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首页> 外文学位 >Biopsychosociocultural lifecourse determinants of inflammatory respiratory disease in offspring in ethnically diverse lower income families.
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Biopsychosociocultural lifecourse determinants of inflammatory respiratory disease in offspring in ethnically diverse lower income families.

机译：不同种族低收入家庭后代炎症性呼吸系统疾病的生物心理社会文化生命周期决定因素。

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摘要

A prospective longitudinal study tested an integrative biopsychosociocultural lifecourse model of asthma in 4,898 African American, European American, and Latino children born largely to unwed and lower income parents. Direct effects of sociodemographic factors, perinatal risk factors, child medical risk factors, and environmental risk factors were examined conjointly in predicting asthma expression at age three. This was the first study to also examine cultural resources within the family and other aspects of positive family functioning as a moderator of the effects of sociodemographic, perinatal, child medical, and environmental risk factors. It was hypothesized that child socioemotional functioning would partially mediate the links of sociodemographic factors, perinatal risk factors, child medical risk factors, and environmental risk factors to asthma expression. Moderated mediation was also hypothesized, such that positive family functioning was expected to function as a moderator via the mediational effect of child socioemotional functioning on independent variable-asthma expression links. Finally, ethnic differences in the predictive utility of the full model, and in the magnitude of particular paths within the model, were expected. Child medical risk had the strongest association to asthma expression in children at age three. Environmental risk also emerged as a reliable and robust predictor of asthma expression. Greater availability of cultural resources within the family and other aspects of positive family functioning attenuated the negative effects of greater child medical and environmental risks on asthma expression as hypothesized. Child socioemotional functioning partially mediated the effects of family socioeconomic position and child medical and environmental risks on asthma. Family functioning moderated this mediational pathway, such that the mediational effect of child socioemotional functioning was pronounced within the higher family functioning subsample. The magnitude of the effect of specific paths differed slightly by ethnicity, and ethnicity predicted variance in asthma expression beyond that predicted by the full model, suggesting that factors not included in the model contribute to ethnic disparities asthma. Future research is needed to develop and validate health-relevant measures of cultural resources and to determine whether and how cultural resources should be cultivated in service of reducing ethnic and socioeconomic disparities in asthma and other health outcomes.
机译：一项前瞻性纵向研究在4898名主要由未婚和收入较低的父母所生的非裔美国人，欧洲裔美国人和拉丁裔儿童中测试了哮喘的综合生物心理社会文化生活史模型。结合社会人口统计学因素，围产期危险因素，儿童医疗危险因素和环境危险因素的直接影响，共同预测了三岁时的哮喘表达。这是第一项研究，也研究了家庭内部以及积极家庭功能的其他方面作为社会人口统计学，围产期，儿童医疗和环境危险因素的影响的其他方面的文化资源。假设儿童的社会情感功能将部分介导社会人口统计学因素，围产期危险因素，儿童医学危险因素和环境危险因素与哮喘表达的联系。还假设进行了适度的调解，因此预期通过儿童社会情感功能对独立变量哮喘表达链接的介导作用，积极的家庭功能可以作为调节者。最后，在整个模型的预测效用以及模型中特定路径的大小上会出现种族差异。儿童医疗风险与三岁儿童中的哮喘表达最密切相关。环境风险也作为哮喘表达的可靠而可靠的预测指标而出现。家庭中文化资源的可获得性以及家庭积极功能的其他方面的增加，减弱了儿童医疗和环境风险对假设的哮喘表达的负面影响。儿童的社会情感功能部分介导了家庭社会经济地位以及儿童对哮喘的医疗和环境风险的影响。家庭功能调节了这种介导途径，从而在较高的家庭功能子样本中明显表明了儿童社会情感功能的介导作用。特定途径的影响程度因种族而略有不同，种族预测的哮喘表达差异超出了完整模型所预测的水平，这表明模型中未包括的因素导致了种族差异哮喘。需要开展进一步的研究，以开发和验证与健康有关的文化资源措施，并确定是否以及如何培养文化资源，以减少哮喘和其他健康后果的种族和社会经济差距。

著录项

  • 作者

    Abdou, Cleopatra Miriam.;

  • 作者单位

    University of California, Los Angeles.;

  • 授予单位 University of California, Los Angeles.;
  • 学科 Psychology Physiological.;Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 163 p.
  • 总页数 163
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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