Department of General Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
The Breathing Institute and Pulmonary Medicine Section, Children's Hospital Colorado and Anschutz Medical Campus, Aurora, CO, USA.
Paediatr Respir Rev. 2019 Nov;32:10-15. doi: 10.1016/j.prrv.2019.07.001. Epub 2019 Aug 13.
Pediatric asthma in inner cities is often severe and children living in these urban locations with socioeconomic disadvantage experience greater asthma morbidity. There are many interconnected risk factors that individually, and in combination, enhance asthma morbidity. These include biologic factors innate to the child, such as genetics and allergen susceptibility, as well as factors related to the family and neighborhood context. The biopsychosocial model can be used to frame these risk factors and develop interventions specific to the inner city. Successful inner city asthma interventions exist and key characteristics include multi-tiered components that operate within the community to coordinate disease management resources between patients, families and health care systems.
城市内的儿科哮喘通常较为严重，生活在这些社会经济条件不利的城市地区的儿童哮喘发病率更高。有许多相互关联的风险因素，这些因素单独或组合在一起会增加哮喘发病率。这些因素包括儿童内在的生物学因素，如遗传和过敏原易感性，以及与家庭和邻里环境有关的因素。可以使用生物心理社会模型来构建这些风险因素，并制定针对城市内的干预措施。现已有成功的城市内哮喘干预措施，其关键特征包括多层次的组成部分，这些组成部分在社区内运作，以协调患者、家庭和医疗保健系统之间的疾病管理资源。
