Home environmental risk factors in urban minority asthmatic children

Karen Huss, Cynthia S Rand, Arlene Manns Butz, P. A. Eggleston, C. Murigande, L. C. Thompson, S. Schneider, K. Weeks, F. J. Malveaux

Research output: Contribution to journalArticle

Abstract

Urban minority families with children with asthma often live in homes with allergen and irritant exposures harmful to these children. We enrolled 392 African-American asthmatic children, male and female, aged 5 to 12, from 42 schools in Washington, DC and Baltimore, MD. The project is designed to test the effectiveness of school-based asthma education interventions, community- based asthma health workers' programs, and the combination on these children. Baseline telephone interviews were carried out with the primary home care- givers for demographic data and for environmental home exposures that exacerbated asthma. Exposures stated to cause wheezing in the children were cigarette smoke in 72%, dust in 53%, cats in 34%, dogs in 27%, and roach exposure in 15%. Fifty-six percent of children live with cigarette smoke exposure, 73% of which is from mothers. This was a highly symptomatic group with 44% reporting two or more days per week of restricted activity and 62% reporting two or more episodes of night symptoms per week. Those with mattress covers on beds had significantly fewer emergency department visits in the past 6 months than those without covers. Over one-third of parents reported children taking two bronchodilators without anti-inflammatory agents. Less than 20% were reported using anti-inflammatory medications. Decreasing asthma severity in this population entails the prevention and control of known risk factors in the home environment. Emphasis must be placed on cigarette smoking cessation programs, covering mattresses, and dust and animal dander control. Primary care physicians require education on the role of anti-inflammatory medications.

Original languageEnglish (US)
Pages (from-to)173-177
Number of pages5
JournalAnnals of Allergy
Volume72
Issue number2
StatePublished - 1994

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Asthma
Anti-Inflammatory Agents
Dust
Smoke
Tobacco Products
Dander
Education
Baltimore
Irritants
Bronchodilator Agents
Respiratory Sounds
Environmental Exposure
Primary Care Physicians
Smoking Cessation
Home Care Services
African Americans
Allergens
Caregivers
Hospital Emergency Service
Primary Health Care

ASJC Scopus subject areas

  • Immunology and Allergy

Cite this

Huss, K., Rand, C. S., Butz, A. M., Eggleston, P. A., Murigande, C., Thompson, L. C., ... Malveaux, F. J. (1994). Home environmental risk factors in urban minority asthmatic children. Annals of Allergy, 72(2), 173-177.

Home environmental risk factors in urban minority asthmatic children. / Huss, Karen; Rand, Cynthia S; Butz, Arlene Manns; Eggleston, P. A.; Murigande, C.; Thompson, L. C.; Schneider, S.; Weeks, K.; Malveaux, F. J.

In: Annals of Allergy, Vol. 72, No. 2, 1994, p. 173-177.

Research output: Contribution to journalArticle

Huss, K, Rand, CS, Butz, AM, Eggleston, PA, Murigande, C, Thompson, LC, Schneider, S, Weeks, K & Malveaux, FJ 1994, 'Home environmental risk factors in urban minority asthmatic children', Annals of Allergy, vol. 72, no. 2, pp. 173-177.
Huss, Karen ; Rand, Cynthia S ; Butz, Arlene Manns ; Eggleston, P. A. ; Murigande, C. ; Thompson, L. C. ; Schneider, S. ; Weeks, K. ; Malveaux, F. J. / Home environmental risk factors in urban minority asthmatic children. In: Annals of Allergy. 1994 ; Vol. 72, No. 2. pp. 173-177.
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