{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Turi ER"],"funding":["NHLBI","NHLBI NIH HHS","National Institutes of Health"],"pagination":["661-666.e1"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC8627490"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["127(6)"],"pubmed_abstract":["<h4>Background</h4>Rural adolescents are vulnerable to asthma; good self-care can reduce morbidity. The subtypes of anxiety (eg, asthma-related, generalized) may have differential associations with asthma self-care. Low self-efficacy, a determinant of behavior, is associated with increased anxiety. Little is known regarding these relationships in rural adolescents.<h4>Objective</h4>To evaluate whether anxiety symptoms are associated with asthma symptom prevention and management among rural adolescents and whether self-efficacy mediates these relationships.<h4>Methods</h4>We used baseline data from 197 rural adolescents (mean age = 16 years; 69% girls; 62% Black) who were part of a trial that tested the effectiveness of a school-based asthma intervention. Adolescents completed the Youth Asthma-Related Anxiety Scale, Screen for Child Anxiety and Emotional Disorders, Asthma Management Self-efficacy Index, and Asthma Prevention and Management Indices. Linear regression was performed to test whether: (1) asthma-related and generalized anxiety had curvilinear relationships with self-care; (2) social and separation anxiety had linear relationships with self-care; and (3) self-efficacy mediated relationships.<h4>Results</h4>Asthma-related anxiety had a significant curvilinear relationship with prevention (P = 0.001) and a linear association with management (P = .01). Generalized anxiety had a significant curvilinear association with management (P = .03), whereas social anxiety had a significant linear relationship with prevention (P = .04). Self-efficacy partially or fully mediated these relationships.<h4>Conclusion</h4>Anxiety symptoms were associated with asthma self-care among this sample of rural adolescents, with differing roles for prevention and management. Self-efficacy may be a mechanism to improve asthma self-care among rural adolescents with anxiety. With a lack of self-efficacy, asthma-related, generalized, or social anxiety may motivate adolescents to take steps to care for their asthma."],"journal":["Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology"],"pubmed_title":["Associations among anxiety, self-efficacy, and self-care in rural adolescents with poorly controlled asthma."],"pmcid":["PMC8627490"],"funding_grant_id":["R01 HL136753"],"pubmed_authors":["Liu J","Bruzzese JM","Turi ER","Leonard SI","Reigada LC"],"additional_accession":[]},"is_claimable":false,"name":"Associations among anxiety, self-efficacy, and self-care in rural adolescents with poorly controlled asthma.","description":"<h4>Background</h4>Rural adolescents are vulnerable to asthma; good self-care can reduce morbidity. The subtypes of anxiety (eg, asthma-related, generalized) may have differential associations with asthma self-care. Low self-efficacy, a determinant of behavior, is associated with increased anxiety. Little is known regarding these relationships in rural adolescents.<h4>Objective</h4>To evaluate whether anxiety symptoms are associated with asthma symptom prevention and management among rural adolescents and whether self-efficacy mediates these relationships.<h4>Methods</h4>We used baseline data from 197 rural adolescents (mean age = 16 years; 69% girls; 62% Black) who were part of a trial that tested the effectiveness of a school-based asthma intervention. Adolescents completed the Youth Asthma-Related Anxiety Scale, Screen for Child Anxiety and Emotional Disorders, Asthma Management Self-efficacy Index, and Asthma Prevention and Management Indices. Linear regression was performed to test whether: (1) asthma-related and generalized anxiety had curvilinear relationships with self-care; (2) social and separation anxiety had linear relationships with self-care; and (3) self-efficacy mediated relationships.<h4>Results</h4>Asthma-related anxiety had a significant curvilinear relationship with prevention (P = 0.001) and a linear association with management (P = .01). Generalized anxiety had a significant curvilinear association with management (P = .03), whereas social anxiety had a significant linear relationship with prevention (P = .04). Self-efficacy partially or fully mediated these relationships.<h4>Conclusion</h4>Anxiety symptoms were associated with asthma self-care among this sample of rural adolescents, with differing roles for prevention and management. Self-efficacy may be a mechanism to improve asthma self-care among rural adolescents with anxiety. With a lack of self-efficacy, asthma-related, generalized, or social anxiety may motivate adolescents to take steps to care for their asthma.","dates":{"release":"2021-01-01T00:00:00Z","publication":"2021 Dec","modification":"2025-04-26T09:48:17.105Z","creation":"2025-04-06T13:07:42.932Z"},"accession":"S-EPMC8627490","cross_references":{"pubmed":["34547441"],"doi":["10.1016/j.anai.2021.09.010"]}}