Federico Monica J, McFarlane Arthur E, Szefler Stanley J, Abrams Elissa M
The Breathing Institute and Pulmonary Medicine Section, Children's Hospital Colorado and University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colo.
Department of Pediatrics, Section of Allergy and Clinical Immunology, University of Manitoba, Winnipeg, MB, Canada; Department of Pediatrics, Division of Allergy and Immunology, University of British Columbia, Vancouver, BC, Canada.
J Allergy Clin Immunol Pract. 2020 Jun;8(6):1808-1814. doi: 10.1016/j.jaip.2020.03.028. Epub 2020 Apr 12.
SzAsthma is the most common chronic disease of childhood. Disparities in asthma outcomes have led to international attention on the biologic, social, economic, and other factors that impact the health of children with asthma. Studies indicate that social determinants of health such as housing, neighborhood safety, and access to care significantly impact the health of children with asthma. However, screening for socioeconomic and environmental factors that impact asthma can be difficult to integrate into clinical practice. In addition, it is not yet clear which interventions to address these factors are most effective. This article will review recent studies of determinants and social determinants of health and propose a framework for identifying and addressing them in the care of children with asthma in a clinical setting.
哮喘是儿童最常见的慢性疾病。哮喘治疗结果的差异已引起国际社会对影响哮喘儿童健康的生物学、社会、经济和其他因素的关注。研究表明，住房、社区安全和医疗服务可及性等健康的社会决定因素会显著影响哮喘儿童的健康。然而，筛查影响哮喘的社会经济和环境因素可能难以纳入临床实践。此外，目前尚不清楚针对这些因素的哪些干预措施最为有效。本文将回顾近期关于健康决定因素和社会决定因素的研究，并提出一个在临床环境中识别和解决哮喘儿童护理中这些因素的框架。
