Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma: A Longitudinal Analysis

Melissa H. Bellin, Philip Osteen, Joan Kub, Mary E. Bollinger, Mona Tsoukleris, Laurie Chaikind, Arlene M. Butz

Research output: Contribution to journalArticle

Abstract

Introduction: The intent of this analysis was to examine the longitudinal effects of risk and protective factors on quality of life (QOL) in caregivers of minority children with asthma. Method: Caregivers (. n = 300) reported on demographics, child asthma characteristics, daily asthma caregiving stress, general life stress, social support, and QOL. Latent growth curve modeling examined changes in QOL across 12 months as a function of stress, asthma control, and social support. Results: Caregivers were primarily the biological mother (92%), single (71%), unemployed (55%), and living in poverty. Children were African American (96%), Medicaid eligible (92%), and had poorly controlled asthma (93%). Lower QOL was associated with higher life stress, greater asthma caregiving stress, and lower asthma control over time. Discussion: Findings underscore the importance of assessing objective and subjective measures of asthma burden and daily life stress in clinical encounters with urban, low-income caregivers of children with poorly controlled asthma.

Original languageEnglish (US)
Pages (from-to)536-546
Number of pages11
JournalJournal of Pediatric Health Care
Volume29
Issue number6
DOIs
StatePublished - Nov 2015

Keywords

  • Asthma
  • Caregivers
  • Quality of life
  • Stress

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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