title: The Association Between Asthma and Sleep in Urban Adolescents With Undiagnosed Asthma.
abstract: BACKGROUND
  We examined associations between asthma and sleep in a sample of inner-city adolescents with asthma-like symptoms who are undiagnosed, and to assess the extent to which youth's report of perceived stress moderates this association.
  
  
  METHODS
  A total of 349 adolescents (83% girls), with a mean age of 15.8 years, and their primary caregivers participated. Large segments of the sample were Latinos (46%) or African Americans (37%). Adolescents reported on asthma-namely, rate of waking up at night due to asthma-like symptoms and perceived severity of breathing problems-and sleep, specifically sleep-wake behavior problems and daytime sleepiness during activities. Caregivers provided demographic information by telephone.
  
  
  RESULTS
  Night awakenings and perceived severity of breathing problems were each independently associated with sleep-wake behavior problems and daytime sleepiness during activities. Youth report of perceived stress moderated the association between perceived severity of breathing problems and sleep-wake behavior problems, and perceived severity of breathing problems and daytime sleepiness during activities.
  
  
  CONCLUSIONS
  Results suggest the importance of interventions that consider undiagnosed asthma and its effects on sleep indicators related to daytime functioning in this high risk group of youth. This study highlights the need for interventions that consider asthma severity, nocturnal asthma, and sleep problems among urban adolescents with no asthma diagnosis.
authors.affiliation: Bradley/Hasbro Children's Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Providence, RI 02903. dkoinismitchell@lifespan.org.
authors.forename: Daphne
authors.initials: D
authors.lastname: Koinis Mitchell
authors.affiliation: Bradley/Hasbro Children's Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Providence, RI 02903. Sjkpel@lifespan.org.
authors.forename: Sheryl J
authors.initials: SJ
authors.lastname: Kopel
authors.affiliation: Bradley/Hasbro Children's Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Providence, RI 02903. Bwilliams@lifespan.org.
authors.forename: Brittney
authors.initials: B
authors.lastname: Williams
authors.affiliation: Department of Child and Adolescent Psychiatry, Child Study Center, New York University School of Medicine, One Park Avenue 7th FL, New York, NY 10016. Amarilis.cespedes@nyumc.org.
authors.forename: Amarilis
authors.initials: A
authors.lastname: Cespedes
authors.affiliation: New York University School of Medicine, Child Study Center, One Park Avenue 7th FL, New York, NY 10016. jean-marie.bruzzese@nyumc.org.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Bruzzese
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000706:statistics & numerical data; D000704:Analysis of Variance; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D006970:Disorders of Excessive Somnolence / Q000453:epidemiology* / Q000209:etiology; D004417:Dyspnea / Q000150:complications / Q000209:etiology; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015995:Prevalence; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D012893:Sleep Wake Disorders / Q000150:complications / Q000453:epidemiology* / Q000209:etiology; D013315:Stress, Psychological / Q000150:complications / Q000453:epidemiology* / Q000503:physiopathology; D011795:Surveys and Questionnaires; D014504:Urban Health / Q000208:ethnology / Q000706:statistics & numerical data; D044465:White People / Q000706:statistics & numerical data
keywords: adolescents, urban health; asthma-like symptoms; undiagnosed asthma symptoms