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 Manns 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 1 2015

Fingerprint

Caregivers
Asthma
Quality of Life
Psychological Stress
Social Support
Medicaid
Poverty
African Americans
Mothers
Demography
Growth

Keywords

  • Asthma
  • Caregivers
  • Quality of life
  • Stress

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma : A Longitudinal Analysis. / Bellin, Melissa H.; Osteen, Philip; Kub, Joan; Bollinger, Mary E.; Tsoukleris, Mona; Chaikind, Laurie; Butz, Arlene Manns.

In: Journal of Pediatric Health Care, Vol. 29, No. 6, 01.11.2015, p. 536-546.

Research output: Contribution to journalArticle

Bellin, Melissa H. ; Osteen, Philip ; Kub, Joan ; Bollinger, Mary E. ; Tsoukleris, Mona ; Chaikind, Laurie ; Butz, Arlene Manns. / Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma : A Longitudinal Analysis. In: Journal of Pediatric Health Care. 2015 ; Vol. 29, No. 6. pp. 536-546.
@article{d578ff29e73f4fbba5f448c2e6b7b103,
title = "Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma: A Longitudinal Analysis",
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.",
keywords = "Asthma, Caregivers, Quality of life, Stress",
author = "Bellin, {Melissa H.} and Philip Osteen and Joan Kub and Bollinger, {Mary E.} and Mona Tsoukleris and Laurie Chaikind and Butz, {Arlene Manns}",
year = "2015",
month = "11",
day = "1",
doi = "10.1016/j.pedhc.2015.04.018",
language = "English (US)",
volume = "29",
pages = "536--546",
journal = "Journal of Pediatric Health Care",
issn = "0891-5245",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma

T2 - A Longitudinal Analysis

AU - Bellin, Melissa H.

AU - Osteen, Philip

AU - Kub, Joan

AU - Bollinger, Mary E.

AU - Tsoukleris, Mona

AU - Chaikind, Laurie

AU - Butz, Arlene Manns

PY - 2015/11/1

Y1 - 2015/11/1

N2 - 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.

AB - 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.

KW - Asthma

KW - Caregivers

KW - Quality of life

KW - Stress

UR - http://www.scopus.com/inward/record.url?scp=84945462968&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84945462968&partnerID=8YFLogxK

U2 - 10.1016/j.pedhc.2015.04.018

DO - 10.1016/j.pedhc.2015.04.018

M3 - Article

C2 - 26036621

AN - SCOPUS:84945462968

VL - 29

SP - 536

EP - 546

JO - Journal of Pediatric Health Care

JF - Journal of Pediatric Health Care

SN - 0891-5245

IS - 6

ER -