TITLE

Parental altitudes towards the management of asthma in ethnic minorities

AUTHOR(S)
Smeeton, Nigel C.; Rona, Roberto J.; Gregory, Jane; White, Patrick; Morgan, Myfanwy
PUB. DATE
December 2007
SOURCE
Archives of Disease in Childhood;Dec2007, Vol. 92 Issue 12, p1082
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives: Children from Indian and Pakistani (South Asian) and black minority groups have relatively high rates of attendance at accident and emergency (A&E) departments and admissions to hospital in the UK. We examine parents' beliefs and management of childhood asthma that possibly contribute to their greater use of hospital services. Design: Questionnaire survey. Setting: Three London hospitals serving multicultural communities with a high proportion of South Asian subjects. Participants: Parent(s) accompanying 150 children aged 3-9 years with asthma attending asthma clinics and A&E departments. Main outcome measures: White, South Asian and "other" ethnic group parents were compared regarding their children's symptoms and asthma in relation to why their children had developed asthma, use of asthma treatments, views about the prognosis of their children's asthma, and their feelings associated with stigma. Results: South Asian more often than white parents stated that they did not give preventers to their children (odds ratio (OR) 0.30; 95% confidence interval (CI) 0.12 to 0.75), that most drugs were "addictive" (OR 3.89; 95% CI 1.47 to 10.27), and that medicines could do more harm than good (OR 3.19; 95% CI 1.22 to 8.34). South Asian and "other" ethnic groups were more reluctant to tell others about their children's asthma (OR 0.11; 95% CI 0.01 to 1.06 and OR 0.06; 95% CI 0.01 to 0.65, respectively). Conclusion: Cultural perspectives related to ethnicity are key factors in the understanding of asthma management. Health staff should give high priority to eliciting parents' beliefs regarding management of their children's asthma.
ACCESSION #
28024415

 

Related Articles

  • Management of Acute Asthma Exacerbations. POLLART, SUSAN M.; COMPTON, REBEKAH M.; ELWARD, KURTIS S. // American Family Physician;7/1/2011, Vol. 84 Issue 1, p40 

    Asthma exacerbations can be classified as mild, moderate, severe, or life threatening. Criteria for exacerbation severity are based on symptoms and physical examination parameters, as well as lung function and oxygen saturation. In patients with a peak expiratory low of 50 to 79 percent of their...

  • A Comparison of Oral Dexamethasone With Oral Prednisone in Pediatric Asthma Exacerbations Treated in the Emergency Department. Greenberg, Richard A.; Kerby, Gwen; Roosevelt, Genie E. // Clinical Pediatrics;Oct2008, Vol. 47 Issue 8, p817 

    The aim of this study was to determine if 2 doses .of oral dexamethasone are as effective as a 5-day course of oral prednisone in preventing relapse for pediatric asthma exacerbations. Patients presenting to the emergency department with an asthma exacerbation were randomized to receive 0.6...

  • Impact of an asthma management program on hospitalizations and emergency department visits. Fontes, Maria J. F.; Affonso, Alessandra G. A.; Calazans, Geralda M. C.; De Andrade, Cláudia R.; Lasmar, Laura M. L. B. F.; Nader, Carolina M. F. F.; Camargos, Paulo A. M. // Jornal de Pediatria;Sep/Oct2011, Vol. 87 Issue 5, p412 

    Objectives: To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrolment in an asthma program. Methods: Medical records of 608 asthmatics younger than 15 years were assessed retrospectively. The frequency of...

  • PEDIATRIC MANAGEMENT PROBLEMS. Belkengren, Richard; Sapala, Shirley // Pediatric Nursing;May/Jun2003, Vol. 29 Issue 3, p215 

    Presents a case report of a boy who experienced an acute asthma exacerbation. Clinical characteristics of the patient; Medical assessment; Disease management plan.

  • What Providers from General Emergency Departments Say about Implementing a Pediatric Asthma Pathway. Butterfoss, Frances Dunn; Major, Debra A.; Clarke, Suzanne M.; Cardenas, Rebekah A.; Isaacman, Daniel J.; Mason, Jon D.; Clements, Daryl L. // Clinical Pediatrics;May2006, Vol. 45 Issue 4, p325 

    The goal of this study was to assess institutional climate and providers' readiness to adopt pediatric pathways for asthma treatment and management. Twelve focus groups were held with 24 physicians/physicians' assistants, 20 nurses, and 17 emergency medical technicians from emergency departments...

  • How asthma education and follow-up can reduce the use of the emergency room. Lougheed, Dora // NENA Outlook;Spring2006, Vol. 29 Issue 1, p13 

    The article emphasizes the importance of asthma education and explores the impact of the implementation of follow-up clinics on the use of emergency department by asthmatics and their families. An asthma education program project, called iCAN, was sponsored by the Calgary Health Region and the...

  • A Matched-Cohort Evaluation of a Bedside Asthma Intervention for Patients Hospitalized at a Large Urban Children's Hospital. Davis, Adam; Benson, Mindy; Cooney, Darryl; Spruell, Brian; Orelian, Jean // Journal of Urban Health;Feb2011, Vol. 88, p49 

    Emergency care and hospitalizations account for 36% of asthma-related medical expenses for children. National asthma guidelines emphasize the need for asthma self-management education at multiple points of care, including the hospital, to help prevent acute exacerbations. The integration of a...

  • Asthma Management by an Inpatient Asthma Care Team. Ebbinghaus, Simone; Bahrainwala, Abdul H. // Pediatric Nursing;May/Jun2003, Vol. 29 Issue 3, p177 

    Presents a study which described asthma management by an inpatient asthma care team in Children's Hospital of Michigan. Objectives of the inpatient asthma service; Criteria for the discharge of patients under the service; Data reviewed to determine the effectiveness of the service.

  • The Critical Child in the Community ED. Sacchetti, Alfred; Ahmad, Khoshnood; Perkin, Ron // Pediatric Emergency Medicine Reports;Oct2010, Vol. 15 Issue 10, p185 

    • Most critically ill or injured children require stabilization in a community ED before transfer to a tertiary care pediatric center. • Community EDs should have the following available: * Intubation confirmation device * Laryngeal mask airways * Transilluminator/vein detector to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics