Patterns and predictors of air purifier adherence in children with asthma living in low-income, urban households.
Patterns and predictors of air purifier adherence in children with asthma living in low-income, urban households.
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DOI：
10.1080/02770903.2021.1893745
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发表时间：
2022-05
期刊：
影响因子：
--
通讯作者：
McCormack MC
中科院分区：
文献类型：
--
作者：
Kaviany P;Brigham EP;Collaco JM;Rice JL;Woo H;Wood M;Koehl R;Wu TD;Eakin MN;Koehler K;Hansel NN;McCormack MC
黑人儿童和低收入社区的儿童患哮喘的比例过高，部分原因是接触污染。空气净化器减少室内空气污染，改善儿童哮喘症状。为了实施空气净化器干预措施，有必要了解使用模式和潜在障碍。在一项家庭干预研究中，居住在巴尔的摩的127名哮喘儿童被随机分配接受两种活性或两种安慰剂空气净化器。为期16周的研究期包括：基线诊所访视，空气净化器安装（活性或安慰剂）的家庭访视，指导使用高或涡轮设置，以及空气净化器的电子依从性监测。使用线性回归模型确定依从性的决定因素。80%的时间使用空气净化器，参与者在60%的时间内坚持高或涡轮设置。在调整后的模型中，季节是空气净化器依从性的主要决定因素，冬季使用率降低21%（p=0.025），这归因于机器产生的冷气流。在一项使用电子依从性监测的临床试验中，空气净化器的使用率很高，参与者大多数时间都坚持使用高或涡轮设置。解决持续使用空气净化器的实际障碍，例如冬季的通风，以及经济障碍，可能会提高生活在低收入城市家庭的哮喘儿童对空气净化器的依从性。
Black children and children from low-income communities are disproportionately affected by asthma, attributed partly to pollution exposure. Air purifiers reduce indoor air pollution and improve asthma symptoms in children. In order to implement air purifier interventions, an understanding of patterns of use and potential barriers is necessary. In a home intervention study, 127 children with asthma living in Baltimore were randomized to receive two active or two placebo air purifiers. The 16-week study period included: baseline clinic visit, home visit for air purifier installation (active or placebo) with instruction to use the high or turbo settings, and electronic adherence monitoring of air purifiers. Determinants of adherence were identified using linear regression models. Air purifiers were used 80% of the time, and participants demonstrated adherence to high or turbo settings for 60% of the time. In an adjusted model, season was the major determinant of air purifier adherence, with 21% lower use in the winter (p=0.025) attributed to the cold draft generated by the machine. In a clinical trial with electronic adherence monitoring, air purifier use was high and participants were adherent to use of high or turbo settings the majority of the time. Addressing practical barriers to consistent use, such as draft during the winter, in addition to financial barriers may improve air purifier adherence among children with asthma living in low-income, urban households.
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哮喘儿童室内和室外生成的颗粒的肺作用。
影响因子：
10.4
作者：
通讯作者：
--
影响因子：
5.8
作者：
Bernstein, JA;Levin, L;Lanphear, B
通讯作者：
Lanphear, B
DOI：
10.1513/pats.200908-083rm
发表时间：
2010-05-01
期刊：
Proceedings of the American Thoracic Society
影响因子：
--
作者：
Breysse, Patrick N;Diette, Gregory B;McCormack, Meredith C
通讯作者：
McCormack, Meredith C
影响因子：
3.6
作者：
McQuaid, EL;Kopel, SJ;Fritz, GK
通讯作者：
Fritz, GK
影响因子：
14.2
作者：
REISMAN, RE;MAURIELLO, PM;DEMASI, JM
通讯作者：
DEMASI, JM