Inner-city asthma - The role of the community
Inner-city asthma - The role of the community
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DOI：
10.1378/chest.07-1911
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发表时间：
2007-11-01
期刊：
影响因子：
9.6
通讯作者：
Fitzpatrick, Anne
中科院分区：
文献类型：
--
作者：
Persky, Victoria;Turyk, Mary;Fitzpatrick, Anne
哮喘发病率和死亡率在低收入少数群体中不成比例地高。环境暴露、压力和获得适当保健的机会的变化都造成了这些差异。哮喘的复杂性与环境，心理和生物因素的强烈贡献表明，以社区为基础的方法，侧重于高危人群的独特需求可能是有效的。先前的几项随机试验表明，由专业人员和/或社区健康教育者进行病例管理可能会降低哮喘发病率。健康教育者计划应安置在稳定的基础设施中，为社区卫生工作者提供培训和资金，以获得长期的可持续性。然而，不适合个人干预的因素，如住房条件差、室外污染和缺乏适当的护理，将需要社区团体、学术专业人员、公共机构和卫生保健提供者的合作努力。
Asthma morbidity and mortality are disproportionately high in low-income minority populations. Variations in environmental exposures, stress, and access to appropriate health care all contribute to these disparities. The complex nature of asthma with strong contributions from environmental, psychosocial, and biological factors suggest that community-based approaches focused on the unique needs of high-risk populations may be effective. The few previous randomized trials suggest that case management with professionals and/or community health educators may reduce asthma morbidity. Health-educator programs should be lodged in stable infrastructures with training and funding for community health workers to obtain long-term sustainability. Factors not amenable to individual intervention, however, such as poor condition of homes, outdoor pollution, and lack of access to appropriate care, will require collaborative efforts of community groups, academic professionals, public agencies, and health-care providers.