Federico Monica J, Liu Andrew H
Division of Pediatric Pulmonary, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80262 USA.
Pediatr Clin North Am. 2003 Jun;50(3):655-75, vii. doi: 10.1016/s0031-3955(03)00045-2.
Asthmatic children living in low-income families in United States inner city communities continue to have disproportionately high rates of hospitalizations, emergency department visits, disability, and death. Current research implicates a combination of environmental, biologic, and disease mismanagement factors that underlie these poor outcomes. Multifaceted studies are underway to better understand this inner-city path to severe asthma. Efforts to optimize interventions, to implement them broadly, and to sustain them are also underway on local and national levels. It is hoped that these efforts will limit the severe consequences of asthma, narrow disparities in outcomes, and substantially reduce medical expenditures for asthma.
美国内城区社区低收入家庭的哮喘儿童住院率、急诊就诊率、残疾率和死亡率仍然高得不成比例。目前的研究表明，环境、生物和疾病管理不善等多种因素导致了这些不良后果。多方面的研究正在进行，以更好地了解内城区严重哮喘的发病机制。在地方和国家层面，也正在努力优化干预措施、广泛实施这些措施并维持下去。希望这些努力将限制哮喘的严重后果，缩小结果差异，并大幅减少哮喘的医疗支出。
