye conditions
6. Eye Disease Rates High Among Latino Americans
7. Getting to the heart of cardiovascular disease among Latinos in East Los Angeles
8. "Descubre Tu Estilo: Tu Gua Para Vestir Mejor" Wins Triple Crown Award and Honors at the 12th International Latino Book Awards
9. Amway One by One Campaign for Children Reaches 7 Million Kids
10. Exposure to secondhand smoke among children in England has declined since 1996
11. One Month after Major Quake, Ongoing Crises for Haitian Children
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... ... payment industry today announced its strategic partnership with Connance, a healthcare industry ... The two companies’ proven, proprietary technology combine to provide health systems, hospitals ...
(Date:6/27/2016)... Park, KS (PRWEB) , ... June 27, 2016 , ... ... in retailers of Eyeglasses . , Millions of individuals in the United States ... eyeglasses have become a way to both correct vision and make a fashion statement. ...
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a ... and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is ... to some of the world’s leading providers of cereal and other breakfast foods. Its ...
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... PawPaws ... a new product that was developed to enhance the health of felines. The formula ... , The two main herbs in the PawPaws Cat Kidney Support Supplement ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many ... been diagnosed with endometriosis. These women need a treatment plan to not only ... approach that can help for preservation of fertility and ultimately achieving a pregnancy. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- According to a new market research ... Safety Pen Needles), Needle Length (4mm, 5mm, 6mm, 8mm, ... Purchase (Retail, Non-Retail) - Trends & Global Forecasts to ... for the forecast period of 2016 to 2021. This ... 2021 from USD 1.65 Billion in 2016, growing at ...
(Date:6/24/2016)... NAMUR , Belgium , ...  (NYSE MKT: VNRX), today announced the appointment of ... Board of Directors as a Non-Executive Director, effective ... the Company,s Audit, Compensation and Nominations and Governance ... Board, Dr. Futcher will provide independent expertise and ...
(Date:6/23/2016)... -- MedSource announced today that it has selected Datatrial,s ... choice.  This latest decision demonstrates MedSource,s commitment to ... by offering a state-of-the-art electronic data capture (EDC) ... the EDC platform of choice in exchange for ... long been a preferred EDC platform by our ...
Breaking Medicine Technology: