Maternal psychological distress mediates the relationship between asthma and physician visits in a population-based sample of adolescents

Ferro M. A., Boyle M. H., Alati, R., Scott, J. G. and Dingle K. (2015) Maternal psychological distress mediates the relationship between asthma and physician visits in a population-based sample of adolescents. Journal of Asthma, 52 2: 170-175. doi:10.3109/02770903.2014.955191


Author Ferro M. A.
Boyle M. H.
Alati, R.
Scott, J. G.
Dingle K.
Title Maternal psychological distress mediates the relationship between asthma and physician visits in a population-based sample of adolescents
Journal name Journal of Asthma   Check publisher's open access policy
ISSN 1532-4303
Publication date 2015-03-01
Year available 2015
Sub-type Article (original research)
DOI 10.3109/02770903.2014.955191
Volume 52
Issue 2
Start page 170
End page 175
Total pages 6
Place of publication New York, United States
Publisher Informa Healthcare
Collection year 2016
Language eng
Formatted abstract
Objective: This study examined whether maternal psychological distress mediates the relationship between presence of adolescent asthma and number of physician visits and whether the association between maternal psychological distress and physician visits is moderated by adolescent general health.

Methods: Data were obtained from the Mater University Study of Pregnancy and included 4025 adolescents. Path analysis was used to examine mediating and moderating effects.

Results: Maternal psychological distress was found to partially mediate the relationship between adolescent asthma and number of physician visits, accounting for 25% of the effect of adolescent asthma on physician visits (p=0.046). There was no evidence to suggest that adolescent general health moderated the association between maternal psychological distress and physician visits (p=0.093).

Conclusions: These findings suggest that maternal psychological distress is associated with increased physician visits, regardless of adolescents' general health. Lowering maternal psychological distress may serve to reduce health care utilization and costs among adolescents with asthma.
Keyword Health service utilization
Mediation
Moderation
Path analysis
Statistical modeling
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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