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• W2048142735 abstract "RATIONALE: Although environmental control practices (ECPs) are an integral part of NAEPP guidelines, many inner-city families of asthmatics do not implement them. We hypothesized that caregiver frustration and worry about child's asthma (emotional bother) would be a predictor of ECP use.METHODS: Caregivers of children, age 2-6 years, with asthma (n=150) completed a questionnaire about ECPs to manage asthma-related health of the child. Mean scores of emotional bother were calculated from the Children's Health Survey for Asthma (CHSA), a validated, self-reported measure for parents of asthmatic children.RESULTS: 50% of children were female, 90% black and the mean age was 4.4. Caregivers who reported being more bothered by their child's asthma were significantly more likely to install devices to improve air quality (e.g., dehumidifiers and air conditioners) (OR, 1.04, 95% CI 1.01-1.07 and OR, 1.03, 95% CI 1.01-1.06, respectively, per 1 point increase in the 100-point emotional bother scale). Caregivers who were more bothered were also more likely to make changes to the family room (OR, 1.04, CI 1.01-1.07) and child's bedroom (OR, 1.02, 95% CI 1.00-1.04, p=0.06) for the child's health. Cockroach and mouse control were not related to emotional bother of the caregiver. The child's NAEPP severity category did not predict ECPs and adjustment for severity did not alter the association between emotional bother and ECPs.CONCLUSIONS: In inner-city families, emotional bother is associated with some ECPs, but not others. Awareness of the importance of emotional bother of the caregiver can help increase the use of ECPs in asthmatic families. RATIONALE: Although environmental control practices (ECPs) are an integral part of NAEPP guidelines, many inner-city families of asthmatics do not implement them. We hypothesized that caregiver frustration and worry about child's asthma (emotional bother) would be a predictor of ECP use. METHODS: Caregivers of children, age 2-6 years, with asthma (n=150) completed a questionnaire about ECPs to manage asthma-related health of the child. Mean scores of emotional bother were calculated from the Children's Health Survey for Asthma (CHSA), a validated, self-reported measure for parents of asthmatic children. RESULTS: 50% of children were female, 90% black and the mean age was 4.4. Caregivers who reported being more bothered by their child's asthma were significantly more likely to install devices to improve air quality (e.g., dehumidifiers and air conditioners) (OR, 1.04, 95% CI 1.01-1.07 and OR, 1.03, 95% CI 1.01-1.06, respectively, per 1 point increase in the 100-point emotional bother scale). Caregivers who were more bothered were also more likely to make changes to the family room (OR, 1.04, CI 1.01-1.07) and child's bedroom (OR, 1.02, 95% CI 1.00-1.04, p=0.06) for the child's health. Cockroach and mouse control were not related to emotional bother of the caregiver. The child's NAEPP severity category did not predict ECPs and adjustment for severity did not alter the association between emotional bother and ECPs. CONCLUSIONS: In inner-city families, emotional bother is associated with some ECPs, but not others. Awareness of the importance of emotional bother of the caregiver can help increase the use of ECPs in asthmatic families." @default.
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• W2048142735 date "2006-02-01" @default.
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• W2048142735 title "Emotional Bother, Rather than Disease Severity, Determines Environmental Control Practices in Inner-City Preschool Children" @default.
• W2048142735 doi "https://doi.org/10.1016/j.jaci.2005.12.325" @default.
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