Family health culture, ethnicity, and asthma: Coping with illness

Guarnaccia, Peter J.; Pelto, Pertti J.; Schensul, Stephen L.

doi:10.1080/01459740.1985.9965933

Cited by 20 publications

(6 citation statements)

References 6 publications

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“…25 Other explanations include differences in access to and use of medical care (such as receipt of recommended medications for asthma) 26,27 and dif- ferences in the use of asthma prevention and self-management behaviors across income and cultural groups. 28,29 We found that poverty and Black race were overwhelmingly the most important determinants of emergency room use for asthma. Marital disruption and a large number of siblings increased the chances of hospitalization for asthma.…”

Section: Discussionmentioning

confidence: 86%

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

2000

Am J Public Health

171

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OBJECTIVES: Asthma is the most common chronic illness among US children and is most prevalent in low-income and minority groups. We used multivariate models to disentangle the effects of race/ethnicity, income, and other individual-level risk factors on asthma in a population-based sample of children aged 3 years. METHODS: Data are from the 1988 National Maternal and Infant Health Survey and 1991 Longitudinal Follow-Up. Odds ratios of asthma prevalence, hospitalization, and emergency room use were estimated, with control for socioeconomic characteristics, health behaviors, and insurance. RESULTS: Asthma prevalence, hospitalization, and emergency room use declined with increasing income for non-Black but not Black children. CONCLUSIONS: Lifetime income and sociodemographic characteristics do not explain the excess risks of asthma and emergency health care use for asthma among young Black children.

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Section: Discussionmentioning

confidence: 86%

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

2000

Am J Public Health

171

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“…Yet little has been published on culture-specific explanatory models for respiratory illness since Helman's (1978) study of English popular health concepts, Guarnaccia, Pelto, and Schensul's (1985) study of coping with asthma among two ethnic groups in Connecticut, and Friedl's (1982) comparison of explanatory models for pneumoconiosis ("black lung disease") among Appalachian coal miners and their health care providers. Leiban (1976) noted that in Cebu City, Philippines, respiratory ailments in children could be classified as part of a folk taxonomy which included mild respiratory illnesses for which traditional healers were sought, however, if the illness became more serious or prolonged it be judged to be something else, for which modern medical care was appropriate.…”

Section: Discussionmentioning

confidence: 99%

Acute respiratory illnesses in children under five years in Indramayu, West Java, Indonesia: A rapid ethnographic assessment

Kresno

Harrison

Sutrisna

et al. 1993

Medical Anthropology

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A rapid, focused ethnographic study was carried out in a rural area of West Java, Indonesia to identify local beliefs, perceptions, and practices surrounding acute respiratory infections (ARI) in infants and young children. The study incorporates key informant interviews, open-ended interviews, and structured data collection from fifty mothers of young children selected to represent the geographical settlement pattern in the area: structured interviews with biomedical and indigenous health care providers; and structured interviews with fifty mothers who sought health care for an infant or young child with a respiratory illness. The most commonly perceived cause for ARI in children was air entering the body through some type of chill, exposure to draft or breeze, or change of weather. When fever or difficult breathing was present, mothers tended to increase the number and diversity the types of medicines used. Mothers recognized difficult as well as rapid breathing, both being described as "difficult breathing." More concern was expressed about fever than about difficulty in breathing. Effective medical care was more likely to be delayed for infants than for older children; infants were also more likely to be taken to an indigenous healer as the first-choice provider. Infants were less likely to receive an effective drug regimen even if appropriate medication was prescribed, because mothers commonly take the drugs in order to deliver them to the infant through breast milk.

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“…Similarly, Puerto Rican families use an array of interventions to care for their children's asthma, including breathing exercises and rubbing the child's chest with herbal remedies [55], and African American mothers in another ethnographic study relied on steam inhalation, herbal teas, and homemade syrups. Prayer was used by both Hispanic and African American mothers [56]. The notion of ''health culture'' has been advanced to address the complex interactions among cultural beliefs, practices and illness that can shape health outcomes.…”

Section: Immigration and Healthmentioning

confidence: 99%

“…This problem is particularly apparent in generalizations about ''Latinos,'' who may come from many different countries, and/or several different cultural/ethnic traditions within a single country. Indeed, the demographic category ''Hispanic'' may conceal widely varying disease prevalence rates according to country of origin [71] or other differences [56]. Further, reductionistic biological understandings of race are increasingly criticized for neglecting the complex social history of racial categories [72].…”

Section: Health Literacy and Racial And Ethnic Health Disparitiesmentioning

confidence: 99%

The Role of Culture in Health Literacy and Chronic Disease Screening and Management

Shaw

Huebner

Armin

et al. 2008

J Immigrant Minority Health

185

126

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Family health culture, ethnicity, and asthma: Coping with illness

Cited by 20 publications

References 6 publications

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

Acute respiratory illnesses in children under five years in Indramayu, West Java, Indonesia: A rapid ethnographic assessment

The Role of Culture in Health Literacy and Chronic Disease Screening and Management

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