Data Intelligence, LLP, Eden Prairie, MN, USA.
J Urban Health. 2011 Feb;88 Suppl 1(Suppl 1):164-73. doi: 10.1007/s11524-010-9516-7.
The Minneapolis and St. Paul Controlling Asthma in American Cities Project (CAACP) used a school-based symptom survey to inform community-based programming and provide an intermediate outcome measure of progress toward reducing the burden of asthma. In collaboration with the two school districts, the project mailed the Child Asthma Short Form, a validated health-related quality of life instrument to parents of children in grades K-8 every other school year from 2003 to 2007. The survey was mailed to a randomly selected sample in four languages (English, Spanish, Hmong, and Somali). The overall response rate was 47%, 41%, and 32% for years 1, 3, and 5, respectively. Two out of three children for whom surveys were completed were children of minority populations; more than 50% were eligible for free or reduced-price meals. The changes in scores from the first round (2003-2004) to the third round (2007-2008) were statistically significant for daytime symptom burden (p < 0.05). Improvements were noted, but not statistically significant, for nighttime symptoms and functional limitations. Children of some racial/ethnic minority groups and children eligible for free or reduced-price meals had the highest symptom burden. Findings were used to guide CAACP's program development and delivery to populations in greatest need. CAACP's experience in Minneapolis and St. Paul demonstrates the feasibility of administering a symptom burden survey at low cost and in compliance with school system and institutional review board requirements to maintain confidentiality. The symptom-based survey may be a useful tool to track trends and changes in health disparities at a community and population level.
明尼阿波利斯和圣保罗控制美国城市哮喘项目（CAACP）使用基于学校的症状调查来为基于社区的项目提供信息，并提供减少哮喘负担的进展的中间结果衡量标准。该项目与两个学区合作，从 2003 年到 2007 年，每两年向 K-8 年级学生的家长邮寄儿童哮喘简表，这是一种经过验证的与健康相关的生活质量工具。该调查以四种语言（英语、西班牙语、苗语和索马里语）随机向样本邮寄。在第 1 年、第 3 年和第 5 年，调查的总体回复率分别为 47%、41%和 32%。完成调查的儿童中有三分之二是少数族裔儿童；超过 50%的儿童有资格享受免费或减价餐。从第一轮（2003-2004 年）到第三轮（2007-2008 年），日间症状负担的分数变化具有统计学意义（p<0.05）。夜间症状和功能受限方面的改善虽然没有统计学意义，但也有注意到。一些种族/族裔少数群体的儿童和有资格享受免费或减价餐的儿童的症状负担最高。研究结果用于指导 CAACP 针对最需要的人群的项目制定和实施。明尼阿波利斯和圣保罗的 CAACP 经验表明，以低成本和符合学校系统和机构审查委员会要求的方式管理症状负担调查以保持机密性是可行的。基于症状的调查可能是一种有用的工具，可用于在社区和人群层面跟踪健康差距的趋势和变化。
