Divisions of Pediatric Pulmonology.
Allergy & Immunology, Department of Pediatrics, University of North Carolina School of Medicine.
Curr Opin Allergy Clin Immunol. 2023 Apr 1;23(2):144-150. doi: 10.1097/ACI.0000000000000872. Epub 2022 Dec 27.
Social determinants of health play a major role in healthcare utilization and outcomes in patients with asthma. Continuing to understand how these complex and interwoven relationships interact to impact patient care will be crucial to creating innovative programmes that address these disparities.
The current literature continues to support the association of substandard housing, urban and rural neighbourhoods, and race/ethnicity with poor asthma outcomes. Targeted interventions with community health workers (CHWs), telemedicine and local environmental rectifications can help improve outcomes.
The link between social determinants and poor asthma outcomes continues to be supported by recent literature. These factors are both nonmodifiable and consequences of institutionalized racist policies that require innovative ideas, technologic equity and funding for groups most at risk for poorer outcomes.
健康的社会决定因素在哮喘患者的医疗保健利用和结果中起着重要作用。继续了解这些复杂且相互交织的关系如何相互作用以影响患者护理，对于创建创新方案以解决这些差异至关重要。
现有文献继续支持住房条件差、城乡社区以及种族/民族与哮喘不良结局之间的关联。针对社区卫生工作者（CHW）、远程医疗和当地环境整改的有针对性的干预措施可以帮助改善结果。
最近的文献继续支持社会决定因素与哮喘不良结局之间的联系。这些因素既是不可改变的，也是制度化种族主义政策的后果，这些政策需要创新理念、技术公平以及为最有可能出现较差结果的群体提供资金。
