title: Parental coping, depressive symptoms, and children's asthma control and school attendance in low-income, racially, and ethnically diverse urban families.
abstract: OBJECTIVE
  Low-income urban children of color are at elevated risk for poor asthma control. This cross-sectional study examined associations among parents' coping (primary control, secondary control, and disengagement), parental depressive symptoms, and children's asthma outcomes (asthma control and school attendance) in a predominantly low-income, racially/ethnically diverse sample of families.
  
  
  METHODS
  Parents (N = 78; 90% female) of children (33% female; 46% Black; 38% Latino) aged 5-17 years (M = 9.5 years) reported on their own coping and depressive symptoms, their child's asthma control, and full and partial days of school missed due to asthma.
  
  
  RESULTS
  Parents' secondary control coping (i.e., coping efforts to accommodate/adapt to asthma-related stressors) was negatively correlated, and disengagement coping (i.e. coping efforts to avoid/detach from stressors) was positively correlated, with their depressive symptoms. Secondary control coping was also correlated with fewer partial days of school missed. Primary control coping (i.e., coping efforts to change stressors) was not associated with depressive symptoms or asthma outcomes. Parents' depressive symptoms were also positively correlated with poorer asthma control and partial days of school missed. Regression models showed direct and indirect effects of secondary control and disengagement coping on asthma outcomes via depressive symptoms, after controlling for demographic factors.
  
  
  CONCLUSIONS
  Parents' secondary control and disengagement coping are related to children's asthma outcomes. Secondary control coping may support parents' mental health and children's asthma control in low-income urban families.
authors.affiliation: a Department of Educational Psychology , University of Texas at Austin , Austin , TX , USA.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Rodríguez
authors.affiliation: b Department of Pediatrics , Division of Pulmonary, Allergy and Sleep Medicine, University of Illinois at Chicago , Chicago , IL , USA.
authors.forename: Harsha
authors.initials: H
authors.lastname: Kumar
authors.affiliation: a Department of Educational Psychology , University of Texas at Austin , Austin , TX , USA.
authors.forename: Juliana
authors.initials: J
authors.lastname: Alba-Suarez
authors.affiliation: c Departments of Psychiatry and Surgery , University of Illinois at Chicago , Chicago , IL , USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Sánchez-Johnsen
mesh_terms: D000041:Absenteeism; D000223:Adaptation, Psychological; D000293:Adolescent; D001249:Asthma / Q000208:ethnology / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003863:Depression / Q000208:ethnology* / Q000523:psychology; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D011203:Poverty; D044469:Racial Groups; D013315:Stress, Psychological / Q000208:ethnology / Q000523:psychology; D014505:Urban Population
keywords: Asthma; child; coping; depression; low-income; parent