Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/50060
Title: Asthmatic Symptoms in Children and Adolescents: the Role of Maternal Experiences of Racial Discrimination
Authors: Fattore, Gisel Lorena
Amorim, Leila D.
Santos, Letícia Marques dos
Santos, Darci Neves dos
Barreto, Mauricio Lima
Affilliation: National University of Lanús. Health Community Department. Lanús, Buenos Aires, Argentina / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Matemática e Estatística. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Humanidades Artes e Ciências Professor Milton Santos. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Bahia, Brasil.
Abstract: Emerging evidence suggests that vicarious racial experiences of discrimination may negatively influence child health. Few studies have focus on childhood asthma symptoms and potential moderators of such relationship. Methods We used two population-based cross-sectional studies from the Social Change Allergy and Asthma in Latin America project in Salvador, Brazil. A total of 1003 children and mothers interviewed in 2006 were included, of whom 873 were reached again in 2013. Vicarious racial discriminationwas assessed in mothers by applying the Experiences ofDiscrimination scale. Data on wheeze and environmental exposures were collected with standardized questionnaires. Levels of allergen-specific IgE were measured to identify atopy. Generalized estimating equations were used to estimate the association between maternal discrimination and wheezing and asthma phenotypes. Interaction terms were evaluated to identify whether mothers’ mental health and family social support modified such associations. Results Children whose mothers reported racial discrimination had greater odds of have asthma symptoms (OR 1.75; 95% CI 1.15–2.67) and non-atopic asthma (OR 1.92; 95% CI 1.09–3.40). When we considered effect modification by social support, we found a higher ORs when the level of social support was lower (OR 2.43; 95% IC 1.19–4.97) than when the level of social support was higher (OR 1.12; CI 0.64–1.96). Conclusion Maternal discrimination was associated with asthma symptoms and with non-atopic phenotype among their children. Enjoying wider social support network appears to buffer the effect on asthmatic symptoms. Intervention on childhood asthma needs to incorporate strategies that target the family.
Keywords: Vicarious discrimination .
Racial discrimination
Asthma
. Childhood .
Family
keywords: Discriminação vicária.
Racismo
Asma
Infância .
Família
Issue Date: 2021
Publisher: Springer
Citation: FATTORE, Gisel Lorena et al. Asthmatic Symptoms in Children and Adolescents: the Role of Maternal Experiences of Racial Discrimination. Journal of Racial and Ethnic Health Disparities, 2021.
ISSN: 2197-3792
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos
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