COMMUNITY BASED PREVENTION/INTERVENTION PROJECT

为农村儿童哮喘提供最佳的医疗管理 环境是一个特别的挑战，因为有限的医疗保健，更高 贫困率，更少的有医疗保险的孩子，和独特的 暴露在环境中。在农村社区，孩子们通常是 暴露在有机粉尘、农用化学品、动物过敏原和 穿着工作服带到家里的谷粒粉尘。 此外，对于农村地区的儿童来说，农场就是他们的家， 操场和工作场所，有年仅5岁的孩子 参与农场的家务劳动。现在有令人信服的证据表明 以社区为基础的多成分干预方法是更好的途径 预防和控制儿童哮喘。这项研究的总体假设 环境干预是哮喘的重要组成部分 干预计划必须与其他方面的改进相协调 通过医疗保健降低农村地区哮喘的患病率和严重程度 孩子们。因此，本研究的目标是开发、实施和 测试以社区为基础的多组分哮喘预防模式 在农村儿童中。

Provision of optimal medial management of childhood asthma in the rural setting is a particular challenge because of limited health care, higher rates of poverty, fewer children with health insurance, and unique environmental exposures. In rural communities, children commonly are exposed to organic dusts, agricultural chemicals, animal allergens, and grain dust mites that are brought into the home on work clothing. Moreover, for children in rural settings, the farm is their home, playground, and workplace, with children as young as five years of age participating in farm chores. There is now convincing evidence that a community-based, multi-component intervention approach is the bet route to prevent and control childhood asthma. The overall hypothesis of this study is that environmental intervention is an essential component of an asthma intervention program that must be coordinated with other improvements in health care to reduce the prevalence and severity of asthma among rural children. The goal of this study is therefore to develop, implement, and test a community-based, multi-component model for the prevention of asthma among rural children.