195361 Association between psychosocial factors and asthma in a demographically representative adult population

Sunday, November 8, 2009

Daniel J. Kruger, PhD , School of Public Health, University of Michigan, Ann Arbor, MI
Melissa A. Valerio, MPH , School of Public Health, Health Behavior and Health Education, Center for Managing Chronic Disease, University of Michigan, Ann Arbor, MI
Seema Murthy, MD , Prevention Research Center, University of Michigan, Ann Arbor, MI
We conducted an analysis of a demographically representative community health survey to examine the association between psychosocial factors and asthma. Data were available from the Speak to Your Health! Community Survey, a community-based survey designed and implemented by university and community partners using Community Based Public Health (CBPH) principles to investigate health and social issues in Genesee County, Michigan. The survey gathered information on self-reported mental and physical health status, disease diagnoses, health access and utilization, health promoting and health adverse behaviors, neighborhood conditions, and other topics. We sampled households in all residential census tracts in Genesee County, Michigan. One resident over 18 years of age was randomly selected within each household and participated in a telephone interview. The total sample size for the telephone survey in 2007 was 1748. The mean age of the participants was 54.7 (SD=15.69); 66% of participants were White, 26% African American, and 7% other race/ethnicity; and 15% of the population reported being diagnosed with asthma. Males in the adult population were significantly more likely to report an asthma diagnosis. Adults with asthma had significantly higher Body Mass Index, lower levels of social support, and higher levels of stress than adults without asthma. Those diagnosed with asthma also had significantly higher levels of depressive symptoms. Clinicians and researchers should be aware of psychosocial factors impacting their adult patient populations and tailor patient care, communication, and community-based educational interventions to specifically address these.

Learning Objectives:
1. Recognize how representative community health surveys can reveal individual and social factors related to disease diagnoses. 2. Identify psychosocial factors related to asthma diagnoses. 3. Describe the importance of addressing psychosocial factors related to asthma in clinical settings.

Keywords: Asthma, Psychological Indicators

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over a decade of community survey research and experience and have given over 100 presentations at professional conferences.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.