Children's National Health System Posters

Document Type

Poster

Status

Undergraduate Student

Abstract Category

Prevention and Community Health

Keywords

asthma, prevention, community health, nursing, pediatric

Publication Date

Spring 2019

Abstract

Background: Pediatric asthma morbidity is disproportionately concentrated among young children residing in the poorest neighborhoods of Washington, DC. ED visits were concentrated among children residing in Southeast DC. Historically, these geographic disparities in asthma outcomes are linked to socioeconomic disparities.

Objective: Our aim was to conduct a review of nursing interventions that addressed the social determinants of health in asthmatic children living in low-income communities.

Methods: We searched electronic databases CINHAL and PubMed for studies published within the last 5-10 years. A total of nine studies from 2009 through 2014 from the nursing literature were identified using the following criteria: (1) children with acute asthma exacerbations; (2) residence in low-income communities; (3) an if the child does or does not undergo greater direct socioeconomic challenges and experience stressors, such as unhealthy living conditions and emotional and psychological stressors at a much higher rate or than families with a higher median income. For eligible studies, we summarized soci-economic disparities for asthmatic children living in low-income communities, nursing interventions to address social determinants of health related to asthma, and guidelines for education about caring for children with asthma.

Results: We identified nine studies that met the eligibility criteria with relevant nursing interventions aimed at social determinants of health risk among children with asthma in low-income communities. All nine studies used only the patient's asthma control for evaluation. The study population for all nine studies was generally defined as a child with a history of asthma or acute asthma who lived in low-income communities based on CDC Asthma Surveillance Data and median household income. However, the studies varied in their guidelines for patient intervention. The study published in 2011, had a nurse-led program study implementation of National Asthma Education and Prevention Programs Guidelines by the National Heart, Lung, and Blood Institute to help patients manage their asthma.

Conclusion: Racial and socioeconomic disparities persist among pediatric asthmatic patients presenting to the emergency department. In addition to addressing asthma-related complications, future nursing interventions for asthma care should focus on social determinants of health which include, but not limited to: current living conditions, emotional & psychosocial factors, school days, missed work or daily activities. This self-assessment questionnaire should provide a simple way to address the limitations identified in this review.

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Open Access

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Comments

Presented at Research Days 2019.

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The Social Determinants of Health for Asthmatic Children in Low-Income Communities

Background: Pediatric asthma morbidity is disproportionately concentrated among young children residing in the poorest neighborhoods of Washington, DC. ED visits were concentrated among children residing in Southeast DC. Historically, these geographic disparities in asthma outcomes are linked to socioeconomic disparities.

Objective: Our aim was to conduct a review of nursing interventions that addressed the social determinants of health in asthmatic children living in low-income communities.

Methods: We searched electronic databases CINHAL and PubMed for studies published within the last 5-10 years. A total of nine studies from 2009 through 2014 from the nursing literature were identified using the following criteria: (1) children with acute asthma exacerbations; (2) residence in low-income communities; (3) an if the child does or does not undergo greater direct socioeconomic challenges and experience stressors, such as unhealthy living conditions and emotional and psychological stressors at a much higher rate or than families with a higher median income. For eligible studies, we summarized soci-economic disparities for asthmatic children living in low-income communities, nursing interventions to address social determinants of health related to asthma, and guidelines for education about caring for children with asthma.

Results: We identified nine studies that met the eligibility criteria with relevant nursing interventions aimed at social determinants of health risk among children with asthma in low-income communities. All nine studies used only the patient's asthma control for evaluation. The study population for all nine studies was generally defined as a child with a history of asthma or acute asthma who lived in low-income communities based on CDC Asthma Surveillance Data and median household income. However, the studies varied in their guidelines for patient intervention. The study published in 2011, had a nurse-led program study implementation of National Asthma Education and Prevention Programs Guidelines by the National Heart, Lung, and Blood Institute to help patients manage their asthma.

Conclusion: Racial and socioeconomic disparities persist among pediatric asthmatic patients presenting to the emergency department. In addition to addressing asthma-related complications, future nursing interventions for asthma care should focus on social determinants of health which include, but not limited to: current living conditions, emotional & psychosocial factors, school days, missed work or daily activities. This self-assessment questionnaire should provide a simple way to address the limitations identified in this review.

 

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