Journal article
Congruence between Urban Adolescent and Caregiver Responses to Questions about the Adolescent’s Asthma
Journal of urban health, Vol.88(1), pp.30-40
02/2011
DOI: 10.1007/s11524-010-9487-8
PMCID: PMC3042079
PMID: 21293937
Abstract
In clinical and research settings, it is increasingly acknowledged that adolescents may be better positioned than their caregivers to provide information in regard to their own health status, including information related to asthma. Very little is known, however, about the congruence between adolescent and caregiver responses to questions about asthma beyond reports of symptoms. We analyzed data for 215 urban, primarily African-American adolescent–caregiver pairs. Adolescents and caregiver reports concerning the adolescent’s asthma-related medical history were moderately correlated and not found to differ at the aggregate level. Correlations between adolescent and caregiver reports of the adolescent’s asthma symptoms and functional status were weak, although these differences deteriorated at the aggregate level. Adolescent–caregiver reports of symptoms and functioning were more likely to be in agreement if the adolescent was older, if school personnel were unaware of the child’s asthma, and if the adolescent’s asthma was classified as mild intermittent. For questions concerning the frequency of hospitalizations, emergency department visits, and physician visits, moderate correlations between adolescent and caregiver responses were noted, although with some differences at the aggregate level. Findings suggest that, when adolescents and their caregivers are asked about the adolescent’s asthma in clinical and research settings, the extent to which the two perspectives are likely to agree depends on the type of information sought. Clinicians and researchers may obtain more accurate information if questions about symptoms and functional status are directed toward adolescents.
Details
- Title: Subtitle
- Congruence between Urban Adolescent and Caregiver Responses to Questions about the Adolescent’s Asthma
- Creators
- Christy R Houle - Center for Managing Chronic Disease, University of Michigan, Ann Arbor, MI USAChristine L. M Joseph - Division of Biostatistics & Research Epidemiology, Henry Ford Health System, Detroit, MI USACleopatra Howard Caldwell - Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI USAFrederick G Conrad - Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI USAEdith A Parker - Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI USANoreen M Clark - Center for Managing Chronic Disease, University of Michigan, Ann Arbor, MI USA
- Resource Type
- Journal article
- Publication Details
- Journal of urban health, Vol.88(1), pp.30-40
- DOI
- 10.1007/s11524-010-9487-8
- PMID
- 21293937
- PMCID
- PMC3042079
- NLM abbreviation
- J Urban Health
- ISSN
- 1099-3460
- eISSN
- 1468-2869
- Publisher
- Springer US; Boston
- Language
- English
- Date published
- 02/2011
- Academic Unit
- Public Health Administration; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984063205602771
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