Asthma and lower airway diseaseAchieving and maintaining asthma control in inner-city children
Section snippets
Study population
This study evaluated asthma control for patients enrolled in similarly structured mobile asthma programs previously described13, 14 for the following sites (program name, launch date): Los Angeles, Calif (Los Angeles County + University of Southern California Pediatric Asthma Disease Management Program, LAC+USC PADMAP, Breathmobile Program, November 16, 1995), Chicago, Ill (Mobile Children's Asthma Research and Education [C.A.R.E.] Foundation, November 9, 1999), Baltimore, Md (University of
Patient demographics
Table I describes the patient populations with regional variations noted (P < .05). Subjects had a mean age of 8.6 years (SD, 3.4) and a median number of 4 program visits/year (interquartile range, 2-5); the median visit interval length was 56 days (interquartile range, 42-91 days; visit data not presented in Table I). Ethnicity and race varied by site (overall, 67% Hispanic vs 33% non-Hispanic; 22% African American, 5% Caucasian, and 6% other). Nearly half of patients had a BMI ≥85% (similar
Discussion
African American and Hispanic children with asthma living in underserved areas have the highest asthma-related morbidity and mortality, yet have limited access to specialty-based asthma care to improve asthma-related outcomes effectively.10, 19, 20, 21, 22, 23, 24, 25, 26, 27 Implementation of the Breathmobile program sought to remove barriers to care, providing preventive specialty-based asthma care to this high-risk population.11, 13 Participation in this program is associated with reductions
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Cited by (0)
Support for analysis of data was provided by the Asthma and Allergy Foundation of America, California Chapter.
Disclosure of potential conflict of interest: C. A. Jones is on the Merck US Respiratory Advisory Board. The rest of the authors have declared that they have no conflict of interest.