Ecological Barriers and Social Forces in Childhood Asthma Management: Examining Routines of African American Families Living in the Inner City
@article{YinusaNyahkoon2010EcologicalBA, title={Ecological Barriers and Social Forces in Childhood Asthma Management: Examining Routines of African American Families Living in the Inner City}, author={Leanne Yinusa-Nyahkoon and Ellen Sue Cohn and Dharma E. Cort{\'e}s and Barbara G Bokhour}, journal={Journal of Asthma}, year={2010}, volume={47}, pages={701 - 710} }
Objective. Asthma affects African American children at unprecedented rates. Researchers have examined the context in which African American families live and experience illness, and suggest that ecological barriers contribute to poor health. In this paper, the authors examine the social forces underlying these ecological barriers and what African American parents living in the inner city do to manage their children's asthma amidst these challenges. Methods. African American parents of children…
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References
SHOWING 1-10 OF 72 REFERENCES
Understanding of asthma management: Medicaid parents' perspectives.
- MedicineChest
- 2006
Parents of children with persistent asthma face unique barriers related to income and insurance limitations as well as issues common to others with asthma, which may be specific to Medicaid-insured patients.
Coping with Asthma in the Central City: Parental Experiences with Children’s Health Care
- MedicineJournal of health care for the poor and underserved
- 2008
To document how poor parents with asthmatic children cope with health care-related barriers on a day-to-day basis, the author conducted 38 in-depth interviews with central city Phoenix (Arizona) parents.
Barriers to asthma care in urban children: parent perspectives.
- MedicinePediatrics
- 2000
To improve asthma management and health outcomes for urban, minority children with asthma, it is critical to tailor education about asthma and its treatment, and address quality of life issues for both children and parents.
School-Based Asthma: A Study in an African American Elementary School
- MedicineJournal of transcultural nursing : official journal of the Transcultural Nursing Society
- 2004
This study explored beliefs about asthma and asthma management among schoolchildren, parents, and teachers in an African American school and found that teachers did not have a sufficient understanding of asthma to manage children's asthma during the school day.
Understanding Pediatric Inner‐City Asthma: An Explanatory Model Approach
- Medicine, PsychologyThe Journal of asthma : official journal of the Association for the Care of Asthma
- 2004
Explanatory models for asthma among inner‐city school‐age children and their families were examined as a means of better understanding health behaviors and conversations with parents about their EMs could assist in understanding and responding to parental concerns and choices about medications and help achieve better adherence.
Division of responsibility for asthma management tasks between caregivers and children in the inner city.
- Psychology, MedicineJournal of developmental and behavioral pediatrics : JDBP
- 1999
The discrepancy between the caregiver's and child's perceptions and the involvement of multiple caregivers raise the possibility of unintentional nonadherence.
Medications Used by Children With Asthma Living in the Inner City
- MedicinePediatrics
- 1998
Undermedication is common in poor children with asthma living in urban areas, and antiinflammatory medications are used less commonly than in the general population, and theophylline is used more often.
Results of a home-based environmental intervention among urban children with asthma.
- MedicineThe New England journal of medicine
- 2004
Among inner-city children with atopic asthma, an individualized, home-based, comprehensive environmental intervention decreases exposure to indoor allergens, including cockroach and dust-mite allergen, resulting in reduced asthma-associated morbidity.
The Seattle-King County Healthy Homes Project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers.
- MedicineAmerican journal of public health
- 2005
Community health workers reduced asthma symptom days and urgent health services use while improving caregiver quality-of-life score, and improvement was greater with a higher-intensity intervention.
Self-reported adherence, management behavior, and barriers to care after an emergency department visit by inner city children with asthma.
- MedicinePediatrics
- 1998
Barriers to adherence may exist in one or all four of these areas, leading to ineffective control of asthma, and recommendations are made for improving the patient-physician partnership to improve adherence.