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Asthma: Interventions in Community Settings
Book chapter

Asthma: Interventions in Community Settings

James Krieger and Edith A Parker
Asthma, Health and Society, pp.277-301
Springer US
10/29/2009
DOI: 10.1007/978-0-387-78285-0_17

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Abstract

Asthma is a complex, heterogeneous condition. Multiple factors contribute to its causation and exacerbation (Eder et al. 2006; Weiss 2002; Martinez 2007; Yeatts et al. 2006). Therefore, prevention and control of asthma requires a multifaceted approach. Interventions that identify people with asthma, assure access to quality medical care, improved self-management, increased social support, reduced exposure to environmental asthma triggers, and address underlying social determinants of health are all necessary. Figure 17.1 depicts a simplified model of how these interventions affect asthma control (Parker et al. 2004; van der Palen et al. 2001; Clark and Valerio 2003; Clark et al. 2001; Wright et al. 2005a; Gold and Wright 2005). Underlying social determinants of health such as discrimination or poverty affect all aspects of asthma control. For example, discrimination may result in sub-optimal medical care or living in substandard housing with high levels of trigger exposure. Transportation policy can affect access to care and exposure to outdoor air pollution.
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