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Asthma management practices among children in Georgia
Angela D Blackwell1, Anne K Mellinger-Birdsong, Manxia Wu
1Health Outcomes Unit, Chronic Disease, Injury, and Environmental Epidemiology Section, Epidemiology Branch, Division of Public Health, Georgia Department of Human Resources, Atlanta, Georgia 30303, USA. adblackwell@dhr.state.ga.us
Journal of Public Health Management and Practice : JPHMP
|June 16, 2006
Summary
Many children with asthma in Georgia lack essential self-management practices like regular checkups and written plans. Improving these areas and reducing home smoke exposure is crucial for better asthma control in children.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Epidemiology
Background:
- Asthma self-management by patients or caregivers reduces healthcare utilization and costs.
- Assessing self-management practices in children is vital for effective asthma control programs.
Purpose of the Study:
- To evaluate key asthma self-management practices among a representative sample of children in Georgia.
- To inform statewide asthma control initiatives based on current self-management behaviors.
Main Methods:
- A random-digit-dialed telephone survey was conducted with 2,121 households, encompassing 3,896 children aged 17 or younger.
- Primary caretakers provided information on their children's asthma status and medication use.
- Child data were statistically weighted to reflect household telephone lines and 2000 Georgia Census population demographics.
Main Results:
- Approximately 10% of children in Georgia were diagnosed with asthma.
- Among children with asthma, significant deficits were observed: 30% lacked regular checkups, and 66% had no written management plan.
- A notable percentage (19%) of children used quick-relief medication frequently without controller medication, and 35% with known tobacco triggers experienced home smoke exposure.
Conclusions:
- Significant opportunities exist to enhance asthma self-management, pharmacotherapy adherence, and trigger mitigation for pediatric asthma patients.
- The study findings provide critical data to guide public health organizations and agencies in their efforts to alleviate the burden of childhood asthma.
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