title: Contextual and cultural risks and their association with family asthma management in urban children.
abstract: This study examines the association between caregivers' perceptions of home and neighborhood safety on family asthma management in the context of cultural risk factors (e.g., discrimination and acculturative stress) in a sample of urban and ethnic minority families. Participants included 147 children (ages 6-13) and their primary caregiver from Latino, African American and Non-Latino White (NLW) backgrounds. When controlling for poverty, caregivers' perceptions of home and neighborhood safety predicted family asthma management for the overall sample and for the NLW families. Additionally, for caregivers who endorsed higher levels of perceived discrimination, home and neighborhood safety predicted family asthma management. This study demonstrates the utility of considering caregivers' perceptions of home and neighborhood safety when examining urban families' day-to-day engagement with asthma management tasks.
authors: Brown University, USA. Maria_Coutinho@Brown.edu
authors: Maria Teresa
authors: MT
authors: Coutinho
authors: Elizabeth L
authors: EL
authors: McQuaid
authors: Daphne
authors: D
authors: Koinis-Mitchell
mesh_terms: D000293:Adolescent; D001741:Black or African American; D001249:Asthma / Q000188:drug therapy* / Q000208:ethnology*; D002648:Child; D003466:Cultural Characteristics; D003657:Decision Making; D005190:Family / Q000208:ethnology*; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D011203:Poverty; D012044:Regression Analysis; D018570:Risk Assessment; D014481:United States; D014505:Urban Population
keywords: Chronic illness; culture and cultural issues; family