267295 Is parental mental health associated with worse asthma morbidity in children with asthma than living with a parent who smokes?

Wednesday, October 31, 2012 : 12:45 PM - 1:00 PM

Tracy L. Jackson , Department of Epidemiology, Brown University Warren Alpert Medical School, Providence, RI
Annie Gjelsvik, PhD , Department of Epidemiology, Brown University Warren Alpert Medical School, Providence, RI
Aris Garro, MD , Department of Pediatrics and Emergency Medicine, Brown University Warren Alpert Medical School, Providence, RI
Deborah N. Pearlman, PhD , Department of Epidemiology, Brown University Warren Alpert Medical School, Providence, RI
The current study examined the impact of parental mental health and smoking status on asthma control of in children. Exposure to environmental tobacco smoke (ETS) and poor parental mental health has been linked to worse health outcomes in children with asthma, however, the impact of these factors have not been compared in a nationally representative sample. This opportunity exists with the Child Asthma Call-Back Survey linked to the Behavioral Risk Factor Surveillance System (BRFSS), which is administered to parents who report living in a home with a child with asthma. The study sample included 2,093 parents who completed the Child Asthma Call-Back Survey regarding one of their children. A majority of the sample of children were male (58.3%) and non-Hispanic White (56.4%). Parental mental health was a composite measure of three variables (social support, life satisfaction, and recent depression/anxiety). Poor asthma control was a composite measure consisting of four indicators (recent asthma exacerbation, moderate to a lot of activity limitations, recent asthma-related emergency department visit, and use of short-acting beta-2 agonists bronchodilators). A multivariate logistic regression model indicated that poor mental health (β=0.190; 95% Confidence Interval [CI]= 0.12-0.26) and smoking among parents (β=0.193; 95% CI= 0.05-0.33) contributed similarly to poor asthma control in children. Results also showed that non-Hispanic Black children had higher poorly controlled asthma scores (β=0.235; 95% CI= 0.15-0.32) compared to non-Hispanic Whites. These results indicate that both parental smoking behavior and comprehensive mental health assessment should be targets of interventions to improve children's asthma control.

Learning Areas:
Chronic disease management and prevention
Public health or related research

Learning Objectives:
Describe the factors associated with poorly controlled child asthma. Explain the methodological issues associated with working with linked data.

Keywords: Mental Health, Smoking

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a faculty member in the Program in Public Health, Brown University, specializing in chronic disease epidemiology and health disparities. I also serve as a consulting epidemiologist and evaluator to the Rhode Island Department of Health, where I contribute substantially to securing funding for the design and evaluation of health promotion interventions and supporting surveillance activities. Among my scientific research interests is the effect of individual- and neighborhood level SES on health outcomes.
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.

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