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The Environmental Impact on Facility-Treated Pediatric Asthma Exacerbation: A Secondary Study
The Environmental Impact on Facility-Treated Pediatric Asthma Exacerbation: A Secondary St...
The Environmental Impact on Facility-Treated Pediatric Asthma Exacerbation: A Secondary Study

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자료유형  
 학위논문 서양
최종처리일시  
20260202105124
ISBN  
9798293849215
DDC  
610.73
저자명  
Harmon, Stephen.
서명/저자  
The Environmental Impact on Facility-Treated Pediatric Asthma Exacerbation: A Secondary Study
발행사항  
[Sl] : University of Washington, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
149 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
주기사항  
Advisor: Sonney, Jennifer.
학위논문주기  
Thesis (Ph.D.)--University of Washington, 2025.
초록/해제  
요약Pediatric asthma is a leading chronic disease in America; however, it is best thought of as a syndrome of airway symptoms with various etiological origins. As a result, there are numerous combinations of "triggers" that can precipitate an exacerbation in individuals who have asthma. Categorically, these triggers can range from psychosocial, such as stress and anxiety, to physical, such as pollen and pet dander. Family geographic relocations are events that can expose a child with asthma to many of these triggers simultaneously. Ecological transition is a concept within Bronfenbrenner's ecological system theory of human development, where individuals and their environments interact to produce change. The ecological transition concept accounts for aspects of the individual and the broadening layers of the environmental interaction (microsystem, mesosystem, exosystem, macrosystem, and chronosystem) in a holistic approach that allows for seemingly indirect factors to be incorporated in the development process. Through the lens of ecological transition upon the foundation of ecological systems theory, two studies were devised to examine different environmental effects on facility-treated pediatric asthma exacerbations. First, a secondary cross-sectional multilevel binomial regression (n=10,401) suggested there was no significant correlation between children of veteran parents and the likelihood of facility-treated asthma exacerbation (OR 0.96, p= .452). Second, a secondary longitudinal multilevel binomial regression (n=1,055,742) identified a significant correlation between the month of relocation and the first several months following a geographic relocation and the increased likelihood of facility-treated asthma exacerbation. Month of relocation (OR 2.10, p .001), which is consistent with predictions from ecological transition and ecological systems theory.
일반주제명  
Nursing
일반주제명  
Public health
일반주제명  
Pediatrics
키워드  
Environmental interaction
키워드  
Exacerbations
키워드  
Geographic relocations
키워드  
Pediatric asthma
기타저자  
University of Washington Nursing
기본자료저록  
Dissertations Abstracts International. 87-03B.
전자적 위치 및 접속  
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■1001  ▼aHarmon,  Stephen.
■24510▼aThe  Environmental  Impact  on  Facility-Treated  Pediatric  Asthma  Exacerbation:  A  Secondary  Study
■260    ▼a[Sl]▼bUniversity  of  Washington▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a149  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  B.
■500    ▼aAdvisor:  Sonney,  Jennifer.
■5021  ▼aThesis  (Ph.D.)--University  of  Washington,  2025.
■520    ▼aPediatric  asthma  is  a  leading  chronic  disease  in  America;  however,  it  is  best  thought  of  as  a  syndrome  of  airway  symptoms  with  various  etiological  origins.  As  a  result,  there  are  numerous  combinations  of  "triggers"  that  can  precipitate  an  exacerbation  in  individuals  who  have  asthma.  Categorically,  these  triggers  can  range  from  psychosocial,  such  as  stress  and  anxiety,  to  physical,  such  as  pollen  and  pet  dander.  Family  geographic  relocations  are  events  that  can  expose  a  child  with  asthma  to  many  of  these  triggers  simultaneously.  Ecological  transition  is  a  concept  within  Bronfenbrenner's  ecological  system  theory  of  human  development,  where  individuals  and  their  environments  interact  to  produce  change.  The  ecological  transition  concept  accounts  for  aspects  of  the  individual  and  the  broadening  layers  of  the  environmental  interaction  (microsystem,  mesosystem,  exosystem,  macrosystem,  and  chronosystem)  in  a  holistic  approach  that  allows  for  seemingly  indirect  factors  to  be  incorporated  in  the  development  process.  Through  the  lens  of  ecological  transition  upon  the  foundation  of  ecological  systems  theory,  two  studies  were  devised  to  examine  different  environmental  effects  on  facility-treated  pediatric  asthma  exacerbations.  First,  a  secondary  cross-sectional  multilevel  binomial  regression  (n=10,401)  suggested  there  was  no  significant  correlation  between  children  of  veteran  parents  and  the  likelihood  of  facility-treated  asthma  exacerbation  (OR  0.96,  p=  .452).  Second,  a  secondary  longitudinal  multilevel  binomial  regression  (n=1,055,742)  identified  a  significant  correlation  between  the  month  of  relocation  and  the  first  several  months  following  a  geographic  relocation  and  the  increased  likelihood  of  facility-treated  asthma  exacerbation.  Month  of  relocation  (OR  2.10,  p  .001),  which  is  consistent  with  predictions  from  ecological  transition  and  ecological  systems  theory.
■590    ▼aSchool  code:  0250.
■650  4▼aNursing
■650  4▼aPublic  health
■650  4▼aPediatrics
■653    ▼aEnvironmental  interaction
■653    ▼aExacerbations
■653    ▼aGeographic  relocations
■653    ▼aPediatric  asthma
■690    ▼a0569
■690    ▼a0767
■690    ▼a0573
■71020▼aUniversity  of  Washington▼bNursing.
■7730  ▼tDissertations  Abstracts  International▼g87-03B.
■790    ▼a0250
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359473▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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