Advertisement

Journal of Immigrant and Minority Health

, Volume 9, Issue 4, pp 245–254 | Cite as

A Comparison of Knowledge about Asthma Between Asians and Non-Asians at Two Pediatric Clinics

  • Angela C. Lee
  • Doug Brugge
  • Linh Phan
  • Mark Woodin
Original Paper

Abstract

Little is known about the relative knowledge of asthma in recent immigrant Asian populations in the United States (US). To comparatively assess asthma knowledge for Asian and non-Asian populations, 333 parents and children were surveyed at two geographically close urban clinics that had a large percentage of Asian patients, most of whom were Chinese. The Asian respondents scored lower compared to the non-Asian respondents on 4 of the 6 knowledge questions (p < 0.001). Subcategories of non-Asians (white, African-American, Hispanic) were more similar to each other than they were to Asians. In multivariate analysis we found that SES (measured as parental occupation) and being Asian were independent predictors of less asthma knowledge. Having family members with asthma did not improve knowledge scores. A single focus group of Cantonese-speaking parents of asthmatic children suggested that a combination of cultural factors and lack of knowledge contribute to lower knowledge scores in this Asian population. Asthma education programs need to be developed, tailored to recent Asian immigrants and tested for efficacy.

Keywords

Asian Americans Asthma Knowledge Chinese Americans Socio economic status 

Notes

Acknowledgments

The authors wish to thank South Cove Community Health Center, Eugene Welch and the doctors, nurses and staff including Roland Tang, MD., Vivian Tsuei, MD., Sherrie Zhang, MD., Ingrid Henar, MD., MPH, Chia-Mei Lu, Irene Chin, Chung He, Qi-Long Fun, Yanty Leung, Shu Lin and Wendy Wong. We would also like to thank Lynn Porter, MD of Tufts-New England Medical Center. We are grateful to the parents and children who participated in our surveys. We thank Lian Lian for her expertise in translating our questionnaires and Elaine Tse, MD., and Karen Lee for backtranslation services. We would like to thank Cato Hui, Carrie Hui and Connie Man for their assistance. Robyn Greenfield provided helpful comments on the manuscript. This project was funded by the Tufts University College of Citizenship and Public Service.

Works Cited

  1. 1.
    CDC (a). QuickStats: Percentage of Children Aged < 18 years Who Have Ever Had Asthma Diagnosed, by Age Group—United States, 2003. Centers for Disease Control and Prevention: Morbidity and Mortality Weekly Reports 29 April 2005; 54(16):412Google Scholar
  2. 2.
    CDC. Asthma Prevalence, Health Care Use and Mortality. Centers for Disease Control and Prevention: National Center for Health Statistics 2002Google Scholar
  3. 3.
    “Asthma Prevalence, Healthcare Use and Mortality, 2002.” National Center for Health Statistics. 2002. U.S. Department of Health and Human Services. 12 Oct 2005 <http://www.cdc.gov/nchs/products/pubs/pubd/hestats/asthma/asthma.htm>
  4. 4.
    CDC (b). Summary Health Statistics for U.S. Children: National Health Interview Survey, 2003. Centers for Disease Control and Prevention: National Center for Health Statistics. Series 10, Number 223. March 2005Google Scholar
  5. 5.
    Chen C, Brugge D, Leung A, Finkelman A, Lu W, Rand W. Preferred language and asthma among Asian Americans. aapi nexus: Asian Am Pac Islanders Policy, Prac Commun 2005; 3:31–43Google Scholar
  6. 6.
    Lee T, Brugge D, Francis C, Fisher O. Asthma prevalence among inner-city Asian American school children. Public Health Reports 2003; 118:215–20PubMedGoogle Scholar
  7. 7.
    Carter-Pokras OD, Gergen PJ. Reported asthma among Puerto Rican, Mexican-American, and Cuban children, 1982 through 1984. Am J Public Health 1993; 83:580–82PubMedCrossRefGoogle Scholar
  8. 8.
    Beckett WS, Belanger K, Gent JF, Holford TR, Leaderer BP. Asthma among Puerto Rican Hispactics: a multi-ethnic comparison study of risk factors. Am J Resp Crit Care 1996; 154:894–99Google Scholar
  9. 9.
    Chan KS, Keeler E, Schonlau M, Rosen M, Mangione-Smith R. How do ethnicity and primary language spoken at home affect management practices and outcomes in children and adolescents with asthma? Arch Pediatr Adolesc Med 2005; 159:283–89PubMedCrossRefGoogle Scholar
  10. 10.
    Greenfield R, Lee AC, Tang R, Brugge D. Screening for asthma in Cantonese-speaking immigrant children. Biomed Central 2005; 5:48Google Scholar
  11. 11.
    Wolf RL, Berry CA, O’Connor T, Cover L. Validation of the brief pediatric asthma screen. Chest 1999; 116(4):224S–8SPubMedCrossRefGoogle Scholar
  12. 12.
    Cabana MD, Le TT. Challenges in asthma patient education. J Allergy Clin Immunol 2005; 115:1225–1227PubMedCrossRefGoogle Scholar
  13. 13.
    Zimmerman BJ, Bonner S, Evans D, Mellins RB. Self-regulating childhood asthma: a developmental model of family change. Health Edu Behav 1999; 26:55–71CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Angela C. Lee
    • 1
  • Doug Brugge
    • 3
  • Linh Phan
    • 2
  • Mark Woodin
    • 4
  1. 1.School of Arts and SciencesTufts UniversityMedfordUSA
  2. 2.Dana-Farber Cancer InstituteBostonUSA
  3. 3.Department of Public Health and Family MedicineTufts University School of MedicineBostonUSA
  4. 4.Department of Civil and Environmental Engineering, School of EngineeringTufts UniversityMedfordUSA

Personalised recommendations