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Factors associated with preventive asthma care in inner-city children

Arlene M Butz1, Kristin A Riekert, Peyton Eggleston

  • 1The Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, MD 21287, USA.

Clinical Pediatrics
|October 21, 2004
PubMed

Insights

Children with severe asthma often lack adequate preventive care. Caregiver quality of life and education impact a child's access to crucial asthma management, especially when emergency visits are infrequent.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Caregiver Support

Background:

  • Inner-city children with moderate to severe persistent asthma frequently experience symptoms but often lack adequate preventive care.
  • Guideline-based preventive asthma care, defined as 2 or more annual visits, is underutilized in this population.
  • Factors influencing adherence to preventive care require further investigation.

Purpose of the Study:

  • To investigate the association between caregiver quality of life and adequate preventive asthma care in inner-city children.
  • To identify factors associated with receiving guideline-based preventive asthma care for children with moderate to severe persistent asthma.

Main Methods:

  • Cross-sectional study design.
  • Sample of inner-city children diagnosed with moderate to severe persistent asthma.
  • Data collected on preventive asthma care visits, emergency department (ED) visits, school absences, caregiver education, and caregiver quality of life.

Main Results:

  • Most children with moderate to severe persistent asthma do not receive adequate preventive care.
  • Recent emergency department (ED) visits and increased school absences were strongly linked to receiving guideline-based preventive asthma care.
  • In children without recent ED visits, lower caregiver quality of life, lower caregiver education, and increased school absences showed a trend toward association with inadequate preventive care.

Conclusions:

  • Asthma preventive care is insufficient for many inner-city children with persistent asthma.
  • While ED visits and school absences are key indicators, caregiver factors like quality of life and education may play a role in preventive care access for a subgroup of patients.
  • Addressing broader caregiver well-being and socioeconomic factors may be necessary to improve asthma management in vulnerable pediatric populations.

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