RT Journal
A1 Bartlett SJ, Kolodner K, Butz AM, Eggleston P, Malveaux FJ, Rand CS
T1 MAternal depressive symptoms and emergency department use among inner-city children with asthma
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2001
FD March 1
VO 155
IS 3
SP 347
OP 353
DO 10.1001/archpedi.155.3.347
UL http://dx.doi.org/10.1001/archpedi.155.3.347
AB Context 
    Inner-city minority children with asthma use emergency departments (ED) frequently.Objective 
    To examine whether maternal depressive symptoms are associated with ED use.Design, Setting, and Patients 
    Baseline and 6-month surveys were administered to mothers of children with asthma in inner-city Baltimore, Md, and Washington, DC.Main Outcome Measures 
    Use of the ED at 6-month follow-up was examined. Independent variables included asthma morbidity, age, depressive symptoms, and other psychosocial data.Results 
    Among mothers, nearly half reported significant levels of depressive symptoms. There were no demographic or asthma-related differences between the children of mothers with high and low depressive symptoms. However, in bivariate analyses, mothers with high depressive symptoms were 40% (prevalence ratio [PR], 1.4; 95% confidence interval [CI], 1.0-3.6; P = .04) more likely to report taking their child to the ED. Mothers aged 30 to 35 years were more than twice as likely (PR, 2.2; 95% CI, 1.9-9.3; P = .001) to report ED use, as were children with high morbidity (PR, 1.9; 95% CI, 1.4-7.1; P = .006). Child age and family income were not predictive of ED use. After controlling for asthma symptoms and mother's age, mothers with depressive symptoms were still 30% more likely to report ED use.Conclusions 
    Depression is common among inner-city mothers of children with asthma. Beyond asthma morbidity, maternal age and depressive symptoms are strong predictors of reports of ED visits. Identifying and addressing poor psychological adjustment in mothers may reduce unnecessary ED visits and optimize asthma management among inner-city children.