Social determinants of health and asthma.

PURPOSE OF REVIEW Social determinants of health play a major role in healthcare utilization and outcomes in patients with asthma. Continuing to understand how these complex and interwoven relationships interact to impact patient care will be crucial to creating innovative programmes that address these disparities. RECENT FINDINGS The current literature continues to support the association of substandard housing, urban and rural neighbourhoods, and race/ethnicity with poor asthma outcomes. Targeted interventions with community health workers (CHWs), telemedicine and local environmental rectifications can help improve outcomes. SUMMARY The link between social determinants and poor asthma outcomes continues to be supported by recent literature. These factors are both nonmodifiable and consequences of institutionalized racist policies that require innovative ideas, technologic equity and funding for groups most at risk for poorer outcomes.

[1]  A. Pappalardo,et al.  CHECK – multilevel real-world pediatric asthma care coordination: results and lessons learned , 2022, The Journal of asthma : official journal of the Association for the Care of Asthma.

[2]  O. Pugach,et al.  Improving adherence in urban youth with asthma: Role of Community Health Workers. , 2022, The journal of allergy and clinical immunology. In practice.

[3]  A. Wu,et al.  The role of social determinants of health in the use of telemedicine for asthma in children. , 2022, The journal of allergy and clinical immunology. In practice.

[4]  Meghan F. Davis,et al.  Comprehensive home environmental intervention did not reduce allergen concentrations or controller medication requirements among children in Baltimore , 2022, The Journal of asthma : official journal of the Association for the Care of Asthma.

[5]  S. Wenzel,et al.  Historical Redlining Impacts Contemporary Environmental and Asthma-Related Outcomes in Black Adults. , 2022, American journal of respiratory and critical care medicine.

[6]  K. Parikh,et al.  Social Risk Interventions and Health Care Utilization for Pediatric Asthma: A Systematic Review and Meta-analysis. , 2021, JAMA pediatrics.

[7]  A. Fitzpatrick,et al.  Geospatial Analysis of Social Determinants of Health Identifies Neighborhood Hot Spots Associated with Pediatric Intensive Care Use for Life-threatening Asthma. , 2021, The journal of allergy and clinical immunology. In practice.

[8]  L. A. Matiz,et al.  Community Health Worker Intervention to Address Social Determinants of Health for Children Hospitalized With Asthma. , 2021, Hospital pediatrics.

[9]  E. Matsui,et al.  Asthma and the Social Determinants of Health. , 2021, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[10]  R. Peng,et al.  Neighborhoods, caregiver stress, and children's asthma symptoms. , 2021, The journal of allergy and clinical immunology. In practice.

[11]  Yi Liu,et al.  The effect window for sulfur dioxide exposure in pregnancy on childhood asthma and wheezing: A case-control study. , 2021, Environmental research.

[12]  T. Bryant-Stephens,et al.  Housing and Asthma Disparities. , 2021, The Journal of allergy and clinical immunology.

[13]  Shasha Bai,et al.  Unexpected decline in pediatric asthma morbidity during the coronavirus pandemic , 2021, Pediatric pulmonology.

[14]  E. Woods,et al.  Community Health Workers in Home Visits and Asthma Outcomes , 2021, Pediatrics.

[15]  Randall Brown,et al.  Digital Health Technology in Asthma: A Comprehensive Scoping Review. , 2021, The journal of allergy and clinical immunology. In practice.

[16]  W. Guan,et al.  Short-term exposure to ozone, nitrogen dioxide, and sulphur dioxide and emergency department visits and hospital admissions due to asthma: A systematic review and meta-analysis. , 2021, Environment international.

[17]  M. Reznik,et al.  A randomized controlled trial of a community health worker delivered home-based asthma intervention to improve pediatric asthma outcomes , 2020, The Journal of asthma : official journal of the Association for the Care of Asthma.

[18]  James R. Roberts,et al.  Reported Neighborhood Traffic and the Odds of Asthma/Asthma-Like Symptoms: A Cross-Sectional Analysis of a Multi-Racial Cohort of Children , 2020, International journal of environmental research and public health.

[19]  W. Phipatanakul,et al.  Screening Social Determinants of Health in a Multidisciplinary Severe Asthma Clinical Program , 2020, Pediatric quality & safety.

[20]  S. Manchanda Telemedicine-Getting Care to Patients Closer to Home. , 2020, American journal of respiratory and critical care medicine.

[21]  A. Nardone,et al.  Associations between historical residential redlining and current age-adjusted rates of emergency department visits due to asthma across eight cities in California: an ecological study. , 2020, The Lancet. Planetary health.

[22]  Diana Hernández,et al.  Housing as a determinant of health equity: A conceptual model. , 2019, Social science & medicine.

[23]  M. Trent,et al.  The Impact of Racism on Child and Adolescent Health , 2019, Pediatrics.

[24]  P. Lai,et al.  Association between fungal spore exposure in inner-city schools and asthma morbidity. , 2019, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[25]  A. Merianos,et al.  Tobacco smoke exposure disparities persist in U.S. children: NHANES 1999-2014. , 2019, Preventive medicine.

[26]  D. Catelan,et al.  A Panel Study on Lung Function and Bronchial Inflammation among Children Exposed to Ambient SO2 from an Oil Refinery , 2019, International journal of environmental research and public health.

[27]  R. Peng,et al.  Reduction in mouse allergen exposure is associated with greater lung function growth. , 2018, The Journal of allergy and clinical immunology.

[28]  Choon-Sik Park,et al.  Association between the Ratio of FEV1 to FVC and the Exposure Level to Air Pollution in Neversmoking Adult Refractory Asthmatics Using Data Clustered by Patient in the Soonchunhyang Asthma Cohort Database , 2018, International journal of environmental research and public health.

[29]  J. Mercy,et al.  Violence-Related Disparities Experienced by Black Youth and Young Adults: Opportunities for Prevention. , 2018, American journal of preventive medicine.

[30]  A. Berlinski,et al.  Delivery of high-quality pediatric spirometry in rural communities: A novel use for telemedicine. , 2018, Journal of Allergy and Clinical Immunology: In Practice.

[31]  W. Gauderman,et al.  Traffic-Related Pollutants: Exposure and Health Effects Among Hispanic Children , 2018, American journal of epidemiology.

[32]  S. Batterman,et al.  Disease and Health Inequalities Attributable to Air Pollutant Exposure in Detroit, Michigan , 2017, International journal of environmental research and public health.

[33]  N. Krieger,et al.  Structural racism and health inequities in the USA: evidence and interventions , 2017, The Lancet.

[34]  L. Gerald,et al.  Self-Reported Stressful Life Events During Adolescence and Subsequent Asthma: A Longitudinal Study. , 2017, The journal of allergy and clinical immunology. In practice.

[35]  J. Celedón,et al.  Risk and Protective Factors for Childhood Asthma: What Is the Evidence? , 2016, The journal of allergy and clinical immunology. In practice.

[36]  N. Roeleveld,et al.  Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis , 2015, European Respiratory Journal.

[37]  Jonathan D. Campbell,et al.  Community Health Worker Home Visits for Medicaid-Enrolled Children With Asthma: Effects on Asthma Outcomes and Costs. , 2015, American journal of public health.

[38]  G. Gee,et al.  Racism as a Determinant of Health: A Systematic Review and Meta-Analysis , 2015, PloS one.

[39]  Hong Ding,et al.  Association between Air Pollutants and Asthma Emergency Room Visits and Hospital Admissions in Time Series Studies: A Systematic Review and Meta-Analysis , 2015, PloS one.

[40]  K. Yeatts,et al.  The Regional Asthma Disease Management Program (RADMP) for low income underserved children in rural western North Carolina: a National Asthma Control Initiative Demonstration Project , 2015, The Journal of asthma : official journal of the Association for the Care of Asthma.

[41]  E. McQuaid,et al.  Association between adverse childhood experiences in the home and pediatric asthma. , 2015, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[42]  M. Mendell,et al.  Indoor Environmental Exposures and Exacerbation of Asthma: An Update to the 2000 Review by the Institute of Medicine , 2014, Environmental health perspectives.

[43]  Bin Huang,et al.  Housing code violation density associated with emergency department and hospital use by children with asthma. , 2014, Health affairs.

[44]  I. Kawachi,et al.  Associations of Neighborhood Concentrated Poverty, Neighborhood Racial/Ethnic Composition, and Indoor Allergen Exposures: a Cross-Sectional Analysis of Los Angeles Households, 2006–2008 , 2014, Journal of Urban Health.

[45]  David A. Turcotte,et al.  Healthy homes: in-home environmental asthma intervention in a diverse urban community. , 2014, American journal of public health.

[46]  Wei Li,et al.  Disparities in exposure to automobile and truck traffic and vehicle emissions near the Los Angeles-Long Beach port complex. , 2014, American journal of public health.

[47]  P. Lai,et al.  Exposures to molds in school classrooms of children with asthma , 2013, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[48]  Bert Brunekreef,et al.  Air Pollution Exposure and Lung Function in Children: The ESCAPE Project , 2013, Environmental health perspectives.

[49]  E. Matsui Management of Rodent Exposure and Allergy in the Pediatric Population , 2013, Current Allergy and Asthma Reports.

[50]  M. Chapman,et al.  Allergens in urban schools and homes of children with asthma , 2012, Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology.

[51]  Lawrence F. Katz,et al.  The Long-Term Effects of Moving to Opportunity on Adult Health and Economic Self-Sufficiency , 2012 .

[52]  Jarvis T. Chen,et al.  Particulate air pollution and socioeconomic position in rural and urban areas of the Northeastern United States. , 2011, American journal of public health.

[53]  D. Jacobs Environmental health disparities in housing. , 2011, American journal of public health.

[54]  N. Beaudet,et al.  The Breathe-Easy Home: the impact of asthma-friendly home construction on clinical outcomes and trigger exposure. , 2011, American journal of public health.

[55]  Sharon E. Edwards,et al.  Making the Environmental Justice Grade: The Relative Burden of Air Pollution Exposure in the United States , 2011, International journal of environmental research and public health.

[56]  R. Mellins,et al.  Exhaled NO among inner-city children in New York City , 2010, The Journal of asthma : official journal of the Association for the Care of Asthma.

[57]  M. Kogan,et al.  Disparities in Children's Exposure to Environmental Tobacco Smoke in the United States, 2007 , 2010, Pediatrics.

[58]  M. Sternthal,et al.  Community violence and urban childhood asthma: a multilevel analysis , 2010, European Respiratory Journal.

[59]  G. O'Connor,et al.  Differential effects of outdoor versus indoor fungal spores on asthma morbidity in inner-city children. , 2010, The Journal of allergy and clinical immunology.

[60]  N. Beaudet,et al.  A randomized controlled trial of asthma self-management support comparing clinic-based nurses and in-home community health workers: the Seattle-King County Healthy Homes II Project. , 2009, Archives of pediatrics & adolescent medicine.

[61]  C. Karr,et al.  Community Health Workers and Environmental Interventions for Children with Asthma: A Systematic Review , 2009, The Journal of asthma : official journal of the Association for the Care of Asthma.

[62]  B. Armstrong,et al.  Risk of Asthmatic Episodes in Children Exposed to Sulfur Dioxide Stack Emissions from a Refinery Point Source in Montreal, Canada , 2008, Environmental health perspectives.

[63]  E. Israel,et al.  Mouse allergens in urban elementary schools and homes of children with asthma. , 2008, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[64]  G. Canino,et al.  Violence, abuse, and asthma in Puerto Rican children. , 2008, American journal of respiratory and critical care medicine.

[65]  B. Israel,et al.  Evaluation of Community Action Against Asthma: A Community Health Worker Intervention to Improve Children's Asthma-Related Health by Reducing Household Environmental Triggers for Asthma , 2008, Health education & behavior : the official publication of the Society for Public Health Education.

[66]  R. Broadwin,et al.  Developing Asthma in Childhood from Exposure to Secondhand Tobacco Smoke: Insights from a Meta-Regression , 2007, Environmental health perspectives.

[67]  A. Wu,et al.  Are Physician Estimates of Asthma Severity Less Accurate in Black than in White Patients? , 2007, Journal of General Internal Medicine.

[68]  E. Yousef,et al.  Patient, Home Residence, and Neighborhood Characteristics in Pediatric Emergency Department Visits for Asthma , 2007, The Journal of asthma : official journal of the Association for the Care of Asthma.

[69]  T. McBride,et al.  Choosing Rural Definitions: Implications for Health Policy , 2007 .

[70]  Jason Corburn,et al.  Urban asthma and the neighbourhood environment in New York City. , 2006, Health & place.

[71]  M. Perzanowski,et al.  Mouse and cockroach allergens in the dust and air in northeastern United States inner-city public high schools. , 2005, Indoor air.

[72]  K. Berhane,et al.  The effect of air pollution on lung development from 10 to 18 years of age. , 2004, The New England journal of medicine.

[73]  D. Zeldin,et al.  National prevalence and exposure risk for mouse allergen in US households. , 2004, The Journal of allergy and clinical immunology.

[74]  Rosalind J Wright,et al.  Community violence and asthma morbidity: the Inner-City Asthma Study. , 2004, American journal of public health.

[75]  K. Yeatts,et al.  Effects of tobacco smoke exposure on asthma prevalence and medical care use in North Carolina middle school children. , 2004, American journal of public health.

[76]  B. Oftedal,et al.  Traffic related air pollution and acute hospital admission for respiratory diseases in Drammen, Norway 1995–2000 , 2002, European Journal of Epidemiology.

[77]  J. Banegas,et al.  Short-term effects of air pollution on daily asthma emergency room admissions , 2003, European Respiratory Journal.

[78]  S. A. Perlin,et al.  Influences of asthma and household environment on lung function in children and adolescents: the third national health and nutrition examination survey. , 2003, American journal of epidemiology.

[79]  M. Zureik,et al.  Treatment compliance, passive smoking, and asthma control: a three year cohort study , 2003, Archives of disease in childhood.

[80]  C. Rand,et al.  Caregiver-physician medication concordance and undertreatment of asthma among inner-city children. , 2003, Pediatrics.

[81]  T. Platts-Mills,et al.  Association of specific allergen sensitization with socioeconomic factors and allergic disease in a population of Boston women. , 2001, The Journal of allergy and clinical immunology.

[82]  M. van Ryn,et al.  The effect of patient race and socio-economic status on physicians' perceptions of patients. , 2000, Social science & medicine.

[83]  P. Kinney,et al.  Airborne concentrations of PM(2.5) and diesel exhaust particles on Harlem sidewalks: a community-based pilot study. , 2000, Environmental health perspectives.

[84]  D. Strachan,et al.  Summary of effects of parental smoking on the respiratory health of children and implications for research , 1999, Thorax.

[85]  David W. S. Wong,et al.  An examination of race and poverty for populations living near industrial sources of air pollution , 1999, Journal of Exposure Analysis and Environmental Epidemiology.

[86]  P. Gergen,et al.  Relationship of indoor allergen exposure to skin test sensitivity in inner-city children with asthma. , 1998, The Journal of allergy and clinical immunology.

[87]  P. Gergen,et al.  The role of cockroach allergy and exposure to cockroach allergen in causing morbidity among inner-city children with asthma. , 1997, The New England journal of medicine.

[88]  T. Karrison,et al.  Cockroach allergen (Bla g 1) in school dust. , 1997, The Journal of allergy and clinical immunology.

[89]  N. Adkinson,et al.  Socioeconomic status and race as risk factors for cockroach allergen exposure and sensitization in children with asthma. , 1996, The Journal of allergy and clinical immunology.

[90]  P. Newacheck,et al.  Race, ethnicity, and access to ambulatory care among US adolescents. , 1993, American journal of public health.

[91]  R. Scott,et al.  Exposure to violence among inner-city youth. , 1990, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[92]  Sidney D. Watson Health Care in the Inner City: Asking the Right Question , 1993 .

[93]  M. Chapman,et al.  Risk factors for asthma in inner city children. , 1992, The Journal of pediatrics.

[94]  N. C. Dunham,et al.  Trends in physician availability in 10 urban areas from 1963 to 1980. , 1987, Inquiry : a journal of medical care organization, provision and financing.