Improving Asthma Care for African American Children by Increasing National Asthma Guideline Adherence

Rance, Karen; O’Laughlen, Mary C.; Ting, Stanislaus

doi:10.1016/j.pedhc.2010.04.010

Cited by 15 publications

(10 citation statements)

References 43 publications

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“…31 African American children not only have a higher prevalence of asthma relative to whites 32 but also have higher rates of ED visits and hospitalizations, are less likely to have an asthma management plan, and are more likely to have the severity of their asthma underestimated by a physician. 18,33,34,35–38,39,40–42,43,44 …”

Section: Asthmamentioning

confidence: 99%

Patient- and Family-Centered Care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature

Harper

Eggly

Crider

et al. 2015

Journal of the National Medical Association

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Background Patient- and family-centered care (PFCC) has the potential to address disparities in access and quality of healthcare for African American pediatric asthma patients by accommodating and responding to the individual needs of patients and families. Study Objectives To identify and evaluate research on the impact of family–provider interventions that reflect elements of PFCC on reducing disparities in the provision, access, quality, and use of healthcare services for African American pediatric asthma patients. Methods Electronic searches were conducted using PubMed, CINAHL, and Psyclnfo databases. Inclusion criteria were peer-reviewed, English-language articles on family–provider interventions that (a) reflected one or more elements of PFCC and (b) addressed healthcare disparities in urban African American pediatric asthma patients (≤18years). Results Thirteen interventions or programs were identified and reviewed. Designs included randomized clinical trials, controlled clinical trials, pre-and post-interventions, and program evaluations. Conclusions Few interventions were identified as explicitly providing PFCC in d pediatric asthma context, possibly because of a Iack of consensus on what constitutes PFCC in practice. Some studies have demonstrated that PFCC improves satisfaction and communication during clinical interactions. More empirical research is needed to understand whether PFCC interventions reduce care disparities and improve the provision, access, and quality of asthma healthcare for urban African American children. Electronic databases used PubMed, CINAHL, and Psyclnfo

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Section: Asthmamentioning

confidence: 99%

Patient- and Family-Centered Care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature

Harper

Eggly

Crider

et al. 2015

Journal of the National Medical Association

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“…It is defined as a body mass index (BMI) at or above the 95 th percentile for children of the same age and gender. 3 In recent years, the incidences of obesity and asthma have been rising with a parallel relationship. Obese asthma phenotype is supposed to be non-T helper type 2 (Th2) mediated in which low fractional exhaled nitric oxide, eosinophils and IgE levels were detected.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Regulatory T cells in Obese Asthmatic Children

Zedan

Salem

Zedan

et al. 2020

Egypt J Pediatr Allergy Immunol

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Background: Asthma is an airway inflammatory disorder with functional and structural changes. Regulatory T (T reg) cells are important in controlling immune responses. The study was aimed to investigate the frequency of Treg cells in obese asthmatic children, in comparison to nonobese asthmatics and healthy matched controls. Methods: In addition to anthropometric and body mass index (BMI) assessment, peripheral blood samples from healthy control subjects (n = 30) and asthmatic obese (n=30) and asthmatic non-obese children (n=30) were examined for serum IgE, eosinophils counts, and flowcytometric measurement of CD4+CD25+CD127 low/neg-T cells. Pulmonary function testing was performed for asthmatic children. Results: Obese asthmatics showed significantly higher levels of serum IgE and CD4+CD25+CD127 low/neg-T cells as compared to healthy controls (p<0.001, 0.001, respectively) while comparable numbers of T reg cells were found among obese and non-obese asthmatic children. Asthmatics receiving inhaled corticosteroids (ICS) showed higher percentages of CD4+CD25+CD127 low/neg-T cells than the non-receivers (median 11.8% vs 8.8%, p <0.001). No significant correlations were found between Treg and age, eosinophil percentage, total serum IgE, pulmonary functions, or BMI and its Z score. Conclusion: Our study demonstrates an increased frequency of Treg cells in asthmatic children compared to controls with possible association with the use of ICS but not with obesity. Small sample size and lack of obese nonasthmatic group are the main points of limitation in our study.

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“…Although asthma seems to be more prevalent among specific ethnic minority children, few studies have shown that the risk of undertreatment of asthma was higher among children from ethnic minority groups 3 6 7. Moreover, two studies conducted in the USA6 11 documented a disproportionally lower use of preventive medication (inhaled corticosteroids) among ethnic minority groups. In addition, specific ethnic minorities were shown to more frequently used relief medication (short-acting β-agonists),6 11 which is an indicator of poor asthma control.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, two studies conducted in the USA6 11 documented a disproportionally lower use of preventive medication (inhaled corticosteroids) among ethnic minority groups. In addition, specific ethnic minorities were shown to more frequently used relief medication (short-acting β-agonists),6 11 which is an indicator of poor asthma control. A recent study conducted in New Zealand has shown that Māori and Pacific islander children who had been severely ill during the previous 12 months were less likely to have used corticosteroid inhalants 12.…”

Section: Introductionmentioning

confidence: 99%

Inequalities in asthma treatment among children by country of birth and ancestry: a nationwide study in Denmark

Cantarero-Arévalo

Andersen

Kaae

et al. 2013

J Epidemiol Community Health

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Improving Asthma Care for African American Children by Increasing National Asthma Guideline Adherence

Cited by 15 publications

References 43 publications

Patient- and Family-Centered Care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature

Patient- and Family-Centered Care as an approach to reducing disparities in asthma outcomes in urban African American children: A review of the literature

Evaluation of Regulatory T cells in Obese Asthmatic Children

Inequalities in asthma treatment among children by country of birth and ancestry: a nationwide study in Denmark

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