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Published on: November 4, 2010
Racial disparities in pediatric asthma: a review of the literature
Tanisha D Hill1, LeRoy M Graham, Varada Divgi
1Georgia Pediatric Pulmonology Associates, 1100 Lake Hearn Drive, Suite 450, Atlanta, GA 30342, USA. tdhill@gppa.net
Insights
Pediatric asthma disparities in urban children are linked to socioeconomic factors, genetics, and environmental exposures. Addressing these complex issues requires understanding gene-environment interactions and improving healthcare access.
Area of Science:
- Environmental Health
- Pediatric Pulmonology
- Health Disparities Research
Background:
- Asthma disproportionately impacts children in low-income urban settings.
- Existing research highlights factors like ethnicity, genetics, socioeconomic status, and environmental triggers in pediatric asthma disparity.
Purpose of the Study:
- To review recent studies on additional factors contributing to pediatric asthma disparity.
- To synthesize current knowledge on the multifaceted causes of asthma burden in urban children.
Main Methods:
- Literature review of recent studies on pediatric asthma disparity.
- Analysis of factors including gene-environment interactions, vitamin D metabolism, and healthcare access.
Main Results:
- Gene-environment interactions play a significant role in asthma disparities.
- Vitamin D metabolism, socioeconomic status, and urban environmental factors are critical.
- Healthcare setting and patient health beliefs also contribute to disparities.
Conclusions:
- Pediatric asthma disparities result from a complex interplay of genetic, environmental, socioeconomic, and healthcare system factors.
- Further research is needed to address these multifaceted contributors to improve asthma outcomes in vulnerable populations.
Abstract:
The burden of asthma disproportionately affects children living in economically disadvantaged urban communities. The relationships between ethnicity, genetic differences, lower socioeconomic status, poor medication adherence, greater exposure to environmental triggers, and absence of regular asthma care all contribute to this disparity. This review aims to identify and discuss recent studies on additional factors that may also impact to pediatric asthma disparity. The body of work examined in this review suggests that these disparities are the result of gene-environment interactions, vitamin D metabolism, socioeconomic status, urban environment, healthcare setting, and associated health beliefs.
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