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------=_NextPart_01C7DDB8.9CDA1F50 Content-Location: file:///C:/AB2D1D12/2007Final_Crowder_files/master05.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C7DDB8.9CDA1F50 Content-Location: file:///C:/AB2D1D12/2007Final_Crowder_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C7DDB8.9CDA1F50 Content-Location: file:///C:/AB2D1D12/2007Final_Crowder_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" LDI SUMMER 2007
LDI Summer 2007
Thomas Crowder
UC Berkeley
Caregivers with Depression = Symptoms and Pedi= atric Asthma Management=
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Background
nAsthma is defined as a chronic inflammation disord= er of the airways in which many cells and cellular el= ements play a role in recurrent episod= es of wheezing, breathlessness, ch= est tightness, and cough which can vary from mild to severe degrees
nAsthma is a common and potentially serious medical= = disease
nIt is the most common chronic disorder in children= in the U.S.
nIn 2005, the CDC has estimated that the cost for <= /span>treating asthma in children is 3.2 billion dollars annually
n<= span style=3D'font-size:88%;mso-special-format:lastCR;display:none'>
Accord= ing to a 1997 expert panel report published by the National Institutes of Health, health care expert panels designed by the National Heart, Lung, and Blood Institute’s National Asthma Education and Prevention Program have defined asthma as….

It can= severely inhibit physical activity, contribute to serious psychological and social dysfunction, and even cause death

Affect= s annually 9 million children under the age of 18

Accomp= anying the large numbers of children with asthma are the enormous health care expenditures

Past s= tudies have shown that the most costly expenditures for asthma treatment are emergency department use, hospitalizations, and unscheduled clinic visits



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Background cont’d
nResearchers have ascertained that pediatric asthma management is best conducted= by the child’s primary caregiver
n
nThe caregiver has the highest probability of be= ing involved in = the child’s daily asthma regimen
n
nCaregiver’s mental health is a major determinant of eff= ectively caring for the asthmatic child
n
nNo known research has used national population bas= ed data to determine the association between caregivers with depression symptoms and poor pediatric asthma management =
n&= #13;
n
Previo= us population based studies show that individuals indicating depression symptoms have difficulty adhering to their child’s asthma medication regimes and = have engaged in increased visits to emergency departments, hospitalizations, a= nd unscheduled clinic visits

These = studies have been based on relatively small sample populations
Cities= , community districts, and neighborhoods
Subjec= ts observed were mainly from socio-economically depressed areas

------=_NextPart_01C7DDB8.9CDA1F50 Content-Location: file:///C:/AB2D1D12/2007Final_Crowder_files/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" LDI SUMMER 2007
Objective
nThe purpose of this study is to determine a= n = association between caregiver depression symptoms and pediatric asthma outcom= es, using nationally representative data
<= span style=3D'visibility:hidden'>n
------=_NextPart_01C7DDB8.9CDA1F50 Content-Location: file:///C:/AB2D1D12/2007Final_Crowder_files/slide0006.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" LDI SUMMER 2007
Methods
nAnalyze nationally representative data from the 1997-2004 survey questio= nnaires from the National Health Interview Survey (NHIS) which will = constitute our sample frame
nWe looked at three core modules of the NHIS: child, adult, and family
nThe child core included children between 0 and 18 = years of age
nThe adult core included the reference person who answered the questions on behalf of the child
nThe family core included the adult reference perso= n who could answer releva= nt questions on behalf of the family
nQuestions from the survey questionnaires will be examined for variables that are relevant to our study.
nThe primary variables entail caregiver depression symptoms and pediatric asthma morbidity and outcomes.
nThe confounding variables that we will control for include caregiver and child demographics, educational status, medical insurance status, family = income