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Published on: February 14, 2019
Social Determinants' Role in Pediatric Respiratory Health: Health Insights from Central Florida
Aledie A Navas Nazario1, Shedeline Ulysse2, Emily C Craver3
1From the Department of Pulmonology, Nemours Children's Health, Orlando, Florida.
Insights
Social determinants of health significantly impact pediatric allergy disorders like asthma and eczema. Parental employment and housing instability were key factors identified in central Florida children, highlighting the need for targeted interventions.
Area of Science:
- Pediatric Allergy and Immunology
- Social Determinants of Health Research
- Public Health
Background:
- Pediatric allergy disorders, including asthma, allergic rhinitis, and eczema, remain significant health challenges.
- Understanding social determinants of health (SDoH) is crucial due to the multifactorial nature of these conditions.
- Previous research indicates SDoH influences health outcomes, but specific links in pediatric allergy require further investigation.
Purpose of the Study:
- To assess SDoH influencing pediatric allergy disorders in central Florida.
- To examine SDoH in children with asthma only, eczema only, both conditions, and a control group.
- To identify specific social factors associated with allergic rhinitis in pediatric patients.
Main Methods:
- An electronic survey was administered to parents of children diagnosed with asthma, eczema, or both.
- Patients were categorized into four groups: asthma only, eczema only, co-occurring asthma and eczema, and a control group.
- A subgroup analysis included patients with asthma and allergic rhinitis.
Main Results:
- A significant prevalence of SDoH disparities was observed, with 61.2% of respondents reporting at least one factor.
- Parental employment status showed a notable distinction across groups (P < 0.001).
- Housing instability was identified as a significant factor for patients with allergic rhinitis.
Conclusions:
- The study provides critical insights into SDoH affecting pediatric allergy disorders in central Florida.
- Significant health disparities related to parental employment and housing instability were highlighted.
- Targeted interventions addressing social determinants are essential to improve health outcomes for children with allergy disorders.
Objectives:
Despite advances in therapies and educational initiatives, pediatric allergy disorders, including asthma, allergic rhinitis, and eczema, continue to pose substantial health challenges. Understanding the social determinants of health (SDoH) linked with these conditions is a critical area of research due to their multifactorial nature. This study aimed to assess the SDoH influencing pediatric allergy disorders in central Florida, specifically examining four groups of children: with asthma only, with eczema only, with both asthma and eczema, and a control group without these conditions.
Methods:
An electronic survey was distributed to parents of children diagnosed as having asthma, eczema, or both, who received evaluations at Nemours Children's Health in Orlando, Florida. The patients were categorized into four groups: asthma only, eczema only, co-occurring asthma and eczema, and a control group. A subgroup consisted of patients with asthma and allergic rhinitis.
Results:
The survey revealed a significant prevalence of SDoH disparities, with 61.2% of respondents reporting at least one factor. A notable distinction emerged in parental employment status (P < 0.001). In the group of patients with allergic rhinitis, housing instability was an important factor.
Conclusions:
Investigating the central Florida pediatric population provided crucial insights into the social determinants affecting pediatric allergy disorders. The study highlighted significant health disparities, particularly in parental employment status and housing instability, underscoring the critical role of social factors in these conditions. These findings emphasize the need for targeted interventions addressing social determinants to improve health outcomes for children with allergy disorders.
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