2004
DOI: 10.1038/sj.jea.7500367
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Effect of environmental interventions to reduce exposure to asthma triggers in homes of low-income children in Seattle

Abstract: The effectiveness of community health workers (CHWs) assisting families in reducing exposure to indoor asthma triggers has not been studied. In all, 274 low-income asthmatic children were randomly assigned to high-or low-intensity groups. CHWs visited all homes to assess exposures, develop action plans and provide bedding encasements. The higher-intensity group also received cleaning equipment and five to nine visits over a year focusing on asthma trigger reduction. The asthma trigger composite score decreased… Show more

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Cited by 55 publications
(39 citation statements)
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“…Many studies, however, have not investigated the suite of allergens typically present in households, or the cost and effort involved in implementation, and many studies have expressed concerns about sustainability over time (Wu and Takaro, 2007). Given the multiple risk factors and increasing burden that asthma places on families and communities, it is important to test the efficacy of intervention strategies that affect the suite of common risk factors and can be implemented by a diverse population of residents, including those from low-income and/or non-English-speaking communities that bear the largest burden of this chronic disease (Takaro et al, 2004;Krieger et al, 2005;Levy et al, 2006).…”
Section: Introductionmentioning
confidence: 99%
“…Many studies, however, have not investigated the suite of allergens typically present in households, or the cost and effort involved in implementation, and many studies have expressed concerns about sustainability over time (Wu and Takaro, 2007). Given the multiple risk factors and increasing burden that asthma places on families and communities, it is important to test the efficacy of intervention strategies that affect the suite of common risk factors and can be implemented by a diverse population of residents, including those from low-income and/or non-English-speaking communities that bear the largest burden of this chronic disease (Takaro et al, 2004;Krieger et al, 2005;Levy et al, 2006).…”
Section: Introductionmentioning
confidence: 99%
“…Many epidemiological studies have related levels of biocontaminants in house dust to allergy and asthma outcomes (Braun-Fahrlander et al, 2002;Bottcher et al, 2003;Takaro et al, 2004). Often these studies made only a brief comment on the reliability of the techniques and assays used to assess exposure to these contaminants.…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, minority and low-income communities in Georgia continue to be plagued by environmental triggers (e.g., tobacco smoke, dust mites), due to factors beyond their control such as low-income housing and air pollution [30] . Community Health Workers are known to be at the core of asthma environmental trigger education [27,[31][32][33] . In view of the numerous recommendations from the CDC that community-level interventions improve asthma care in minority and low-income communities, the lack of reimbursement for these services in Georgia, may be posing a major barrier to both: 1) asthma management/control efforts and 2) the provision of asthma services in clinical settings, due to lack of insurance.…”
Section: Discussionmentioning
confidence: 99%