COMMUNITY BASED PREVENTION/INTERVENTION PROJECT

农村儿童哮喘的最佳药物管理 由于卫生保健有限， 贫困率，拥有健康保险的儿童人数减少， 环境暴露。在农村社区，儿童通常 接触有机粉尘、农业化学品、动物过敏原， 工作服上的谷物尘螨被带到家里。 此外，对于农村地区的儿童来说，农场就是他们的家， 游乐场和工作场所，儿童年仅5岁 参加农场的杂务。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是， 环境干预是哮喘的重要组成部分 干预方案必须与其他改善措施协调， 提供保健服务，以减少农村儿童哮喘的发病率和严重程度 孩子因此，本研究的目标是开发、实施和 测试一个以社区为基础的多成分哮喘预防模型 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.