ArticleAmbulatory pediatrics : the official journal of the Ambulatory Pediatric Association
Low parental literacy is associated with worse asthma care measures in children.
Article in Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02376673 (A Randomized Controlled Trial Comparing a Children's Book to Brochures for Safe Sleep Education in an At-Risk Population Enrolled in a Home Visitation Program), which is not on this map. Cited by 97 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomized Controlled Trial Comparing a Children's Book to Brochures for Safe Sleep Education in an At-Risk Population Enrolled in a Home Visitation Program
Who cites it
97 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Role of Health Literacy in Health Behavior, Health Service Use, Health Outcomes, and Empowerment in Pediatric Patients with Chronic Disease: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Parent/caregiver health literacy among children with special health care needs: a systematic review of the literature.BMC pediatrics · 2015Pooled it
- Health in the 'hidden population' of people with low literacy. A systematic review of the literature.BMC public health · 2010Pooled it
- The relationship between parent health literacy and pediatric emergency department utilization: a systematic review.Academic pediatricsPooled it
- Parental health literacy and asthma education delivery during a visit to a community-based pediatric emergency department: a pilot study.Pediatric emergency care · 2011Trial
- Using information technology to reduce asthma disparities in underserved populations: a pilot study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2010Trial
- Parents' Use of Technologies for Health Management: A Health Literacy Perspective.Academic pediatricsTrial
- Evaluation of Health Literacy Levels in Patients in the Emergency Department of a University Hospital: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Parents' precarious work schedules and children's asthma management.BMC public health · 2026Article
- Article
- Pediatric Asthma in the Inland Empire: Environmental Burden, Gaps in Preventive Care, and Unmet Needs.Children (Basel, Switzerland) · 2025Review
- Individual and system-level determinants of caregivers' quality of life among inner-city preschool children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025Article
- Multilevel facilitators of pediatric asthma outcomes: The role of caregiver self-efficacy.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Pediatric medication management barriers faced by providers serving underserved populations and proposed solutions.Frontiers in health services · 2025Article
- Predictors of Neonatal Jaundice Admissions: A Comparative Study Between Thai and Myanmar Mothers Residing in Thailand.Journal of multidisciplinary healthcare · 2025Article
- Factors associated with having uncontrolled asthma in rural Appalachia.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024Article
- Exploring the use of ChatGPT as a virtual health coach for chronic disease management.Learning health systems · 2024Article
- Health Literacy in Pediatric Consultations on Allergy Prevention.Health literacy research and practice · 2024Article
- Preschool children's asthma medication: parental knowledge, attitudes, practices, and adherence.Frontiers in pharmacology · 2024Article
- Assessing the Effectiveness of ChatGPT in Delivering Mental Health Support: A Qualitative Study.Journal of multidisciplinary healthcare · 2024Article
37 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma.
methodsWe performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity, and parental asthma-related knowledge.
resultsWe enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.4; 95% confidence interval 0.97, 2.0), hospitalizations (IRR 4.6; 1.8, 12), and days missed from school (IRR 2.8; 2.3, 3.4) even after adjusting for asthma-related knowledge, disease severity, medication use, and other sociodemographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications.
conclusionsLow parental literacy is associated with worse care measures for children with asthma.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.