دورية أكاديمية
Recommendations for Clinicians to Combat Environmental Disparities in Pediatric Asthma: A Review.
| العنوان: | Recommendations for Clinicians to Combat Environmental Disparities in Pediatric Asthma: A Review. |
|---|---|
| المؤلفون: | Patti MA; AJ Drexel Autism Institute, Drexel University, Philadelphia, PA, USA., Henderson NB; Boston University School of Public Health, Department of Environmental Health, Boston, MA, USA., Phipatanakul W; Division of Allergy and Immunology, Boston Children's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA., Jackson-Browne M; Harvard Medical School, Boston, MA, USA; Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA. |
| المصدر: | Chest [Chest] 2024 Jul 24. Date of Electronic Publication: 2024 Jul 24. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 0231335 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1931-3543 (Electronic) Linking ISSN: 00123692 NLM ISO Abbreviation: Chest Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : New York : Elsevier Original Publication: Chicago : American College of Chest Physicians |
| مستخلص: | Topic Importance: Asthma is a common and complex lung disease in children, with disproportionally higher prevalence and related adverse outcomes among children in racial and ethnic minority groups, and of lower socioeconomic position. Environmental factors, including unhealthy housing and school-based exposures can contribute to increased asthma morbidity and widening disparities. This underscores a significant environmental justice issue and suggests the need for clinical interventions to reduce sources of environmental exposures and ultimately diminish the observed disparities in childhood asthma. Review Findings: Unhealthy housing conditions, including secondhand tobacco smoke, allergen exposure, and indoor air pollution can exacerbate asthma symptoms in children. While unhealthy housing can occur anywhere, such situations most frequently occur in urban, low-income environments where renting is common. To reduce environmental triggers, clinicians can recommend smoking cessation, cleaning techniques to mitigate exposure, and even directly contact landlords to address poor housing conditions. Children spend much of their time in schools, where this built environment is also a source of asthma triggers such as poor ventilation and allergens such as mold and pests, and chemicals. As such, a multidisciplinary approach is needed to adequately address the burden of childhood asthma to equitably reduce disparities to both harmful exposures and negative health outcomes. Summary: Racial, ethnic, and socioeconomic disparities exist in asthma morbidity in children, and such disparities are driven in part by environmental factors at the housing and school level. Clinicians can make evidence-based recommendations to drive effective exposure reduction strategies to mitigate asthma morbidity and reduce observed disparities. (Copyright © 2024. Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Asthma; Children; Environmental factors; Housing conditions; disparities; schools |
| تواريخ الأحداث: | Date Created: 20240726 Latest Revision: 20240728 |
| رمز التحديث: | 20240728 |
| DOI: | 10.1016/j.chest.2024.07.143 |
| PMID: | 39059578 |
| قاعدة البيانات: | MEDLINE |
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