Social disadvantage and asthma control in children.
Autor: | Kopel LS; Division of Respiratory Diseases, Boston Children's Hospital, Boston, MA. Electronic address: lianne.kopel@childrens.harvard.edu., Phipatanakul W; Division of Allergy and Immunology, Boston Children's Hospital, Boston, MA; Division of Respiratory Epidemiology, Channing Laboratory, Brigham and Women's Hospital, Boston, MA. Electronic address: wanda.phipatanakul@childrens.harvard.edu., Gaffin JM; Division of Respiratory Diseases, Boston Children's Hospital, Boston, MA. Electronic address: jonathan.gaffin@childrens.harvard.edu. |
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Jazyk: | angličtina |
Zdroj: | Paediatric respiratory reviews [Paediatr Respir Rev] 2014 Sep; Vol. 15 (3), pp. 256-62; quiz 262-3. Date of Electronic Publication: 2014 May 16. |
DOI: | 10.1016/j.prrv.2014.04.017 |
Abstrakt: | This review discusses various aspects of social disadvantage and their association with poor asthma control, including socioeconomic status, exposure to psychosocial stress and violence, minority affiliation, environmental concerns such as allergens and pollution, and poverty in rural settings. Each of these elements has been linked with worsened asthma outcomes in children. Known and hypothesized mechanisms behind these associations are described in an effort to further understand the complex entity of poorly controlled asthma among socially deprived children. Intervention studies to improve asthma outcomes in these vulnerable populations are also described. (Copyright © 2014 Elsevier Ltd. All rights reserved.) |
Databáze: | MEDLINE |
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