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Pediatric Inner-City Asthma

Divya Seth1, Shweta Saini2, Pavadee Poowuttikul3

  • 1Division of Allergy/Immunology, Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, 3950 Beaubien, 4th Floor, Pediatric Specialty Building, Detroit, MI 48201, USA.

Pediatric Clinics of North America
|August 31, 2019
PubMed

Insights

Inner-city children face severe asthma challenges due to various factors. Comprehensive home allergen control, immune therapies, and school programs show promise for better asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Environmental Health
  • Public Health

Background:

  • Inner-city children experience disproportionately high asthma mortality and morbidity.
  • Asthma in this population is often severe and difficult to manage effectively.
  • Multiple factors contribute to inner-city asthma, including socioeconomic status, healthcare access, and environmental exposures.

Purpose of the Study:

  • To review the contributing factors to severe asthma in inner-city children.
  • To highlight effective management strategies for this high-risk group.

Main Methods:

  • Literature review of studies focusing on inner-city asthma.
  • Analysis of factors influencing asthma pathophysiology in urban environments.
  • Evaluation of interventions for asthma control in pediatric populations.

Main Results:

  • Socioeconomic hardship, healthcare access, medication adherence, allergen exposure, pollution, crowding, stress, and infections are key factors.
  • Comprehensive home allergen control and reduction of tobacco smoke exposure are crucial.
  • Immune-based therapies and school-based asthma programs demonstrate positive outcomes.

Conclusions:

  • Multifaceted approaches are necessary for effective inner-city asthma management.
  • Environmental modifications and targeted therapies can significantly improve asthma control.
  • School-based programs offer a viable platform for intervention and education.

Keywords:
AsthmaAsthma research networksChildrenInner city

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