Tag: Childhood

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Adverse Childhood Experiences and Adult Health Outcomes Among Veteran and Non-Veteran Women.

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Adverse Childhood Experiences and Adult Health Outcomes Among Veteran and Non-Veteran Women.

J Womens Health (Larchmt). 2015 Sep;24(9):723-9

Authors: McCauley HL, Blosnich JR, Dichter ME

Abstract
BACKGROUND: Women veterans represent a vulnerable population with unique health needs and disparities in access to care. One constellation of exposures related to subsequent poor health includes adverse childhood experiences (ACEs; e.g., physical and sexual child abuse), though research on impacts of ACEs among women veterans is limited.
METHODS: Data were drawn from the 2010 Behavioral Risk Factor Surveillance System for the 11 states that included the ACE module (n=36,485). Weighted chi-squared tests and multivariable logistic regression were used to assess the prevalence of ACEs among women veterans compared with women non-veterans and differences in the following outcomes, controlling for ACEs: social support, inadequate sleep, life satisfaction, mental distress, smoking, heavy alcohol use, obesity, diabetes, cardiovascular disease symptoms, asthma, and disability.
RESULTS: Women veterans (1.6% of the total sample) reported a higher prevalence of 7 out of 11 childhood adversities and higher mean ACE score than women non-veterans. Women veterans were more likely to be current smokers and report a disability, associations which were attenuated when controlling for ACE.
CONCLUSIONS: Despite women veterans’ higher prevalence of ACE, their health outcomes did not differ substantially from non-veterans. Further research is needed to understand the intersections of traumatic experiences and sources of resilience over the lifecourse among women veterans.

PMID: 26390379 [PubMed – in process]

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Patient identification, coordinator implementation improve childhood asthma … – Healio

Patient identification, coordinator implementation improve childhood asthma …
Healio
An analysis of four research sites coordinating care for children with asthma showed that the unique solutions for identifying participants in the program, as well as how the sites implemented asthma care coordinators into the clinical pathway …

and more »

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The Influence of Setting on Care Coordination for Childhood Asthma.

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The Influence of Setting on Care Coordination for Childhood Asthma.

Health Promot Pract. 2015 Jul 31;

Authors: Kelly RP, Stoll SC, Bryant-Stephens T, Janevic MR, Lara M, Ohadike YU, Persky V, Ramos-Valencia G, Uyeda K, Malveaux FJ

Abstract
Asthma affects 7.1 million children in the United States, disproportionately burdening African American and Latino children. Barriers to asthma control include insufficient patient education and fragmented care. Care coordination represents a compelling approach to improve quality of care and address disparities in asthma. The sites of The Merck Childhood Asthma Network Care Coordination Programs implemented different models of care coordination to suit specific settings-school district, clinic or health care system, and community-and organizational structures. A variety of qualitative data sources were analyzed to determine the role setting played in the manifestation of care coordination at each site. There were inherent strengths and challenges of implementing care coordination in each of the settings, and each site used unique strategies to deliver their programs. The relationship between the lead implementing unit and entities that provided (1) access to the priority population and (2) clinical services to program participants played a critical role in the structure of the programs. The level of support and infrastructure provided by these entities to the lead implementing unit influenced how participants were identified and how asthma care coordinators were integrated into the clinical care team.

PMID: 26232778 [PubMed – as supplied by publisher]

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Childhood asthma rates down 10 percent in 10 years according to UK’s oldest … – Medical Xpress


Medical Xpress

Childhood asthma rates down 10 percent in 10 years according to UK's oldest …
Medical Xpress
Run by researchers from the University of Aberdeen – The Aberdeen School Asthma Study was first completed in 1964 and exactly the same questions have been answered by parents of children aged 9-12 years attending the same city primary schools in …
Childhood asthma 'down by a third in 10 years'Glasgow South and Eastwood Extra

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Prenatal stress and childhood asthma in the offspring: role of age at onset.

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Prenatal stress and childhood asthma in the offspring: role of age at onset.

Eur J Public Health. 2015 Jun 25;

Authors: Liu X, Olsen J, Agerbo E, Yuan W, Sigsgaard T, Li J

Abstract
BACKGROUND: Asthma is a heterogeneous disorder with different phenotypes, and age at onset may define part of them. Little is known about possible association between prenatal stress and asthma phenotypes according to age at onset. We aim to investigate whether there is an association between prenatal stress and asthma, and if so, whether such an association differs according to age at asthma onset.
METHODS: We carried out a cohort study based on several national registers in Denmark, including all live singletons born during 1996-2007 in Denmark (N = 750 058). We identified children born to mothers who lost a close relative (a child, partner/spouse, a parent or a sibling) 1 year prior to or during pregnancy as the bereaved group. Using Cox proportional hazards regression model, we evaluated the hazard ratios (HRs) for asthma in children of bereaved mothers, compared with children of non-bereaved mothers.
RESULTS: Prenatal stress following maternal bereavement was associated with a marginally increased risk of asthma events in children aged 0-3 years [HR = 1.04, 95% confidence interval (CI): 1.00-1.07], while unexpected bereavement was associated with a higher risk (HR = 1.13, 95% CI: 1.02-1.24). There was no association between prenatal bereavement and asthma in children aged 4-15 years (HR = 1.02, 95% CI: 0.96-1.09).
CONCLUSIONS: Prenatal stress is possibly associated with asthma events in children aged 0-3 years, but not with asthma in children aged 4-15 years irrespective of age at asthma onset.

PMID: 26116689 [PubMed – as supplied by publisher]

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Primary Care Pathway for Childhood Asthma

Condition:   Asthma
Interventions:   Other: Primary care clinical pathway;   Other: Asthma education
Sponsors:   University of Alberta;   Alberta Innovates Health Solutions;   Alberta Health Services, Calgary;   Health Quality Council of Alberta (HQCA);   Southern Alberta Primary Care Research Network (SAPCReN);   Northern Alberta Primary Care Research Network (NAPCReN);   University of Calgary;   Ottawa Hospital Research Institute
Not yet recruiting – verified June 2015

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As childhood asthma rates grow, Chattanooga doctors look for new answers – Chattanooga Times Free Press

As childhood asthma rates grow, Chattanooga doctors look for new answers
Chattanooga Times Free Press
Staff photo by John RawlstonToyriec Morris, left, a 10-year-old with asthma, works on math as he attends a summer youth program at the Bethlehem Center on Thursday, June 18, 2015, in Chattanooga, Tenn. Working at the table with him are Orlando Warren, …

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