Parental Mental Health, Childhood Psychiatric Disorders, and Asthma Attacks in Island Puerto Rican Youth
Section snippets
METHODS
The “Service Use and Need in Puerto Rican Children” study examined mental health service use and psychiatric disorders for children ages 4 to 17 years in 1998 living in the US Commonwealth of Puerto Rico. The purpose of the original study was to provide data that would guide the integration of epidemiological and mental health service utilization data and to provide an organizational perspective for the study of Puerto Rican children's mental health. The study used two samples. The current
RESULTS
Table 1 shows the results of the differences in subject characteristics by history of childhood asthma attack. Only one marginal significant difference was observed for the characteristics. Children living in urban areas were more likely to have had an asthma attack than those living in rural areas. For the psychiatric disorders, both children with any anxiety disorder and any depressive disorder were more likely to have a history of asthma attack than those with no anxiety or depressive
DISCUSSION
This study has two main findings. First, parental mental health problems and the frequency of problems are associated with increased likelihood of parent-reported asthma attacks in island Puerto Rican youth. Second, a relationship between parental mental health problems and asthma attacks in Puerto Rican youth persists after adjusting for anxiety and depression in youth and other potentially confounding factors.
To our knowledge, this is the first study to examine the associations between
ACKNOWLEDGMENTS
This work was supported by US Public Health Service, National Institute of Mental Health grants R01-MH54827 and P01-MH59876, and by the National Center on Minority Health and Health Disparities grant P20-MD000. The authors thank Mr Pedro Garcia and Dr John Rizzo for help in the analysis of data.
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2012, PsychosomaticsCitation Excerpt :We used parent-reported asthma attack for youth participants younger than 17 years or youth self-reported asthma attack for youth 17 years or older (17–19 years). The use of a morbidity variable (asthma attacks) in this analysis, which predicts symptomatic asthma instead of prevalence, was based on previous analyses from waves 1 and 2 where asthma attacks proved to be more consistent and predictable than rates of lifetime asthma diagnosis.3,10,14 Socio-demographic variables reported by parents included: education, marital status, work status, income, household members, perception of poverty, youths' age, gender, and school years.
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