The role of parent health literacy among urban children with persistent asthma

University of Rochester School of Medicine, Rochester, NY 14642, USA.
Patient Education and Counseling (Impact Factor: 2.2). 03/2009; 75(3):368-75. DOI: 10.1016/j.pec.2009.01.004
Source: PubMed


Health literacy (HL) affects adult asthma management, yet less is known about how parent HL affects child asthma care.
To examine associations between parent HL and measures related to child asthma.
Parents of 499 school-age urban children with persistent asthma in Rochester, New York completed home interviews. Measures: the Rapid Estimate of Adult Literacy in Medicine (REALM) for parent HL; National Heart Lung and Blood Institute (NHLBI) criteria for asthma severity, and validated measures of asthma knowledge, beliefs, and experiences. Analyses: bivariate and multivariate analyses of associations between parent HL measures related to child asthma.
Response rate: 72%, mean child age: 7.0 years. Thirty-two percent had a Hispanic parent; 88% had public insurance. Thirty-three percent had a parent with limited HL. Low parent HL was independently associated with greater parent worry, parent perception of greater asthma burden, and lower parent-reported quality of life. Measures of health care use (e.g., emergency care and preventive medicines) were not associated with parent HL.
Parents with limited HL worried more and perceived greater overall burden from the child's asthma, even though reported health care use did not vary.
Improved parent understanding and provider-parent communication about child asthma could reduce parent-perceived asthma burden, alleviate parent worry, and improve parent quality of life.

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    • "Research into the impact of parental health literacy on childhood asthma has identified that parents with low health literacy are less likely to report their child as being in good health (Dunn-Navarra et al., 2012) and in many instances they will say that their asthmatic child is in poor or fair health. In addition, low parental health literacy has been associated with a higher need for asthma medication, a lower likelihood of an asthma plan being in place or followed and more visits to the emergency department (DeWalt et al., 2007; Macy et al., 2011; Shone et al., 2009). Other examples of the impact of low health literacy levels relate to medication administration. "
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