Beliefs Regarding Asthma Management Relating to Asthma Action Plans (AAPs) of African American Caregivers Residing in Newark, New Jersey Public Housing Communities

Wagner, Frank; Steefel, Lorraine

doi:10.1016/j.pedn.2017.05.001

Cited by 11 publications

(2 citation statements)

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“…One USA-based study reported significantly fewer primary care attendances among African Americans when compared to Whites even within the same insurance scheme, suggesting that cultural factors and personal beliefs may also be important contributory factors [ 43 ]. Substantial evidence has shown that African American patients are more reliant on ED services for asthma and other conditions [ 100 , 101 ]. Similarly, studies have demonstrated poor awareness of the need for preventative care among Black men, who often wait until symptoms appear to seek treatment, and sometimes prioritise treatment for their family rather than themselves [ 102 ].…”

Section: Discussionmentioning

confidence: 99%

Ethnic variation in asthma healthcare utilisation and exacerbation: systematic review and meta-analysis

et al. 2023

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BackgroundPatients from ethnic minority groups (EMGs) frequently report poorer asthma outcomes, however a broad synthesises summarizing ethnic disparities is yet to be undertaken.ObjectiveWhat is the magnitude of ethnic disparities in asthma healthcare utilisation, exacerbations and mortality?MethodsMEDLINE, EMBASE and Web of Science databases were searched for studies reporting ethnic variation in asthma healthcare outcomes (primary care attendance, exacerbation, emergency department [ED] visit, hospitalisation, hospital readmission, ventilation/intubation, and mortality) between White and EMGs. Estimates were displayed using forest plots and random-effects models were used to calculate pooled estimates.‏ We conducted subgroup analyses to explore heterogeneity, including by specific ethnicity (Black, Hispanic, Asian, and Other).Results65 studies, comprising 699 882 patients, were included. Most studies (92.3%) were conducted in the U.S.A. Patients from EMGs had evidence suggestive of lower levels of primary care attendances (OR:0.72, 95%CI:0.48–1.09), but substantially higher ED visits (OR:1.74, 95%CI:1.53–1.98), hospitalisations (OR:1.63, 95%CI:1.48–1.79) and ventilation / intubation (OR:2.67, 95%CI:1.65–4.31) when compared to White patients. We also found evidence suggestive of increased hospital readmissions (OR:1.19, 95%CI:0.90–1.57) and exacerbation rates (OR:1.10, 95%CI:0.94–1.28) among EMGs. No eligible studies explored disparities in mortality. ED attendances were much higher among Black and Hispanic patients, while Asian and other ethnicities had similar rates to White patients.ConclusionsEMGs had higher secondary care utilisation and exacerbations. Despite the global importance of this issue, the majority of studies were performed in the U.S.A. Further research into the causes of these disparities, including whether these vary by specific ethnicity, is required to aid the design of effective interventions.Systematic review registration:The review was registered on PROSPERO (registration number: CRD42020200392).

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Section: Discussionmentioning

confidence: 99%

Ethnic variation in asthma healthcare utilisation and exacerbation: systematic review and meta-analysis

et al. 2023

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“…Asthmatics may experience coughing, shortness of breath, fatigue, wheezing, chest pain, and an increased heart rate ("Asthma," n.d.). Asthma attacks can be mild to life threatening (Wagner & Steefel, 2017). For example, the Online Analytical Statistical Information System (OASIS) reported fifteen child deaths due to asthma in Atlanta, Georgia, two child deaths in Augusta, Georgia, and one child death in ACC between the years 2012 to 2016 (OASIS, n.d.).…”

Section: Background and Literature Reviewmentioning

confidence: 99%

Improving Housing Quality to Reduce Asthma Rates and Healthcare Costs in Athens-Clarke County, GA

Harris¹,

Johnston²,

Bowie³

et al. 2019

JGPHA

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Background: Asthma is a chronic respiratory condition that often develops from controllable environmental factors, such as poor air quality. Our study examined the relationship between mold in the home, which compromises indoor air quality, and asthma prevalence in Athens-Clarke County (ACC), Georgia.Methods: Data from the Athens Wellbeing Project's 2016 survey of 1,354 households in ACC was employed to examine indoor air quality and asthma prevalence in ACC. We provided descriptive statistics to examine asthma prevalence and asthma predictors, including the proportion of respondents reporting mold and pest problems, smoking prevalence, and the proportion of households reporting clinical obesity. We also examined demographic characteristics including race and ethnicity, educational attainment, home ownership status, and the percent of households in poverty at the 185% federal poverty line. We then employed a logistic regression analysis to assess the relationship between asthma and housing quality. Results:The descriptive statistics showed that seven percent of the ACC population, 17% of households, reported there was at least one individual in the home diagnosed with asthma and nine percent of the county population experienced mold problems in the home. Logistic regression analysis showed households that reported mold problems were 11% more likely to report at least one person in the household had been diagnosed with asthma. Educational attainment and obesity were also significantly associated with asthma, though not as predictive of asthma as mold. Conclusions:Strong statistical associations were found between indoor air quality and asthma prevalence in ACC. Improving housing quality by intervening on mold has the potential to reduce asthma rates, thereby increasing individual and community wellbeing. Our results have implications for the state of Georgia and the United States, as asthma prevalence is comparable throughout. This research adds to the body of literature focusing on the link between indoor air quality and asthma.

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Building Trust and Partnership with Black Pediatric Patients and their Caregivers

Garcia,

Hollis,

Baratta

et al. 2024

Academic Pediatrics

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Beliefs Regarding Asthma Management Relating to Asthma Action Plans (AAPs) of African American Caregivers Residing in Newark, New Jersey Public Housing Communities

Cited by 11 publications

References 14 publications

Ethnic variation in asthma healthcare utilisation and exacerbation: systematic review and meta-analysis

Ethnic variation in asthma healthcare utilisation and exacerbation: systematic review and meta-analysis

Improving Housing Quality to Reduce Asthma Rates and Healthcare Costs in Athens-Clarke County, GA

Building Trust and Partnership with Black Pediatric Patients and their Caregivers

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