Evidence map›Paper›PMID 32407888›Full record

ArticleAcademic pediatrics

Parent Nativity and Child Asthma Control in Families of Mexican Heritage: The Effects of Parent Depression and Social Support.

Sally M Weinstein, Kimberly Orozco, Oksana Pugach, Genesis Rosales, Nattanit Songthangtham, Molly A Martin

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02481986 (Asthma Action at Erie Trial), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT02481986 phase3completednot on this map

Asthma Action at Erie Trial

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2015 to 2021Enrolled223ConditionsAsthma, ChildrenArmsCommunity Health Worker, Certified asthma educator
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Impact of caregiver depression on child asthma outcomes in Mexicans and Puerto Ricans.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sally M WeinsteinDepartment of Psychiatry, University of Illinois at Chicago College of Medicine. Electronic address: sweins3@uic.edu.
Kimberly OrozcoDepartment of Psychiatry, University of Illinois at Chicago College of Medicine.
Oksana PugachDepartment of Psychiatry, University of Illinois at Chicago College of Medicine.
Genesis RosalesDepartment of Psychiatry, University of Illinois at Chicago College of Medicine.
Nattanit SongthangthamDepartment of Psychiatry, University of Illinois at Chicago College of Medicine.
Molly A MartinDepartment of Psychiatry, University of Illinois at Chicago College of Medicine.
University of Illinois Chicago · US

Funding

The Asthma Action at Erie TrialR01HL123797 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MARTIN, MOLLY A · 2015 to 2019
$3.3M
NHLBI NIH HHS R01 HL123797
6 · The paper itself

Abstract

objectiveResearch has repeatedly demonstrated that parent foreign nativity has a protective effect on child asthma outcomes among Mexican Americans, but the mechanisms underlying this relationship are not well understood. The current study explored parent depression as a mediator and social support as a moderator of the parent nativity-child asthma control pathway.

methodsData come from the baseline sample of a trial (NCT02481986) testing community interventions for 223 children aged 5 to 16 with uncontrolled asthma. We focused on parent/child dyads of Mexican heritage (N = 165; mean age = 9.08, standard deviation = 2.94; 57.3% with Mexico-born parent). Asthma control was defined using the child and adult versions of the Asthma Control Test (ACT). Psychosocial factors included parent depression symptoms and social (instrumental, informational, and emotional) support.

resultsMexican-born parents had fewer depressive symptoms (β^ = -2.03, SE^ = 0.24) and children with better asthma control (β^ = 1.78, SE^ = 0.24) than US-born parents, P < .0001. Analyses suggested partial mediation of the nativity-ACT path via parent depression (P < .001). An interaction between Instrumental Support and Nativity was marginally significant (β^ = -0.10, SE^ = 0.05, P = .07), with protective effects only observed at higher support levels. Last, among Mexico-born parents, the protective nativity effects on ACT declined with increasing residential years in the United States through 12 years.

conclusionsThis study is novel in identifying parent depression as one mechanism underlying the effects of parent nativity on child asthma control, but results suggest that the health advantages may depend on availability of support. Providing resources for parent depression and instrumental support (transportation, childcare) can optimize asthma interventions in this population.

Indexed as

AsthmaDepressionAdultHispanic or LatinoHumansMexican AmericansMexicoParentsSocial SupportUnited StatesdepressionHispanic Health ParadoxLatinoMexican Immigrantspediatric asthmasocial support

Identifiers

PMID32407888
PMCPMC7483789
OpenAlexW3025124197

What OpenQuestion holds

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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.