Asthma disparities in the prevalence, morbidity, and treatment of Latino children
Asthma disparities in the prevalence, morbidity, and treatment of Latino children
复制标题
DOI：
10.1016/j.socscimed.2006.07.017
复制
发表时间：
2006-12-01
影响因子：
5.4
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Canino, Glorisa;Koinis-Mitchell, Daphne;Alegria, Margarita
本文回顾了与哮喘差异相关的现有研究，并将本研究的结果框架在一个概念模型中，该模型对医学研究所的模型进行了修正，以解释美国拉丁裔儿童的哮喘健康差异。提出的儿童哮喘差异模型是基于对健康差异的概念化，健康差异是与四个主要领域有关的因素复杂相互作用的结果：个人和家庭、儿童生活的环境或背景、保健系统和提供者特征。讨论了哮喘差异，因为它们反映在拉美裔儿童经历的护理过程(获得和治疗质量)和结果(流行率、发病率、严重程度)上。讨论了所提出的概念模型所反映的可能解释哮喘差异的潜在机制。最后，对未来研究检查哮喘差异的决定因素提出了几点建议。(C)2006爱思唯尔有限公司。保留所有权利。
The paper reviews the existing research related to asthma disparities and frames the results of this research within a conceptual model modified from the Institute of Medicine model in order to explain asthma health disparities in Latino children in the USA. The model of pediatric asthma disparity presented is based on the conceptualization of health disparities as the result of a complex interaction of factors related to four main domains: the individual and family, the environment or context in which the child lives, the health-care system, and provider characteristics. Asthma disparities are discussed as they are reflected in the process of care (access and quality of treatment) and outcome (prevalence, morbidity, severity) experienced by Latino children. The potential mechanisms that may account for the asthma disparities documented as reflected by the conceptual model proposed are discussed. Finally, several suggestions for future research examining determinants that account for asthma disparities are examined. (c) 2006 Elsevier Ltd. All rights reserved.