Despite significant progress in asthma treatment, morbidity and mortality rates for children with asthma have increased over the past decade. Poverty has been associated with an increased prevalence of asthma, level of severity, and increased hospitalizations due to asthma. Educational asthma self-management programs have been shown to reduce school absenteeism and symptoms, change health care utilization, and improve self management skills. However, most studies have included hospital-based or nondisadvantaged children. This paper reviews five unique community-based asthma management programs targeting inner-city disadvantaged children. The asthma intervention studies were selected for review based on: (1) community involvement in subject recruitment or administration of the intervention; (2) basic asthma self-management education included as part of intervention; and (3) focusing on inner-city disadvantaged children and families. Similar findings across the five community-based programs included the need for educating health professionals regarding asthma management, increased attention to the home environment, and targeting asthma education programs to undertreated groups who lack adequate access to care. Use of community settings, such as public schools, churches or community-based clinics, are optimal sites for delivering community-based asthma management programs. Linkages and partnerships between health professionals and community/local government organizations or parent groups can facilitate solving the housing, social, and medical access problems of many inner-city families detected by the studies.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Immunology and Allergy
- Pulmonary and Respiratory Medicine