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Inner-City Asthma in Childhood
Amaziah T Coleman1, Stephen J Teach2, William J Sheehan1
1Division of Allergy and Immunology, Department of Pediatrics, Children's National Health System, 111 Michigan Avenue Northwest, Washington, DC 20010, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Immunology and Allergy Clinics of North America
|April 8, 2019
Summary
Inner-city children face high asthma risks due to factors like race, obesity, and pollution. Interventions targeting these risks improve health outcomes for these vulnerable populations.
Area of Science:
- Pediatric Allergy and Immunology
- Environmental Health Sciences
- Public Health
Background:
- Inner-city environments are associated with elevated asthma prevalence and morbidity in children.
- Numerous intrinsic and extrinsic factors contribute to asthma development and severity in urban pediatric populations.
Purpose of the Study:
- To review and analyze the intrinsic and extrinsic risk factors for asthma in inner-city children.
- To evaluate the contribution of these identified risk factors to increased asthma morbidity.
Main Methods:
- Literature review of previous studies on asthma risk factors in inner-city children.
- Analysis of identified intrinsic factors (e.g., race, prematurity, obesity) and extrinsic factors (e.g., aeroallergens, pollutants).
Main Results:
- Key risk factors identified include race/ethnicity, prematurity, obesity, and exposure to environmental allergens and pollutants.
- These factors significantly contribute to the high burden of asthma morbidity observed in urban youth.
Conclusions:
- Understanding specific risk factors is crucial for addressing asthma disparities in inner-city children.
- Targeted environmental and medical interventions for individual risk factors and asthma phenotypes can lead to better health outcomes.
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