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Closing the gap: Understanding African American asthma knowledge and beliefs
Jade B Tam-Williams1, Bridgette L Jones1
1Children's Mercy Hospital, Kansas City, Missouri.
Insights
African Americans have good general asthma knowledge but hold misconceptions about asthma medications. Addressing these beliefs is key to reducing asthma health disparities in this population.
Area of Science:
- Public Health
- Health Disparities
- Asthma Research
Background:
- African American children experience disproportionately higher rates of asthma and related deaths compared to non-Hispanic white Americans.
- Existing research suggests a potential link between knowledge deficits regarding asthma and treatment and observed health disparities.
- Limited studies have investigated the baseline knowledge and beliefs of African Americans concerning asthma.
Purpose of the Study:
- To assess the knowledge and beliefs of African Americans regarding asthma symptoms, diagnosis, treatment, prognosis, and associated stigmas.
- To explore these factors within a general community sample of African American adults.
Main Methods:
- Utilized community-based participatory research (CBPR) techniques for study design and implementation.
- Conducted a cross-sectional survey among African American adults in a Midwestern city.
- Collected data on asthma knowledge and beliefs from 158 participants.
Main Results:
- General asthma knowledge was found to be good, with high awareness of genetic links and common symptoms like nighttime cough.
- Significant misconceptions were identified, including concerns about medication addiction (33%) and the safety of inhaled corticosteroids (60% unaware or believed them dangerous).
Conclusions:
- The study provides crucial insights into the specific knowledge gaps and beliefs surrounding asthma within the African American community.
- These findings can inform targeted interventions to address asthma-related health disparities and improve health outcomes.
Background:
African American children are disproportionately affected by asthma (13% vs 8% non-Hispanic white Americans) and experience 30% higher asthma-related deaths than whites. Knowledge regarding asthma and asthma treatment among African Americans has been postulated as a potential contributor to this observed health disparity. Compared with the amount of studies on asthma, few investigations provide insight into the baseline knowledge and beliefs of African Americans regarding asthma.
Objective:
Assess knowledge and beliefs regarding asthma symptoms, diagnosis, treatment, prognosis, and stigmas in a general community sample of African Americans.
Methods:
Using community-based participatory research techniques, we developed and implemented a cross-sectional survey to explore asthma knowledge and beliefs among African American adults in a Midwestern city.
Results:
Among the 158 African American adults who completed the survey, general asthma knowledge was good, with awareness of the genetic contribution to asthma and general asthma symptomatology (eg, 92% aware of nighttime cough as a symptom). However, asthma-related misconceptions were also revealed. Thirty-three percent of respondents were concerned about addiction to asthma medication, and 60% of respondents believed that inhaled corticosteroids were dangerous or did not know.
Conclusion:
This study reveals important insights into asthma knowledge and beliefs among African Americans that may be used to address disparities in asthma outcomes in this population.
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