Objective The current study examined the role of alternate caregivers (i.e., caregivers living outside of the
home who spend at least 6 hr per week caring for the child) in a sample of Latino and non-Latino White
(NLW) families with a child with asthma. Methods Participants included 665 families of children with
asthma from NLW, Puerto Rican, and Dominican backgrounds from Rhode Island and Puerto Rico. All caregivers
completed a validated semistructured family interview assessing asthma management strategies in the
family context. Results 22 percent of families identified an alternate caregiver. Alternate caregiver involvement
was highest among Island Puerto Rican families. Island Puerto Rican families who reported alternate
caregiver involvement were rated as having higher medication adherence and more balanced adaptation to
the demands of asthma management. Conclusions Alternate caregivers may play an important role in
family asthma management, especially among some Latino subgroups.