This application responds to NIMH Program Announcement (PA) 02-047, Research on Co-Morbid Mental and Other Physical Disorders. Associations between child and adolescent psychiatric and psychological problems and parent reports of asthma have been described in the literature, and there is some evidence that the prevalence of asthma and its association with mental disorders is particularly striking in Puerto Rican youth. However, the methodological designs of previous studies have been largely limited to the use of clinical samples, cross-sectional studies, and the use of non-standardized or otherwise compromised measures of psychiatric disorders or asthma in youth. These limitations prevent interpretation of the associations in the community. The proposed study overcomes many of these limitations and would establish the magnitude of associations between anxiety and depressive disorders and asthma in Puerto Rican youth, and it would also determine the associations between caregivers' mental disorders and risk for asthma in the sample of children and adolescents. Further, it would determine the prospective relations between caregiver psychopathology, stressors, functioning and the management of childhood asthma. The study builds on two previously collected waves of data of Puerto Rican youth (R01-MH054827; Dr. Glorisa Canino), from 1999-2001. It would collect a new, third wave of data on child/adolescent and caregiver psychiatric disorders, asthma prevalence and severity, and psychosocial problems in a stratified sample of 700 youth from the original cohort. We will also take a stratified sample of 200 of the 700 subjects for spirometry testing and medical chart review. The proposed study will allow us to begin to investigate the mechanisms and clinical management consequences of co-morbid asthma and mental disorders. Overall, this study will provide useful information on two major public health problems for Hispanic youth, mental health and asthma, and begin to investigate the links between theses two critical public health issues.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
1R01MH069849-01A2
Application #
6919595
Study Section
Child Psychopathology and Developmental Disabilities Study Section (CPDD)
Program Officer
Muehrer, Peter R
Project Start
2005-08-15
Project End
2008-07-31
Budget Start
2005-08-15
Budget End
2006-07-31
Support Year
1
Fiscal Year
2005
Total Cost
$421,745
Indirect Cost
Name
University of California Los Angeles
Department
Miscellaneous
Type
Schools of Public Health
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
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Acosta-Perez, Edna; Canino, Glorisa; Ramirez, Rafael et al. (2012) Do Puerto Rican youth with asthma and obesity have higher odds for mental health disorders? Psychosomatics 53:162-71
Langellier, Brent A; Martin, Molly A; Canino, Glorisa et al. (2012) The health status of youth in Puerto Rico. Clin Pediatr (Phila) 51:569-73
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Feldman, Jonathan M; Ortega, Alexander N; Koinis-Mitchell, Daphne et al. (2010) Child and family psychiatric and psychological factors associated with child physical health problems: results from the Boricua youth study. J Nerv Ment Dis 198:272-9
Bustamante, Arturo Vargas; Fang, Hai; Rizzo, John A et al. (2009) Heterogeneity in health insurance coverage among US Latino adults. J Gen Intern Med 24 Suppl 3:561-6
Ortega, Alexander N; Horwitz, Sarah M; Fang, Hai et al. (2009) Documentation status and parental concerns about development in young US children of Mexican origin. Acad Pediatr 9:278-82

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