Pediatric pulmonologists' perceptions of family socioeconomic status in asthma care

Sara Johnson, Brian J. Gordon, Jacky Jennings, Megan H. Bair-Merritt, Nancy E. Adler, Sande O. Okelo

Research output: Contribution to journalArticle

Abstract

Background: Physicians' assumptions about patients' socioeconomic status (SES) have been shown to influence clinical decision making in adult patients. The goal of this study is to assess the factors associated with pediatric pulmonologists' (PPs') subjective ratings of their patients' SES, and whether these factors differ by patient race/ethnicity.

Methods: Parents of children with asthma (n=171) presenting for pulmonary care reported their SES using the MacArthur Subjective SES 10-rung ladder. The PPs (n=7) also estimated each family's SES. Two-level linear regression models with random intercepts (level 1: PP's SES ratings; level 2: PPs) were used to assess the predictors of PP-estimated family SES. The analyses were then stratified by race/ethnicity.

Results: Parental educational, insurance type, age, and race/ethnic background were associated with PPs' SES ratings. Black/African American families were rated lower than white families, accounting for other demographic factors (b=-0.60, p

Conclusions: Racial differences in PPs' ability to estimate families' subjective SES in asthma care may be a function of unconscious societal biases about race and class. Collecting subjective SES from families and PPs during the office visit could facilitate discussions about material and psychosocial needs and resources that influence treatment effectiveness.

Original languageEnglish (US)
Pages (from-to)120-125
Number of pages6
JournalPediatric, Allergy, Immunology, and Pulmonology
Volume27
Issue number3
DOIs
StatePublished - Sep 1 2014

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Social Class
Asthma
Pediatrics
Linear Models
Pulmonologists
Office Visits
Aptitude
Insurance
African Americans
Parents
Demography
Physicians
Lung

ASJC Scopus subject areas

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

Cite this

Pediatric pulmonologists' perceptions of family socioeconomic status in asthma care. / Johnson, Sara; Gordon, Brian J.; Jennings, Jacky; Bair-Merritt, Megan H.; Adler, Nancy E.; Okelo, Sande O.

In: Pediatric, Allergy, Immunology, and Pulmonology, Vol. 27, No. 3, 01.09.2014, p. 120-125.

Research output: Contribution to journalArticle

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