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Impact of guideline adherence and race on asthma control in children

World Journal of Pediatrics 2021年第5期17卷 500-507页

作者： Shahid I.Sheikh nancy A.ryan-wenger judy pitts Rodney Britt Jr Grace Paul Lisa Ulrich Department of Pediatrics The Ohio State University College of MedicineColumbus.OH.USA Section of Pulmonary Medicine Nationwide Children's HospitalED 544 Education Building700 Children's DriveColumbusOHUSA Department of Perinatal Research Wexner Research CenterColumbusOH.USA

Background Asthma control in African Americans(AA)is considered more difficult to achieve than in Caucasian Americans(CA).The aim of this study was to compare asthma control over time among AA and CA children w hose asthma is managed per NAEPP(EPR-3)*** This was a one-year prospective study of children referred by their primary care physicians for better asthma care in a specialty asthma *** children received asthma care per NAEPP *** were compared between CA and AA children at baseline and then at three-month intervals for one *** Of the 345 children,ages 2-17 years(mean=6.2±4),220(63.8%)were CA and 125(36.2%)were *** were no significant differences in demographics other than greater pet ownership in CA *** baseline,AA children had significantly more visits to the Emergency Department for acute asthma symptoms(mean=2.3±3)compared to CA(1.4±23,P=0.003).There were no other significant differences in acute care utilization,asthma symptoms(mean days/month),or mean asthma control test(ACT)scores at base *** 3-6 months,in both groups,mean ACT scores,asthma symptoms and acute care utilization significantly improved(P<0.05 for all)and change over time in both groups was comparable except for a significantly greater decrease in ED visits in AA children compared to CA children(P=002).Conclusion Overall,improvement in asthma control during longitudinal assessment was similar between AA and CA children because of consistent use of NAEPP asthma care guidelines.

关键词： Asthma Asthma control Children Guideline adherence Race

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Racial differences in pet ownership in families of children with asthma

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世界儿科杂志:英文版 2016年第3期12卷 343-346页

作者： Shahid I Sheikh judy pitts.nancy a ryan-wenger Karen S McCoy Don Hayes Departments of Pediatrics The Ohio State University College of MedicineColumbusOhioUSA Internal Medicine The Ohio State University College of MedicineColumbusOhioUSA Section of Pulmonary Medicine Nationwide Children's HospitalColumbusOhioUSA Department of Nursing Research Nationwide Children's HospitalColumbusOhioUSA Section of Allergy/Immunology Nationwide Children's HospitalColumbusOhioUSA

Background:Exposure to household domestic animals such as cats and dogs in early life may have some role in pathogenesis of *** differences exist in the prevalence of *** hypothesized that there may also be racial differences in pet ownership in families with ***:A cross sectional study was conducted from June 2011 to December 2014 on 823 of 850(97%)families of children with asthma for pet *** among racial groups were done using chi square analysis and one-way analysis of ***:The mean age of the cohort was 6.9±4.4 years.A total of 540(65.62%)patients were Caucasian,195(23.7%)African American,42(5.1%)hispanics,and 26(3.2%)biracial with one Caucasian *** in the home were reported by 470(58.5%)*** cantly fewer African American and hispanic families had pets in the home(26.9% and 44.7%)than biracial and Caucasian families(72% and 69.9%,P<0.001).Likewise,significantly more biracial and Caucasian families were noted to have dogs(52% and 54.4%)or cats(25.4%and 40%)or both cats and dogs(28% and 18%)than African Americans families(20.3%,P<0.001;7.1%,P<0.001)and(4.6%,P<0.001),***:Among families with asthmatic children,pet ownership is significantly more likely in Caucasian families compared with African-American and Hispanic families,thus there is a racial diversity in pet ownership among families of children with asthma.

关键词： asthma cat children dog ethnicity pets

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