Institute of Public and Preventive Health, Augusta University, 1120 15th Street, CJ 2306, Augusta, GA, 30912, USA.
Palliative Care, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
J Immigr Minor Health. 2023 Apr;25(2):389-397. doi: 10.1007/s10903-022-01405-w. Epub 2022 Oct 28.
Asthma, and chronic obstructive pulmonary disease (COPD) are significant health problems that have disparate effects on many Americans. Misdiagnosis and underdiagnosis are common and lead to ineffective treatment and management. This study assessed the feasibility of applying a two-step case-finding technique to identify both COPD and adult asthma cases in urban African American churches. We established a community-based partnership, administered a cross-sectional survey in step one of the case-finding technique and performed spirometry testing in step two. A total of 219 surveys were completed. Provider-diagnosed asthma and COPD were reported in 26% (50/193) and 9.6% (18/187) of the sample. Probable asthma (13.9%), probable COPD (23.1%), and COPD high-risk groups (31.9%) were reported. It is feasible to establish active case-finding within the African American church community using a two-step approach to successfully identify adult asthma and COPD probable cases for early detection and treatment to reduce disparate respiratory health outcomes.
哮喘和慢性阻塞性肺疾病（COPD）是对许多美国人健康造成重大影响的疾病。误诊和漏诊很常见，导致治疗和管理效果不佳。本研究评估了两步式病例发现技术在识别城市非裔美国教堂中 COPD 和成人哮喘病例的可行性。我们建立了一个社区伙伴关系，在病例发现技术的第一步中进行了横断面调查，并在第二步中进行了肺量测定测试。共完成了 219 份调查问卷。在样本中，有 26%（50/193）和 9.6%（18/187）的人报告了经医生诊断的哮喘和 COPD。报告了可能的哮喘（13.9%）、可能的 COPD（23.1%）和 COPD 高危人群（31.9%）。使用两步法在非裔美国教堂社区中建立主动病例发现是可行的，可以成功识别成人哮喘和 COPD 可能病例，以进行早期检测和治疗，从而减少不同的呼吸健康结果。
