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Social disadvantage and asthma control in children
Lianne S Kopel1, Wanda Phipatanakul2, Jonathan M Gaffin1
1Division of Respiratory Diseases, Boston Children's Hospital, Boston, MA.
Paediatric Respiratory Reviews
|June 15, 2014
Summary
Social disadvantage, including poverty and stress, is linked to poor asthma control in children. Understanding these factors can help improve outcomes for vulnerable populations.
Area of Science:
- Pediatric respiratory health
- Social determinants of health
- Environmental health
Background:
- Social disadvantage is a significant factor in health disparities.
- Asthma control remains a challenge, particularly in vulnerable populations.
- Multiple social and environmental factors contribute to poor asthma outcomes.
Purpose of the Study:
- To review the association between social disadvantage and poor asthma control in children.
- To explore the mechanisms linking social factors to worsened asthma.
- To describe interventions for improving asthma outcomes in socially deprived children.
Main Methods:
- Literature review of studies on social disadvantage and childhood asthma.
- Analysis of socioeconomic status, psychosocial stress, environmental exposures, and poverty.
- Examination of intervention studies targeting vulnerable populations.
Main Results:
- Socioeconomic status, psychosocial stress, minority status, environmental allergens, pollution, and rural poverty are associated with poor asthma control.
- These factors negatively impact asthma outcomes in children.
- Mechanisms underlying these associations are complex and multifactorial.
Conclusions:
- Socially deprived children experience worse asthma control due to various social and environmental factors.
- Further research into these mechanisms is needed to develop effective interventions.
- Targeted interventions are crucial for improving asthma management in vulnerable pediatric populations.
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