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BMC Public Health

, 5:48

First Online: 17 May 2005Received: 16 November 2004Accepted: 17 May 2005DOI: 10.1186-1471-2458-5-48

Cite this article as: Greenfield, R.O., Lee, A.C., Tang, R. et al. BMC Public Health 2005 5: 48. doi:10.1186-1471-2458-5-48


BackgroundAsthma prevalence among Chinese immigrant children is poorly understood and attempts to screen these children have produced varied outcomes. We sought to learn how to improve screening for asthma in Chinese immigrant children.

MethodsChildren n = 152 were administered the Brief Pediatric Asthma Screen in either Cantonese or English, they then viewed and reacted to a video showing people wheezing and subsequently took a pulmonary function test.

ResultsThe diagnosed asthma prevalence for our study population was 27.0%, with another 5.3% having possible undiagnosed asthma. Very few children had spirometry findings below normal. In multivariate analysis, being native born p = 0.002 and having a family history of asthma p = 0.003 were statistically associated with diagnosis of asthma. After viewing the video, 35.6% of respondents indicated that the images differed from their conception of wheezing. Of four translations of the word -wheeze- no single word was chosen by a majority.

ConclusionOur findings suggest that asthma diagnoses are higher for Chinese children who were born in the US suggesting that desegregation of data might reveal at risk subpopulations. Care needs to be taken when diagnosing asthma for Cantonese speakers because of the centrality of the word wheeze and the challenges of translation.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-5-48 contains supplementary material, which is available to authorized users.

Autor: Robyn O Greenfield - Angela C Lee - Roland Tang - Doug Brugge


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