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亚特兰大教会哮喘项目中参加的非裔美国人与呼吸健康相关的特征。

Characteristics Relevant To Respiratory Health Among African Americans Attending Church-based Asthma Programs in Atlanta.

出版信息

J Health Care Poor Underserved. 2020;31(2):623-634. doi: 10.1353/hpu.2020.0049.

Abstract

BACKGROUND

Not One More Life (NOML), a health and faith partnership, aims to engage African Americans at risk for asthma morbidity into community-partnered asthma programs.

METHODS

Not One More Life programs consisted of interactive presentations, a questionnaire, and spirometry.

RESULTS

4,522 individuals attended NOML programs at 136 Atlanta churches over nine years. Over 90% of attendees were African American. Attendees with asthma had high rates of obesity (9.4% of children, 47.9% of adults) and airflow obstruction (34.6% of children, 17.2%, of adults). Over 20% of attendees with asthma reported past hospitalization for asthma. Among those with a history of hospitalizations for asthma, just 17.6% reported treatment with inhaled corticosteroids Conclusion. Not One More Life program attendees with asthma report considerable morbidity including exceptionally high rates of asthma hospitalizations. Participants have multiple remediable characteristics associated with poorly controlled asthma, including medication undertreatment and obesity.

摘要

背景

“避免一人丧生”(NOML)是一个健康和信仰合作项目,旨在让有罹患哮喘风险的非裔美国人参与社区合作哮喘项目。

方法

NOML 项目包括互动演示、问卷调查和肺量测定。

结果

9 年来,有 4522 人参加了在亚特兰大 136 家教堂举行的 NOML 项目。超过 90%的参与者为非裔美国人。患有哮喘的参与者中,肥胖症的发病率很高(儿童为 9.4%,成人 47.9%),气流阻塞的发病率也很高(儿童为 34.6%,成人 17.2%)。超过 20%的哮喘患者报告过去因哮喘住院治疗。在有哮喘住院史的患者中,只有 17.6%的人报告使用吸入皮质激素治疗。

结论

“避免一人丧生”项目的哮喘患者报告了相当多的发病情况,包括极高的哮喘住院率。参与者存在多种可纠正的特征,与哮喘控制不佳有关,包括药物治疗不足和肥胖。

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