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

Ferro, Mark A., Boyle, Michael H., Alati, Rosa, Scott, James G., & Dingle, Kaeleen D. (2015) Maternal psychological distress mediates the relationship between asthma and physician visits in a population-based sample of adolescents. Journal of Asthma, 52(2), pp. 170-175.

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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 = .046). There was no evidence to suggest that adolescent general health moderated the association between maternal psychological distress and physician visits (p = .093).

Conclusions

The 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.

Impact and interest:

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ID Code: 78122
Item Type: Journal Article
Refereed: Yes
Keywords: Health service utilization, Adolescents, moderation, path analysis, statistical modeling
DOI: 10.3109/02770903.2014.955191
ISSN: 1532-4303
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Clinical Sciences not elsewhere classified (110399)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Mental Health (111714)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Primary Health Care (111717)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2014 Informa Healthcare
Deposited On: 29 Oct 2014 22:59
Last Modified: 24 Jun 2015 03:36

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