应对哈莱姆区的儿童哮喘危机：哈莱姆儿童区哮喘倡议
Addressing the childhood asthma crisis in Harlem: the Harlem Children's Zone Asthma Initiative.
作者信息
Nicholas Stephen W, Jean-Louis Betina, Ortiz Benjamin, Northridge Mary, Shoemaker Katherine, Vaughan Roger, Rome Michaela, Canada Geoffrey, Hutchinson Vincent
机构信息
Department of Pediatrics, Harlem Hospital Center/Columbia University, 506 Lenox Avenue, MLK 17-105, New York, NY 10037.
出版信息
Am J Public Health. 2005 Feb;95(2):245-9. doi: 10.2105/AJPH.2004.042705.
OBJECTIVES
We determined the prevalence of asthma and estimated baseline asthma symptoms and asthma management strategies among children aged 0-12 years in Central Harlem.
METHODS
The Harlem Children's Zone Asthma Initiative is a longitudinal, community-based intervention designed for poor children with asthma. Children aged 0-12 years who live or go to school in the Harlem Children's Zone Project or who participate in any Harlem Children's Zone, Inc, program were screened for asthma. Children with asthma or asthma-like symptoms were invited to participate in an intensive intervention.
RESULTS
Of the 1982 children currently screened, 28.5% have been told by a doctor or nurse that they have asthma, and 30.3% have asthma or asthma-like symptoms. To date, 229 children are enrolled in the Harlem Children's Zone Asthma Initiative; at baseline, 24.0% had missed school in the last 14 days because of asthma.
CONCLUSION
The high prevalence of asthma among children in the Harlem Children's Zone Project is consistent with reports from other poor urban communities. Intensive efforts are under way to reduce children's asthma symptoms and improve their asthma management strategies.
目的
我们确定了哈莱姆中部0至12岁儿童哮喘的患病率，并估计了哮喘的基线症状和哮喘管理策略。
方法
哈莱姆儿童区哮喘倡议是一项针对贫困哮喘儿童的纵向社区干预措施。对居住在哈莱姆儿童区项目或在该项目上学或参加任何哈莱姆儿童区公司项目的0至12岁儿童进行哮喘筛查。有哮喘或哮喘样症状的儿童被邀请参加强化干预。
结果
在目前筛查的1982名儿童中，28.5%的儿童被医生或护士告知患有哮喘，30.3%的儿童有哮喘或哮喘样症状。迄今为止，有229名儿童参加了哈莱姆儿童区哮喘倡议；在基线时，24.0%的儿童在过去14天因哮喘缺课。
结论
哈莱姆儿童区项目中儿童哮喘的高患病率与其他贫困城市社区的报告一致。目前正在大力努力减轻儿童哮喘症状并改善其哮喘管理策略。
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