The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes

Kathleen F. Harrington, Bin Zhang, Teresa Magruder, William C. Bailey, Lynn B Gerald

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years. Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring. Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (ρ=0.408, p<0.0001). Lower parent health literacy also was associated with less asthma knowledge, which was associated with worse asthma control. Conclusions: Higher parent health literacy was associated with more parent asthma knowledge and better child asthma control. Pediatric providers should consider tailoring education or treatment plans or utilizing universal precautions for low health literacy.

Original languageEnglish (US)
Pages (from-to)20-26
Number of pages7
JournalPediatric, Allergy, Immunology, and Pulmonology
Volume28
Issue number1
DOIs
StatePublished - Mar 1 2015

Fingerprint

Health Literacy
Asthma
Parents
Pediatrics
Universal Precautions
Education
Respiratory Function Tests

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

Cite this

The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes. / Harrington, Kathleen F.; Zhang, Bin; Magruder, Teresa; Bailey, William C.; Gerald, Lynn B.

In: Pediatric, Allergy, Immunology, and Pulmonology, Vol. 28, No. 1, 01.03.2015, p. 20-26.

Research output: Contribution to journalArticle

Harrington, Kathleen F. ; Zhang, Bin ; Magruder, Teresa ; Bailey, William C. ; Gerald, Lynn B. / The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes. In: Pediatric, Allergy, Immunology, and Pulmonology. 2015 ; Vol. 28, No. 1. pp. 20-26.
@article{50671166e69146eaa14685c952a22a0e,
title = "The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes",
abstract = "Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years. Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring. Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (ρ=0.408, p<0.0001). Lower parent health literacy also was associated with less asthma knowledge, which was associated with worse asthma control. Conclusions: Higher parent health literacy was associated with more parent asthma knowledge and better child asthma control. Pediatric providers should consider tailoring education or treatment plans or utilizing universal precautions for low health literacy.",
author = "Harrington, {Kathleen F.} and Bin Zhang and Teresa Magruder and Bailey, {William C.} and Gerald, {Lynn B}",
year = "2015",
month = "3",
day = "1",
doi = "10.1089/ped.2014.0379",
language = "English (US)",
volume = "28",
pages = "20--26",
journal = "Pediatric, Allergy, Immunology, and Pulmonology",
issn = "2151-321X",
publisher = "Mary Ann Liebert Inc.",
number = "1",

}

TY - JOUR

T1 - The Impact of Parent's Health Literacy on Pediatric Asthma Outcomes

AU - Harrington, Kathleen F.

AU - Zhang, Bin

AU - Magruder, Teresa

AU - Bailey, William C.

AU - Gerald, Lynn B

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years. Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring. Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (ρ=0.408, p<0.0001). Lower parent health literacy also was associated with less asthma knowledge, which was associated with worse asthma control. Conclusions: Higher parent health literacy was associated with more parent asthma knowledge and better child asthma control. Pediatric providers should consider tailoring education or treatment plans or utilizing universal precautions for low health literacy.

AB - Background: Health literacy has been associated with health disparities in many disease outcomes, including children's asthma. Parents are responsible for most of children's healthcare. Therefore, parents' health literacy may impact children's health outcomes, including asthma control. This study sought to determine the association between parent health literacy and children's asthma control among a cohort of predominately minority urban children aged between 6 and 12 years. Methods: This cross-sectional study assessed children with asthma and their parents at a single outpatient visit. English-speaking parents and their children, aged between 6 and 12 years with physician-diagnosed asthma, were eligible for this study. Healthcare providers assessed asthma control and severity, and parents completed demographic, health literacy, asthma control, and asthma knowledge measures. Children completed a pulmonary function test as part of the Asthma Control Questionnaire (ACQ) scoring. Results: A total of 281 parent-child dyads provided data, with the majority of parents being mothers and African American, with a high school level education or less. Lower parent health literacy was associated with worse asthma control as rated both by the provider (p=0.007) and the ACQ (p=0.013), despite only moderate concordance between ratings (ρ=0.408, p<0.0001). Lower parent health literacy also was associated with less asthma knowledge, which was associated with worse asthma control. Conclusions: Higher parent health literacy was associated with more parent asthma knowledge and better child asthma control. Pediatric providers should consider tailoring education or treatment plans or utilizing universal precautions for low health literacy.

UR - http://www.scopus.com/inward/record.url?scp=84924967473&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924967473&partnerID=8YFLogxK

U2 - 10.1089/ped.2014.0379

DO - 10.1089/ped.2014.0379

M3 - Article

AN - SCOPUS:84924967473

VL - 28

SP - 20

EP - 26

JO - Pediatric, Allergy, Immunology, and Pulmonology

JF - Pediatric, Allergy, Immunology, and Pulmonology

SN - 2151-321X

IS - 1

ER -