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Journal of Urban Health

, Volume 88, Issue 1, pp 30–40 | Cite as

Congruence between Urban Adolescent and Caregiver Responses to Questions about the Adolescent’s Asthma

  • Christy R. HouleEmail author
  • Christine L. M. Joseph
  • Cleopatra Howard Caldwell
  • Frederick G. Conrad
  • Edith A. Parker
  • Noreen M. Clark
Article

Abstract

In clinical and research settings, it is increasingly acknowledged that adolescents may be better positioned than their caregivers to provide information in regard to their own health status, including information related to asthma. Very little is known, however, about the congruence between adolescent and caregiver responses to questions about asthma beyond reports of symptoms. We analyzed data for 215 urban, primarily African-American adolescent–caregiver pairs. Adolescents and caregiver reports concerning the adolescent’s asthma-related medical history were moderately correlated and not found to differ at the aggregate level. Correlations between adolescent and caregiver reports of the adolescent’s asthma symptoms and functional status were weak, although these differences deteriorated at the aggregate level. Adolescent–caregiver reports of symptoms and functioning were more likely to be in agreement if the adolescent was older, if school personnel were unaware of the child’s asthma, and if the adolescent’s asthma was classified as mild intermittent. For questions concerning the frequency of hospitalizations, emergency department visits, and physician visits, moderate correlations between adolescent and caregiver responses were noted, although with some differences at the aggregate level. Findings suggest that, when adolescents and their caregivers are asked about the adolescent’s asthma in clinical and research settings, the extent to which the two perspectives are likely to agree depends on the type of information sought. Clinicians and researchers may obtain more accurate information if questions about symptoms and functional status are directed toward adolescents.

Keywords

Asthma Adolescents Proxy Reports Congruence 

References

  1. 1.
    Menon G, Bickart B, Sudman S, Blair J. How well do you know your partner? Strategies for formulating proxy-reports and their efforts on the convergence to self-reports. J Mark Res. 1995; 32: 75–84.CrossRefGoogle Scholar
  2. 2.
    Braun-Fahrlander C, Gassner M, Grize L, et al. Comparison of responses to an asthma symptom questionnaire (ISAAC core questions) completed by adolescents and their parents. SCARPOL team. Swiss Study on Childhood Allergy and Respiratory Symptoms with Respect to Air Pollution. Pediatr Pulmonol. 1998; 25: 159–166.CrossRefPubMedGoogle Scholar
  3. 3.
    Renzoni E, Forastiere F, Biggeri A, et al. Differences in parental- and self-report of asthma, rhinitis and eczema among Italian adolescents SIDRIA collaborative group. Eur Respir J. 1999; 14(3): 597–604.CrossRefPubMedGoogle Scholar
  4. 4.
    Lara M, Duan N, Sherbourne C, et al. Differences between child and parent reports of symptoms among Latino children with asthma. Pediatrics. 1998; 102: e68.CrossRefPubMedGoogle Scholar
  5. 5.
    Clark NM, Brown R, Joseph CL, et al. Issues in identifying asthma and estimating prevalence in an urban school population. J Clin Epidemiol. 2002; 55: 870–881.CrossRefPubMedGoogle Scholar
  6. 6.
    National Heart, Lung & Blood Institute. Expert panel report 3: guidelines for the diagnosis and management of asthma. Bethesda: National Institutes of Health; 2007.Google Scholar
  7. 7.
    Juniper EF, Wisniewski ME, Cox FM, et al. Relationship between quality of life and clinical status in asthma: a factor analysis. Eur Respir J. 2004; 23: 287–291.CrossRefGoogle Scholar
  8. 8.
    Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980–2007. Pediatrics. 2009; 123(Suppl 3): S131–S145.CrossRefPubMedGoogle Scholar
  9. 9.
    Joseph CL, Peterson E, Havstad S, et al. A web-based, tailored asthma management program for urban African-American high school students. Am J Resp Crit Care. 2007; 175: 888–895.CrossRefGoogle Scholar
  10. 10.
    Asher MI, Keil U, Anderson HR, et al. International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Respir J. 1995; 8: 483–491.CrossRefPubMedGoogle Scholar
  11. 11.
    National Asthma Education and Prevention Program. Guidelines for the diagnosis and management of asthma: expert panel report 2. Hyattsville: U.S. Department of Health and Human Services; 1997.Google Scholar
  12. 12.
    Marshall SK, Tilton-Weaver L, Bosdet L. Information management: considering adolescents regulation of parental knowledge. J Adolesc. 2005; 28: 633–647.CrossRefPubMedGoogle Scholar
  13. 13.
    Chang P, Yeh C. Agreement between child self-report and parent proxy-report to evaluate quality of life in children with cancer. Psychooncology. 2005; 14: 125–134.CrossRefPubMedGoogle Scholar
  14. 14.
    Drotar D. Measuring child health: scientific questions, challenges, and recommendations. Ambul Pediatr. 2004; 4: 353–357.CrossRefPubMedGoogle Scholar
  15. 15.
    Guyatt GH, Juniper EF, Griffith LE, Feeny DH, Ferrie PJ. Children and adult perceptions of childhood asthma. Pediatrics. 1997; 99: 165–168.CrossRefPubMedGoogle Scholar
  16. 16.
    Thorton A, Orbuch TL, Axinn WG. Parent–child relationships during the transition to adulthood. J Fam Issues. 1995; 16: 538–654.CrossRefGoogle Scholar
  17. 17.
    Borgers N, de Leeuw E, Hox J. Children as respondents in survey research: cognitive development and response quality. Bull Methodol Sociol. 2000; 66: 60–75.Google Scholar
  18. 18.
    D’Souza-Vazirani D, Minkovitz CS, Strobino DM. Validity of maternal report of acute health care use for children younger than 3 years. Arch Pediatr Adolesc Med. 2005; 159: 167–172.CrossRefPubMedGoogle Scholar
  19. 19.
    Sudman S, Bradburn NM, Schwarz N. Thinking about answers: the application of cognitive processes to survey methodology. San Francisco: Jossey-Bass; 1996.Google Scholar
  20. 20.
    Bower GH, Gilligan SG. Remembering information related to one’s self. J Res Pers. 1979; 13: 420–432.CrossRefGoogle Scholar
  21. 21.
    Rogers TB, Kuiper NA, Kirker WS. Self-reference and the encoding of personal information. J Pers Soc Psychol. 1977; 35: 677–688.CrossRefPubMedGoogle Scholar
  22. 22.
    Brewer W. Memory for randomly selected autobiographical events. In: Neisser U, Winograd E, eds. Remembering considered: ecological and traditional approaches to the study of memory. Cambridge: Cambridge University Press; 1988: 21–90.CrossRefGoogle Scholar
  23. 23.
    Menon G, Yorkston EA. The use of memory and contextual cues in the formation of behavioral frequency judgments. In: Stone A, Turkkan J, Bachrach C, Jobe J, Kurtzman H, Cain V, eds. The science of self-report: implications for research and practice. Mahwah, NJ: Lawrence Erlbaum Associates; 2000: 63–79.Google Scholar
  24. 24.
    Panditi S, Silverman M. Perception of exercise induced asthma by children and their parents. Arch Dis Child. 2003; 88: 807–811.CrossRefPubMedGoogle Scholar
  25. 25.
    Gribble J, Miller H, Rogers S, Turner C. Interview mode and measurement of sexual behaviors: methodological issues. J Sex Res. 1999; 26: 16–24.CrossRefGoogle Scholar

Copyright information

© The New York Academy of Medicine 2010

Authors and Affiliations

  • Christy R. Houle
    • 1
    Email author
  • Christine L. M. Joseph
    • 2
  • Cleopatra Howard Caldwell
    • 3
    • 4
  • Frederick G. Conrad
    • 5
  • Edith A. Parker
    • 3
    • 6
  • Noreen M. Clark
    • 1
  1. 1.Center for Managing Chronic DiseaseUniversity of MichiganAnn ArborUSA
  2. 2.Division of Biostatistics & Research EpidemiologyHenry Ford Health SystemDetroitUSA
  3. 3.Health Behavior and Health EducationUniversity of Michigan School of Public HealthAnn ArborUSA
  4. 4.Program for Research on Black AmericansUniversity of MichiganAnn ArborUSA
  5. 5.Survey Research Center, Institute for Social ResearchUniversity of MichiganAnn ArborUSA
  6. 6.School of Public HealthUniversity of MichiganAnn ArborUSA

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