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Asthma: Interventions in Community Settings

  • James Krieger
  • Edith A. Parker
Chapter

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.

Keywords

Asthma Control Environmental Tobacco Smoke Asthma Management Wood Smoke Mobile Clinic 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Chronic Disease and Injury Prevention SectionPublic Health - Seattle & King CountySeattleUSA

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