Clark Maggie L, Reynolds Stephen J, Hendrikson Edward, Peel Jennifer L
J Environ Health. 2014 Jan-Feb;76(6):8-16.
Asthma is a substantialpublic health burden among children. Disease and risk-factor discrepancies have been identified among racial, ethnic, and socioeconomic groups. At a rural health clinic (Salud Family Health Center) with primarily underserved and Latino patients in Colorado, the authors evaluated 250 medical records and administered 57 parental surveys to describe this population with respect to asthma diagnosis, asthma-like symptoms, and environmental/occupational risk factors among children. Wheeze and asthma were indicated in 9.7% and 8.9% of medical records, respectively. Twenty parents (35.7%) reported in a questionnaire that their child had experienced wheezing or whistling in the chest. Parents reported that children play in farming fields (21.8%) and feed livestock/animals (10.9%). Additionally, 13.2% and 9.4% of children have a household member who works around livestock or around grain, feed, or dust, respectively. Information from the Salud population can be used to develop larger-scale research and public health initiatives to eliminate health and risk factor disparities among underserved children.
哮喘是儿童群体中一项重大的公共卫生负担。在不同种族、族裔和社会经济群体中已发现疾病及风险因素存在差异。在科罗拉多州一家主要服务于未得到充分医疗服务人群及拉丁裔患者的农村健康诊所（萨卢德家庭健康中心），作者评估了250份病历，并开展了57份家长调查问卷，以描述该人群中儿童的哮喘诊断情况、哮喘样症状以及环境/职业风险因素。病历中分别有9.7%和8.9%显示有喘息和哮喘症状。20位家长（35.7%）在问卷中报告称他们的孩子曾经历过胸部喘息或哮鸣。家长们报告说孩子在农田里玩耍（21.8%）以及喂养家畜/动物（10.9%）。此外，分别有13.2%和9.4%的儿童有家庭成员从事与家畜相关工作或在谷物、饲料或粉尘附近工作。来自萨卢德人群的信息可用于开展更大规模的研究及公共卫生倡议，以消除未得到充分医疗服务儿童中的健康及风险因素差异。
