Darren A. DeWalt|Marylee H. Dilling|Marjorie S. Rosenthal|Michael Pignone
Low Parental Literacy Is Associated With Worse Asthma Care Measures in Children
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Yale University|University of North Carolina at Chapel Hill
determine whether parental literacy related emergency department visits hospitalizations days school missed children asthmawe performed retrospective cohort study university pediatric clinic enrolled children 3 12 years old diagnosis asthma regular source care site study parent guardian primary asthma care measures included selfreported rates emergency department visits hospitalizations days school missed secondary asthma care measures included rescue controller medication use classification asthma severity parental asthmarelated knowledgewe enrolled 150 children parents twentyfour percent parents low literacy children parents low literacy greater incidence emergency department visits adjusted incidence rate ratio irr 14 95 confidence interval 097 20 hospitalizations irr 46 18 12 days missed school irr 28 23 34 even adjusting asthmarelated knowledge disease severity medication use sociodemographic factors parents low literacy less asthmarelated knowledge children likely moderate severe persistent asthma greater use rescue medicationslow parental literacy associated worse care measures children asthma