title: Home asthma triggers: barriers to asthma control in Chicago Puerto Rican children.
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.
authors.affiliation: Rush University Medical Center (RUMC), Department of Preventive Medicine, Chicago, Illinois, USA. molly_martin@rush.edu
authors.forename: Molly A
authors.initials: MA
authors.lastname: Martin
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Thomas
authors.forename: Giselle
authors.initials: G
authors.lastname: Mosnaim
authors.forename: Matthew
authors.initials: M
authors.lastname: Greve
authors.forename: Susan M
authors.initials: SM
authors.lastname: Swider
authors.forename: Steven K
authors.initials: SK
authors.lastname: Rothschild
mesh_terms: D000293:Adolescent; D000485:Allergens / Q000009:adverse effects; D001249:Asthma / Q000208:ethnology* / Q000209:etiology* / Q000523:psychology; D017028:Caregivers / Q000523:psychology; D002641:Chicago / Q000453:epidemiology; D002675:Child, Preschool; D003367:Cotinine / Q000032:analysis; D003430:Cross-Sectional Studies; D004781:Environmental Exposure / Q000009:adverse effects*; D005260:Female; D006630:Hispanic or Latino; D006798:Housing; D006801:Humans; D008297:Male; D008603:Mental Health; D011647:Puerto Rico / Q000208:ethnology; D012463:Saliva / Q000737:chemistry; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D014028:Tobacco Smoke Pollution / Q000009:adverse effects; D014505:Urban Population / Q000706:statistics & numerical data
chemical_list: D000485:Allergens; D014028:Tobacco Smoke Pollution; D003367:Cotinine