This research evaluates the co-occurrence of asthma status (lung function and symptoms) and academic performance over the course of the school year in a group of urban, elementary (aged 7-9) school children from African-American, Hispanic, and Non-Hispanic, White backgrounds. We propose that children's sleep quality and school absences are important underlying mechanisms accounting for the association between asthma status and academic functioning. In order to demonstrate asthma's unique impact on children's academic performance, a healthy control group of children without chronic illnesses will be included. To clarify specific pathways of influence between asthma and school performance, factors relevant to asthma, such as allergic rhinitis, as well as risk factors related to the cultural/family context will be examined. Two hundred and fifty-five children with persistent asthma will participate in three assessments of asthma and allergic rhinitis, sleep quality, academic performance, and child and family/cultural risks. One hundred and twenty children who are free from chronic illnesses and allergies will participate in assessments of sleep quality, academic performance, and non-illness specific measures of child and family risk factors.

Public Health Relevance

Poor and ethnic minority children who demonstrate school failure remain the most at risk for school drop out and delinquency. Managing asthma, in addition to negotiating stressors related to social context, remains challenging for elementary school children and families who may already be overburdened. Results gleaned from the proposed research can inform culturally sensitive school-based clinical interventions for urban school- children with asthma whose health outcomes lag far behind their white counterparts.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Project (R01)
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Community Influences on Health Behavior (CIHB)
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Haverkos, Lynne
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Rhode Island Hospital
United States
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Esteban, Cynthia A; Everhart, Robin S; Kopel, Sheryl J et al. (2017) Allergic sensitization and objective measures of sleep in urban school-aged children with asthma. Ann Allergy Asthma Immunol 119:238-245
Koinis-Mitchell, Daphne; Kopel, Sheryl J; Seifer, Ronald et al. (2017) Asthma-related lung function, sleep quality, and sleep duration in urban children. Sleep Health 3:148-156
Coutinho, Maria Teresa; Kopel, Sheryl J; Williams, Brittney et al. (2016) Urban caregiver empowerment: Caregiver nativity, child-asthma symptoms, and emergency-department use. Fam Syst Health 34:229-39
Koinis-Mitchell, Daphne; Kopel, Sheryl J; Boergers, Julie et al. (2015) Good Sleep Health in Urban Children With Asthma: A Risk and Resilience Approach. J Pediatr Psychol 40:888-903
Koinis-Mitchell, Daphne; Kopel, Sheryl J; Boergers, Julie et al. (2015) Asthma, allergic rhinitis, and sleep problems in urban children. J Clin Sleep Med 11:101-10
Coutinho, Maria Teresa; Koinis-Mitchell, Daphne; Kopel, Sheryl J et al. (2014) Factors associated with recruitment and retention of diverse children with asthma. Child Health Care 43:132-150
Everhart, Robin S; Kopel, Sheryl J; Esteban, Cynthia A et al. (2014) Allergic rhinitis quality of life in urban children with asthma. Ann Allergy Asthma Immunol 112:365-70.e1
Coutinho, Maria Teresa; McQuaid, Elizabeth L; Koinis-Mitchell, Daphne (2013) Contextual and cultural risks and their association with family asthma management in urban children. J Child Health Care 17:138-52
Daniel, Lauren C; Boergers, Julie; Kopel, Sheryl J et al. (2012) Missed sleep and asthma morbidity in urban children. Ann Allergy Asthma Immunol 109:41-6
Koinis-Mitchell, Daphne; Craig, Timothy; Esteban, Cynthia A et al. (2012) Sleep and allergic disease: a summary of the literature and future directions for research. J Allergy Clin Immunol 130:1275-81

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