A qualitative exploration of asthma self-management beliefs and practices in Puerto Rican families.

Abstract:

:Puerto Rican children suffer higher asthma morbidity than children of any other racial/ethnic group in the U.S. This study was intended to describe asthma self-management behaviors in Puerto Rican youth. Key informant interviews (n=5) and focus groups (n=4) were conducted. Informants were community pediatricians and community-based organization employees. The focus groups included Puerto Rican parents of children with asthma, children with asthma in grades 4-8, and adolescents with asthma in grades 9-12 (32 participants total). Data were audio-recorded, transcribed, and translated. Two separate analysts performed theme extraction using naturalistic inquiry. Children were assuming asthma self-management responsibilities at very young ages. The adolescents felt they needed more parental assistance with their asthma. Asthma management techniques that involved manipulation of the environment or emotions were the most popular. Fear of asthma, need for more general education and smoking cessation resources, and community supports for asthma were discussed. These findings have important implications for future interventions.

authors

Martin M,Beebe J,Lopez L,Faux S

doi

10.1353/hpu.0.0285

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

464-74

issue

2

eissn

1049-2089

issn

1548-6869

pii

S1548686910200050

journal_volume

21

pub_type

杂志文章
  • The impact of publicly funded family planning clinic services on unintended pregnancies and government cost savings.

    abstract::Publicly funded family planning clinics serve millions of low-income women each year, providing a range of critical preventive services and enabling women to avoid unintended pregnancies. It is important to quantify the impact and cost-effectiveness of such services, in addition to these health benefits. Using a metho...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0060

    authors: Frost JJ,Finer LB,Tapales A

    更新日期:2008-08-01 00:00:00

  • Factorial Invariance and Convergent Validity of the Group-Based Medical Mistrust Scale across Gender and Ethnoracial Identity.

    abstract::The objective of this study was to assess the factorial invariance and convergent validity of the Group-Based Medical Mistrust Scale (GBMMS) across gender (male and female) and ethnoracial identity (Latino and Black). Minority students (N = 686) attending a southeastern university were surveyed in the fall of 2011. Ps...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2017.0011

    authors: Wheldon CW,Kolar SK,Hernandez ND,Daley EM

    更新日期:2017-01-01 00:00:00

  • Diabetes disease management results in Hispanic Medicaid patients.

    abstract:OBJECTIVES:To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN:A 12-month, matched-cohort study. STUDY POPULATION:Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION:Disease man...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0131

    authors: Berg GD,Wadhwa S

    更新日期:2009-05-01 00:00:00

  • Influenza immunization disparities in primary care offices--a comparative case study.

    abstract::Without insight into the primary care environment, further improvements in influenza immunization rates are unlikely. We conducted a comparative case study of family medicine offices during the 2003 influenza immunization season. Practice 1 (P1) served an urban African American population, practice 2 (P2) served a sub...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0084

    authors: Roemheld-Hamm B,Isaacson N,Winston C,Scott J,Hudson S,Crabtree B

    更新日期:2008-11-01 00:00:00

  • HIV/AIDS among African Immigrants in the U.S.: The Need for Disaggregating HIV Surveillance Data by Country of Birth.

    abstract::The goals of the United States' National HIV/AIDS Strategy are reducing HIV infections, increasing linkage to care, and reducing health disparities. To accomplish these, it is imperative to have accurate data about HIV prevalence, especially in high-burden populations, including immigrants, ethnic/racial minorities an...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0128

    authors: Koku EF,Rajab-Gyagenda WM,Korto MD,Morrison SD,Beyene Y,Mbajah J,Ashton C

    更新日期:2016-01-01 00:00:00

  • Post-traumatic stress symptoms among juvenile offenders in nigeria: implications for holistic service provisioning in juvenile justice administration.

    abstract:BACKGROUND:There is hardly any study examining exposure to traumatic events and post-traumatic stress disorder (PTSD) among juvenile justice populations in Nigeria or any part of sub-Saharan Africa. METHOD:We examined the prevalence and trauma determinants of PTSD among a cohort of juvenile justice inmates in Nigeria,...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0116

    authors: Atilola O,Omigbodun O,Bella-Awusah T

    更新日期:2014-08-01 00:00:00

  • An overview of Tennessee state legislation affecting violence prevention.

    abstract::Homicide is the number one cause of death among African American youth, both male and female. Largely to blame for Black-on-Black violence is the sense of alienation our youth feel from society. To counter this phenomenon of violence it is essential to empower youth. Through education and community-based programs we c...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0612

    authors: DeBerry LM

    更新日期:1995-01-01 00:00:00

  • Increasing obstetrical care access to the rural poor.

    abstract::Rising malpractice insurance rates have led to a decrease in the number of physicians who provide rural obstetrical care. North Carolina has responded with the Rural Obstetrical Care Incentive (ROCI) Program, which provides up to $6,500 per year to physicians who provide obstetrical care to the rural poor in conjuncti...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0107

    authors: Taylor DH Jr,Ricketts TC 3rd

    更新日期:1993-01-01 00:00:00

  • Implementing the obesity care model at a community health center in Hawaii to address childhood obesity.

    abstract::Obesity, the most common chronic disease of childhood, is prevalent among economically disadvantaged children. The Chronic Care and Obesity Care Models are comprehensive health care strategies to improve outcomes by linking primary care best practices and community-based programs. Pediatric providers and community hea...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0108

    authors: Okihiro M,Pillen M,Ancog C,Inda C,Sehgal V

    更新日期:2013-01-01 00:00:00

  • Predictors of Pain Management among American Indian Cancer Survivors.

    abstract::There is little research on cancer symptom management among Indigenous populations. This paper reports on the predictors of cancer pain management among American Indian cancer patients/survivors and their caregivers/family. The intervention was a symptom management toolkit delivered via traditional talking circles vs....

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0079

    authors: Hodge F,Nandy K,Cadogan M,Itty T,Warda U,Martinez F,Quan A

    更新日期:2016-01-01 00:00:00

  • Nganampa Health Council Dental Program: Remote Dentistry in the Australian Desert--Partnership or Perish.

    abstract::The Nganampa Health Council (literally "Our Health Council") is an Aboriginal community-controlled Primary Health Care service established in 1983. It was born out of the political struggle for Aboriginal Land Rights in South Australia which culminated in The Anangu Pitjantjatjara Yankunytjatjara (APY) Land Rights Act...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0037

    authors: Wooley S

    更新日期:2016-02-01 00:00:00

  • African American female drug users and HIV risk reduction challenges with criminal involvement.

    abstract::The main objectives of this paper are to examine the prevalence of criminal involvement among a sample of African American female drug users and to identify factors associated with that criminal involvement, where criminal involvement is defined as having been in jail or prison. Data were collected in Atlanta from 333...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2005.0117

    authors: Sterk CE,Theall K,Elifson KW

    更新日期:2005-11-01 00:00:00

  • Primary Care in Cuba: Considerations for the U.S.

    abstract::In 2017, we traveled to Cuba to learn about the nation's approach to health care. Despite being a developing nation, Cuba boasts health care indicators that are comparable to those of the United States and other developed nations. Emphasizing prevention and proactive care, the Cuban health care system provides lessons...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0041

    authors: Bhardwaj N,Skinner D

    更新日期:2019-01-01 00:00:00

  • Community wellness: a group empowerment model for rural America.

    abstract::Because answers to rural health problems no longer reside solely at the federal or state level, county Extension agents in Georgia are playing a pivotal role in helping communities empower themselves with the Community Wellness program. Community Wellness is a process-oriented program that encompasses community-based ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0440

    authors: Jenkins S

    更新日期:1991-04-01 00:00:00

  • Health professional students in community service: insights from trainees and their mentors.

    abstract:OBJECTIVES:To gain insights from the experiences of student health professionals working with agencies caring for the underserved. METHODS:Five hundred and sixty-six (566) U.S. Albert Schweitzer Fellows from 90 professional schools in six sites participated in year-long mentored, entrepreneurial service and leadership...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0919

    authors: Walker J,Hannibal K,Johnson ML,Davis RB,Forrow L

    更新日期:2010-11-01 00:00:00

  • Katrina and vulnerability: the geography of stress.

    abstract::The immediate aftermath of Katrina focused the world's attention on the vulnerability of the urban poor and racial/ethnic minority groups in New Orleans. This vulnerability can be viewed in terms of site, the proximity of a neighborhood to a hazard, and situation, the social context of that neighborhood. Vulnerabiliti...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2007.0029

    authors: Curtis A,Mills JW,Leitner M

    更新日期:2007-05-01 00:00:00

  • Prevalence of Untreated Hearing Loss by Income among Older Adults in the United States.

    abstract::Age-related hearing loss is highly prevalent and only 20% of adults with hearing loss report using hearing aids. A major barrier to increased hearing aid use is the high out-of-pocket costs associated with hearing aids. The objective of this brief report is to estimate the numbers of millions of Americans 60 years or ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0164

    authors: Mamo SK,Nieman CL,Lin FR

    更新日期:2016-01-01 00:00:00

  • Racial differences in iron measures and outcomes observed during an iron reduction trial in peripheral arterial disease.

    abstract::Elevated body iron (ferritin) levels may contribute to adverse health outcomes. Racial differences in iron measures and clinical outcomes were observed during an iron reduction trial in peripheral arterial disease. At entry, Black compared with White participants had higher ferritin and lower red cell measures, as wel...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,随机对照试验

    doi:10.1353/hpu.2015.0026

    authors: Zacharski LR,Shamayeva G,Chow BK,DePalma RG

    更新日期:2015-02-01 00:00:00

  • Does continuity of care have an effect on diabetes quality measures in a teaching practice in an urban underserved community?

    abstract::Teaching clinics are an important source of care for urban, minority, underserved communities and face great challenges to improve quality of care for diabetics. This study examined the impact of continuity with the same primary care provider on health care process and outcome measures for patients with diabetes treat...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0193

    authors: Younge R,Jani B,Rosenthal D,Lin SX

    更新日期:2012-11-01 00:00:00

  • Comparing the medical expenses of adults with Medicaid and commercial insurance in a health maintenance organization.

    abstract::The objective of this study was to compare the health care costs of adults with Medicaid aged 19 to 65 years (n = 29,680) and adults in the same age range with commercial insurance (n = 29,680) who were members of the same health maintenance organization between 1996 and 1998. After adjusting for age and sex, income-e...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0553

    authors: Ray GT,Lieu TA

    更新日期:2003-08-01 00:00:00

  • An Evaluation of the Ho'ouna Pono Curriculum: A Pilot Study of Culturally Grounded Substance Abuse Prevention for Rural Hawaiian Youth.

    abstract::This pilot study evaluated the Ho'ouna Pono curriculum, which is a culturally grounded, school-based, drug prevention curriculum tailored to rural Native Hawaiian youth. The curriculum focuses on culturally relevant drug resistance skills training and is aligned with the State of Hawai'i academic standards. Six Hawai'...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0061

    authors: Okamoto SK,Kulis S,Helm S,Lauricella M,Valdez JK

    更新日期:2016-01-01 00:00:00

  • Who's Aware of and Using Public Reports of Provider Quality?

    abstract::Public reporting of health care provider quality is intended to spark consumer informed decision-making, yet there is concern that it might exacerbate disparities. This study explores the extent to which people with chronic conditions are aware of and using comparative quality information (CQI) on hospitals and doctor...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2015.0093

    authors: Greene J,Fuentes-Caceres V,Verevkina N,Shi Y

    更新日期:2015-08-01 00:00:00

  • Creating Culturally-Specific and Community-Specific Approaches to Linking Low Socioeconomic Smokers to Cessation Services.

    abstract::While smoking has declined, rates remain alarmingly high for people of low socioeconomic status. Funding community-based organizations to link low socioeconomic status smokers to cessation services holds promise for reaching this population. This approach also shows potential for elevating addressing tobacco use as a ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0065

    authors: Specktor C,Keller PA

    更新日期:2019-01-01 00:00:00

  • The costs and adequacy of safety net access for the uninsured in Genesee County, Michigan.

    abstract::This commentary examines Genesee County (Flint) Michigan to explore whether a well-structured safety net system is able to provide low-income uninsured people adequate access to care at a reasonable cost. Genessee County is one of the more economically challenged communities in the country. This commentary explores th...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 评论,杂志文章

    doi:10.1353/hpu.2012.0025

    authors: Hall MA,Hamacher L,Johnson JM

    更新日期:2012-02-01 00:00:00

  • Poverty, residential segregation, and black/white mortality ratios in urban areas.

    abstract::Researchers speculate that in addition to poverty, residential patterns may contribute to black/white differences in mortality rates. But few have assessed the relationship. This study reports considerable variation in the black/white ratio of age-specific all-cause mortality rates (ages 15-24 to 65-74 years) from 198...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0094

    authors: Polednak AP

    更新日期:1993-01-01 00:00:00

  • The Patient Safety and Clinical Pharmacy Collaborative: improving medication use systems for the underserved.

    abstract::The Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) is demonstrating improvements in the quality of care delivered by safety-net organizations through integration of clinical pharmacy services. This article describes how the PSPC is leading meaningful change in the arena of medication use in managem...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0143

    authors: Wallack MC,Loafman M,Sorensen TD

    更新日期:2012-08-01 00:00:00

  • Socioeconomic Status and Mock Interview Performance among Prospective Medical School Applicants.

    abstract::We aim to evaluate the association between family income and mock multiple mini interview (MMI) performance for prospective medical school applicants. Each applicant participated in a three-station mock MMI and were scored on four items, each on a sevenpoint scale. Of the 48 prospective applicants participating, 29 (6...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0011

    authors: Burton BN,Labastide AS,Muhoozi BN,Lopez-Ramos CG,Anders AT,Garcia K,Gabriel RA,Willies-Jacobo L

    更新日期:2020-01-01 00:00:00

  • Altered Emotional Intelligence through a Health Disparity Curriculum: Early Results.

    abstract:INTRODUCTION:Emotional intelligence (EI) interests medical schools as a predictive factor in their graduates' clinical success. Historically black college and university (HBCU) academic health centers produce professionals to address health disparities. This preliminary study evaluated a health disparity reduction curr...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0091

    authors: Parks MH,Chen CK,Haygood CD,McGee ML

    更新日期:2019-01-01 00:00:00

  • Quality of Asthma Management in Children Attending Health Centres in Kingston & St. Andrew, Jamaica Compared with International Clinical Practice Guidelines.

    abstract:OBJECTIVES:To assess the quality of asthma care within the paediatric population who attended health centres in Kingston & St. Andrew (KSA) and compare this quality to Global Initiative for Asthma (GINA) guidelines. METHODS AND MATERIALS:Data were collected from 257 dockets of children aged 2-17 years old with asthma ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0028

    authors: Ricketts-Roomes TF,Waldron NK,James K

    更新日期:2019-01-01 00:00:00

  • Community based health insurance schemes: lessons from rural Kenya.

    abstract:BACKGROUND:Health care costs are often a hindrance to seeking health care. Community-based health care insurance schemes (CBHIS) is a suitable alternative to conventional health insurance schemes which are often beyond the budget of majority of rural residents in Africa. Following establishment of a model CBHIS in the ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0023

    authors: Kamau N,Njiru H

    更新日期:2014-02-01 00:00:00