Parent-Reported Asthma in Puerto Rican Children

Sylvette Nazario, Jesus R. Casal, Alfonso Torres-Palacios, William Rodriguez, Alan M Delamater, E. Brooks Applegate, Giovanni Pledimonte, Adam Wanner

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

We conducted a survey to determine parent-reported asthma prevalence, morbidity, and healthcare utilization among 3,527 children attending public schools (n = 2,849) and private schools (n = 678) in San Juan, Puerto Rico. Schools were randomly selected from each of 12 geographic regions of the San Juan metropolitan area. Parents of children age 4-7 years old completed a 12-item questionnaire on asthma diagnosis, respiratory symptoms and morbidity, and healthcare utilization. Parents of children in public schools and private schools reported similar rates of a physician having previously diagnosed asthma in their children (43.2% vs. 39.4%); however, significantly more children in public schools were reported to still have asthma at the time of the survey (32.6% vs. 23.7%). Children attending public schools vs. private schools were reported to have missed significantly more school and to have had more hospitalizations and emergency department visits. Among children reported to still have asthma, significantly more children visited an emergency department, were hospitalized, and missed more school days due to respiratory symptoms in the past year. The high prevalence of parent-reported asthma, respiratory symptoms, and healthcare utilization among Puerto Rican children in San Juan calls for further studies using objective methods for ascertaining asthma and asthma-related morbidity. Differences in healthcare utilization between children attending public vs. private schools suggest that socioeconomic factors play a role in asthma management in Puerto Rico.

Original languageEnglish
Pages (from-to)453-460
Number of pages8
JournalPediatric Pulmonology
Volume37
Issue number5
DOIs
StatePublished - May 1 2004

Fingerprint

Hispanic Americans
Asthma
Delivery of Health Care
Puerto Rico
Morbidity
Hospital Emergency Service
Parents
Hospitalization
Physicians

Keywords

  • Healthcare utilization
  • Morbidity
  • Pediatric asthma
  • Prevalence
  • Puerto Rico

ASJC Scopus subject areas

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

Cite this

Nazario, S., Casal, J. R., Torres-Palacios, A., Rodriguez, W., Delamater, A. M., Applegate, E. B., ... Wanner, A. (2004). Parent-Reported Asthma in Puerto Rican Children. Pediatric Pulmonology, 37(5), 453-460. https://doi.org/10.1002/ppul.20022

Parent-Reported Asthma in Puerto Rican Children. / Nazario, Sylvette; Casal, Jesus R.; Torres-Palacios, Alfonso; Rodriguez, William; Delamater, Alan M; Applegate, E. Brooks; Pledimonte, Giovanni; Wanner, Adam.

In: Pediatric Pulmonology, Vol. 37, No. 5, 01.05.2004, p. 453-460.

Research output: Contribution to journalArticle

Nazario, S, Casal, JR, Torres-Palacios, A, Rodriguez, W, Delamater, AM, Applegate, EB, Pledimonte, G & Wanner, A 2004, 'Parent-Reported Asthma in Puerto Rican Children', Pediatric Pulmonology, vol. 37, no. 5, pp. 453-460. https://doi.org/10.1002/ppul.20022
Nazario S, Casal JR, Torres-Palacios A, Rodriguez W, Delamater AM, Applegate EB et al. Parent-Reported Asthma in Puerto Rican Children. Pediatric Pulmonology. 2004 May 1;37(5):453-460. https://doi.org/10.1002/ppul.20022
Nazario, Sylvette ; Casal, Jesus R. ; Torres-Palacios, Alfonso ; Rodriguez, William ; Delamater, Alan M ; Applegate, E. Brooks ; Pledimonte, Giovanni ; Wanner, Adam. / Parent-Reported Asthma in Puerto Rican Children. In: Pediatric Pulmonology. 2004 ; Vol. 37, No. 5. pp. 453-460.
@article{9588aa25f49e46d89e18a4ea2bc600d2,
title = "Parent-Reported Asthma in Puerto Rican Children",
abstract = "We conducted a survey to determine parent-reported asthma prevalence, morbidity, and healthcare utilization among 3,527 children attending public schools (n = 2,849) and private schools (n = 678) in San Juan, Puerto Rico. Schools were randomly selected from each of 12 geographic regions of the San Juan metropolitan area. Parents of children age 4-7 years old completed a 12-item questionnaire on asthma diagnosis, respiratory symptoms and morbidity, and healthcare utilization. Parents of children in public schools and private schools reported similar rates of a physician having previously diagnosed asthma in their children (43.2{\%} vs. 39.4{\%}); however, significantly more children in public schools were reported to still have asthma at the time of the survey (32.6{\%} vs. 23.7{\%}). Children attending public schools vs. private schools were reported to have missed significantly more school and to have had more hospitalizations and emergency department visits. Among children reported to still have asthma, significantly more children visited an emergency department, were hospitalized, and missed more school days due to respiratory symptoms in the past year. The high prevalence of parent-reported asthma, respiratory symptoms, and healthcare utilization among Puerto Rican children in San Juan calls for further studies using objective methods for ascertaining asthma and asthma-related morbidity. Differences in healthcare utilization between children attending public vs. private schools suggest that socioeconomic factors play a role in asthma management in Puerto Rico.",
keywords = "Healthcare utilization, Morbidity, Pediatric asthma, Prevalence, Puerto Rico",
author = "Sylvette Nazario and Casal, {Jesus R.} and Alfonso Torres-Palacios and William Rodriguez and Delamater, {Alan M} and Applegate, {E. Brooks} and Giovanni Pledimonte and Adam Wanner",
year = "2004",
month = "5",
day = "1",
doi = "10.1002/ppul.20022",
language = "English",
volume = "37",
pages = "453--460",
journal = "Pediatric Pulmonology",
issn = "8755-6863",
publisher = "Wiley-Liss Inc.",
number = "5",

}

TY - JOUR

T1 - Parent-Reported Asthma in Puerto Rican Children

AU - Nazario, Sylvette

AU - Casal, Jesus R.

AU - Torres-Palacios, Alfonso

AU - Rodriguez, William

AU - Delamater, Alan M

AU - Applegate, E. Brooks

AU - Pledimonte, Giovanni

AU - Wanner, Adam

PY - 2004/5/1

Y1 - 2004/5/1

N2 - We conducted a survey to determine parent-reported asthma prevalence, morbidity, and healthcare utilization among 3,527 children attending public schools (n = 2,849) and private schools (n = 678) in San Juan, Puerto Rico. Schools were randomly selected from each of 12 geographic regions of the San Juan metropolitan area. Parents of children age 4-7 years old completed a 12-item questionnaire on asthma diagnosis, respiratory symptoms and morbidity, and healthcare utilization. Parents of children in public schools and private schools reported similar rates of a physician having previously diagnosed asthma in their children (43.2% vs. 39.4%); however, significantly more children in public schools were reported to still have asthma at the time of the survey (32.6% vs. 23.7%). Children attending public schools vs. private schools were reported to have missed significantly more school and to have had more hospitalizations and emergency department visits. Among children reported to still have asthma, significantly more children visited an emergency department, were hospitalized, and missed more school days due to respiratory symptoms in the past year. The high prevalence of parent-reported asthma, respiratory symptoms, and healthcare utilization among Puerto Rican children in San Juan calls for further studies using objective methods for ascertaining asthma and asthma-related morbidity. Differences in healthcare utilization between children attending public vs. private schools suggest that socioeconomic factors play a role in asthma management in Puerto Rico.

AB - We conducted a survey to determine parent-reported asthma prevalence, morbidity, and healthcare utilization among 3,527 children attending public schools (n = 2,849) and private schools (n = 678) in San Juan, Puerto Rico. Schools were randomly selected from each of 12 geographic regions of the San Juan metropolitan area. Parents of children age 4-7 years old completed a 12-item questionnaire on asthma diagnosis, respiratory symptoms and morbidity, and healthcare utilization. Parents of children in public schools and private schools reported similar rates of a physician having previously diagnosed asthma in their children (43.2% vs. 39.4%); however, significantly more children in public schools were reported to still have asthma at the time of the survey (32.6% vs. 23.7%). Children attending public schools vs. private schools were reported to have missed significantly more school and to have had more hospitalizations and emergency department visits. Among children reported to still have asthma, significantly more children visited an emergency department, were hospitalized, and missed more school days due to respiratory symptoms in the past year. The high prevalence of parent-reported asthma, respiratory symptoms, and healthcare utilization among Puerto Rican children in San Juan calls for further studies using objective methods for ascertaining asthma and asthma-related morbidity. Differences in healthcare utilization between children attending public vs. private schools suggest that socioeconomic factors play a role in asthma management in Puerto Rico.

KW - Healthcare utilization

KW - Morbidity

KW - Pediatric asthma

KW - Prevalence

KW - Puerto Rico

UR - http://www.scopus.com/inward/record.url?scp=2442615188&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2442615188&partnerID=8YFLogxK

U2 - 10.1002/ppul.20022

DO - 10.1002/ppul.20022

M3 - Article

VL - 37

SP - 453

EP - 460

JO - Pediatric Pulmonology

JF - Pediatric Pulmonology

SN - 8755-6863

IS - 5

ER -