TY - JOUR
T1 - Characterization of Stress in Low-Income, Inner-City Mothers of Children with Poorly Controlled Asthma
AU - Bellin, Melissa H.
AU - Collins, Kathryn S.
AU - Osteen, Philip
AU - Kub, Joan
AU - Bollinger, Mary Elizabeth
AU - Newsome, Angelica
AU - Lewis-Land, Cassie
AU - Butz, Arlene M.
N1 - Funding Information:
All phases of this study were supported by a National Institute of Nursing Research, NIH grant NR010546. This clinical trial is registered with www.clinicaltrials.gov and the registration number is NCT00860418. We thank the participating families for their time invested in the study.
Funding Information:
Acknowledgements All phases of this study were supported by a National Institute of Nursing Research, NIH grant NR010546. This clinical trial is registered with www.clinicaltrials.gov and the registration number is NCT00860418. We thank the participating families for their time invested in the study.
Publisher Copyright:
© 2017, The New York Academy of Medicine.
PY - 2017/12/1
Y1 - 2017/12/1
N2 - The goal of this longitudinal analysis was to characterize factors associated with the experience of life stress in low-income, inner-city mothers of minority children with high-risk asthma.Participants (n = 276) reported on family demographics, child asthma control and healthcare utilization, social support, contemporary life difficulties (housing, finances, violence exposure) measured by the validated Crisis in Family Systems scale, and daily stress. Latent growth curve modeling examined predictors of life stress across 12 months as a function of home and community difficulties, asthma-specific factors, and social support. Mothers were primarily single (73%), unemployed (55%), and living in extreme poverty with most (73%) reporting an annual family income <$20,000 (73%). The children were young (mean age = 5.59, SD = 2.17), African-American (96%), and had poorly controlled asthma (94%) at study enrollment. Higher daily stress was associated with financial difficulties, safety concerns in the home and community, and housing problems. Access to social support was consistently related to reduced stress. The only asthma-specific factor associated with life stress was healthcare utilization, with more emergency services for asthma related to higher daily stress. Findings underscore the clinical significance of assessing diverse home and community stressors and social support in low-income, inner-city caregivers of children with poorly controlled asthma.
AB - The goal of this longitudinal analysis was to characterize factors associated with the experience of life stress in low-income, inner-city mothers of minority children with high-risk asthma.Participants (n = 276) reported on family demographics, child asthma control and healthcare utilization, social support, contemporary life difficulties (housing, finances, violence exposure) measured by the validated Crisis in Family Systems scale, and daily stress. Latent growth curve modeling examined predictors of life stress across 12 months as a function of home and community difficulties, asthma-specific factors, and social support. Mothers were primarily single (73%), unemployed (55%), and living in extreme poverty with most (73%) reporting an annual family income <$20,000 (73%). The children were young (mean age = 5.59, SD = 2.17), African-American (96%), and had poorly controlled asthma (94%) at study enrollment. Higher daily stress was associated with financial difficulties, safety concerns in the home and community, and housing problems. Access to social support was consistently related to reduced stress. The only asthma-specific factor associated with life stress was healthcare utilization, with more emergency services for asthma related to higher daily stress. Findings underscore the clinical significance of assessing diverse home and community stressors and social support in low-income, inner-city caregivers of children with poorly controlled asthma.
KW - Asthma
KW - Caregivers
KW - Life stress
KW - Poverty
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U2 - 10.1007/s11524-017-0162-1
DO - 10.1007/s11524-017-0162-1
M3 - Article
C2 - 28560612
AN - SCOPUS:85019750325
SN - 1099-3460
VL - 94
SP - 814
EP - 823
JO - Journal of Urban Health
JF - Journal of Urban Health
IS - 6
ER -