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Predictors of repeat hospitalization in children with asthma: The role of psychosocial and socioenvironmental factors.
Authors:Chen  Edith; Bloomberg  Gordon R; Fisher  Edwin B  Jr; Strunk  Robert C
Abstract:This study examined relationships between psychosocial factors and asthma rehospitalization patterns in 115 children (ages 4-18) who had ≥1 hospitalization during the study period. Lifetime history of hospitalizations and new hospitalizations during a 1-year follow-up period were measured, controlling for baseline asthma symptoms and medications. Prospectively, caretaker characteristics (lower sense of mastery, being less emotionally bothered by asthma) predicted greater likelihood of future asthma hospitalizations. Lifetime history of hospitalizations was associated with family impacts (greater family strain and family conflict, greater financial strain) as well as caretaker characteristics (greater personal strain, beliefs about not being able to manage one's child's asthma). These findings could help guide future interventions targeted at the subgroup of children who represent a high proportion of asthma hospitalizations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords:repeat hospitalization  asthma rehospitalization  psychosocial factors  socioenvironmental factors  neighborhood factors  family factors  caretaker characteristics
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