scholarly journals How Do Ethnicity and Primary Language Spoken at Home Affect Management Practices and Outcomes in Children and Adolescents With Asthma?

2005 ◽  
Vol 159 (3) ◽  
pp. 283 ◽  
Author(s):  
Kitty S. Chan ◽  
Emmett Keeler ◽  
Matthias Schonlau ◽  
Mayde Rosen ◽  
Rita Mangione-Smith
2009 ◽  
Vol 69 (4) ◽  
pp. 276-283 ◽  
Author(s):  
Matthew Noyce ◽  
Aniko Szabo ◽  
Nicholas M. Pajewski ◽  
Scott Jackson ◽  
T. Gerard Bradley ◽  
...  

2005 ◽  
Vol 120 (4) ◽  
pp. 418-430 ◽  
Author(s):  
Glenn Flores ◽  
Milagros Abreu ◽  
Sandra C. Tomany-Korman

Background. Approximately 3.5 million U.S. schoolchildren are limited in English proficiency (LEP). Disparities in children's health and health care are associated with both LEP and speaking a language other than English at home, but prior research has not examined which of these two measures of language barriers is most useful in examining health care disparities. Objectives. Our objectives were to compare primary language spoken at home vs. parental LEP and their associations with health status, access to care, and use of health services in children. Methods. We surveyed parents at urban community sites in Boston, asking 74 questions on children's health status, access to health care, and use of health services. Results. Some 98% of the 1,100 participating children and families were of non-white race/ethnicity, 72% of parents were LEP, and 13 different primary languages were spoken at home. “Dose-response” relationships were observed between parental English proficiency and several child and parental sociodemographic features, including children's insurance coverage, parental educational attainment, citizenship and employment, and family income. Similar “dose-response” relationships were noted between the primary language spoken at home and many but not all of the same sociodemographic features. In multivariate analyses, LEP parents were associated with triple the odds of a child having fair/poor health status, double the odds of the child spending at least one day in bed for illness in the past year, and significantly greater odds of children not being brought in for needed medical care for six of nine access barriers to care. None of these findings were observed in analyses of the primary language spoken at home. Individual parental LEP categories were associated with different risks of adverse health status and outcomes. Conclusions. Parental LEP is superior to the primary language spoken at home as a measure of the impact of language barriers on children's health and health care. Individual parental LEP categories are associated with different risks of adverse outcomes in children's health and health care. Consistent data collection on parental English proficiency and referral of LEP parents to English classes by pediatric providers have the potential to contribute toward reduction and elimination of health care disparities for children of LEP parents.


2019 ◽  
Vol 12 ◽  
pp. 1179173X1986794
Author(s):  
Daniel E Toleran ◽  
Robynn S Battle ◽  
Phillip Gardiner

Background: Smoking among Asian men has been studied, but differences in tobacco and cigarette use among US- and non-US-born Asian subgroups, especially those at risk for substance use or sexually transmitted diseases, has not been well-studied. Aims: To learn about the smoking of cigarettes or blunts among Asian ethnic groups, and whether place of birth, age, or primary language spoken at home is associated with smoking. Methods: Study participants were 125 adult (age > 18 years) Chinese, Filipino, or Vietnamese men living in San Francisco, Daly City, or San Jose, California, who self-reported substance use in the past 30 days. Information collected included sexual orientation, past year contact with the criminal justice system, place of birth, and primary language spoken at home. Bivariate analyses were used to compare the differences in self-reported smoking of cigarettes or tobacco-marijuana blunts by ethnicity, age, place of birth, and primary language spoken at home. Results: Filipinos had significantly higher rate of cigarette use (51%; P = .02) and smoking blunts (28%; P = .02) compared with Chinese (23% and 5%, respectively) or Vietnamese (34% and 17%, respectively); US-born Filipinos also had more days of cigarette use in the past 30 days (16 days; P = .05) compared with Chinese (8 days) or Vietnamese (6 days) participants. Conclusions: This study found differences in self-reported rates of cigarette and blunt use among Asian ethnic groups which suggest opportunities for targeted interventions. Future studies of tobacco or blunts use for these largely immigrant groups should take into account country of birth and language spoken at home in developing tobacco prevention services for this population.


2006 ◽  
Vol 65 (3) ◽  
pp. 217-221 ◽  
Author(s):  
Tracey Johnson ◽  
Elaine Sexton

Managing infants, children and adolescents, ranging from premature infants to 18-year-old adolescents, on parenteral nutrition (PN) is a challenge. The ability of children to withstand starvation is limited and, unlike adults, children require nutrition for growth. PN in children is often required secondary to a congenital bowel problem rather than because of an acquired condition. Conditions requiring PN include motility disorders, congenital disorders of the intestinal epithelium and short-bowel syndrome (SBS). Intestinal failure may be temporary and children with SBS may be weaned from PN. However, other children require permanent PN. There are no comprehensive guidelines for the nutritional requirements of children and adolescents requiring PN. Practice in individual centres is based on clinical experience rather than clinical trials. Requirements are assessed on an individual basis according to age, nutritional status and clinical condition. These requirements need regular review to ensure that they remain appropriate for the changing age and weight of the child. Assessments of intakes use different methods, e.g. reference tables and predictive equations. Complications of PN include infection, accidental damage to, or removal of, the line and cholestatic liver disease. Home parenteral nutrition (HPN) is associated with fewer line infections and allows continuation of nutritional support in a more normal environment, encouraging normal development and participation in family activities. However, having a child at home on HPN is associated with physical and psychological stresses. A feeling of depression, loneliness and social isolation is common amongst children and their families. Home-care services are essential to supporting children at home and should be tailored to, and sensitive to, the individual needs of each family.


2019 ◽  
Vol 41 (3) ◽  
pp. 412-426
Author(s):  
Reyna Rodriguez ◽  
Izbieta Rocha ◽  
Alinne Z. Barrera

Research on depression among Latinx populations is increasing; however, a focus on what triggers depression among this community is lacking. This study aims to identify perceived triggers for depression through a secondary analysis of 28 adolescent girls who self-identified as Latinx (mean age = 17.07 years, SD = 0.77). Sixty-one percent of the girls reported being first generation (born in Mexico), having lived in Mexico an average of 8.95 years and the primary language at home being Spanish (63%). Of these, the associated triggers of 20 major depression episodes (MDE) and eight minor depressive episodes (i.e., two to four MDE criteria endorsed) were examined. Seventy-five triggers were identified with a majority reflecting family/parent relationships, romance/friendship issues, and self and others’ expectations/pressures. These findings suggest that certain life events and stressors precede depressive symptoms among Latinx adolescent girls.


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