The Impact of Social Determinants and Air Pollution on Healthcare Disparities in Chronic Rhinosinusitis With Nasal Polyps

被引:4
作者
Peterson, Rachel [1 ]
Keswani, Anjeni [2 ,3 ]
机构
[1] Georgetown Univ, Dept Med, Sch Med, Washington, DC USA
[2] George Washington Univ, Div Allergy Immunol, Sch Med & Hlth Sci, Washington, DC USA
[3] George Washington Univ, Div Allergy Immunol, Sch Med, 2300 M St NW,Suite 200, Washington, DC 20037 USA
关键词
chronic rhinosinusitis; nasal polyps; healthcare disparities; race; socioeconomic status; air pollution; AFRICAN-AMERICAN PATIENTS; SOCIOECONOMIC-STATUS; RACE; OUTCOMES; RISK; DISRUPTION; CHALLENGE;
D O I
10.1177/19458924231153483
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background/ObjectiveMultiple factors affect healthcare disparities in chronic rhinosinusitis (CRS) with and without nasal polyps. These factors include access to care, economic burdens to treatment, and differences in air pollution and air quality. In this paper, we will discuss how socioeconomic status, race, and air pollution burden influence healthcare disparities in the diagnosis and treatment outcomes of chronic rhinosinusitis with nasal polyps (CRSwNP). MethodsA literature search was performed via PubMed for articles related to CRSwNP, healthcare disparities, race, socioeconomic status, and air pollution in September 2022. Original studies from 2016 to 2022, landmark articles, and systematic reviews were included. We summarized these articles to cohesively discuss factors contributing to healthcare disparities in CRSwNP. ResultsLiterary search produced 35 articles. Individual factors such as socioeconomic status, race, and air pollution influence CRSwNP severity and treatment outcomes. Correlations were noted with socioeconomic status, race, and air pollution exposure and CRS severity and post-surgical outcomes. Air pollution exposure was also associated with histopathologic changes in CRSwNP. Lack of access to care was a notable contributor to healthcare disparities in CRS. ConclusionHealthcare disparities in the diagnosis and treatment of CRSwNP differentially affect racial minorities and individuals of lower socioeconomic status. Increased air pollution exposure in areas of lower socioeconomic status is a compounding factor. Clinician advocacy for greater healthcare access and reductions in environmental exposures for patients, among other societal changes, may help improve disparities.
引用
收藏
页码:147 / 152
页数:6
相关论文
共 34 条
  • [21] Association of Air Pollutant Exposure and Sinonasal Histopathology Findings in Chronic Rhinosinusitis
    Patel, Tirth R.
    Tajudeen, Bobby A.
    Brown, Hannah
    Gattuso, Paolo
    LoSavio, Phillip
    Papagiannopoulos, Peter
    Batra, Pete S.
    Mahdavinia, Mahboobeh
    [J]. AMERICAN JOURNAL OF RHINOLOGY & ALLERGY, 2021, 35 (06) : 761 - 767
  • [22] Racial Disparities in Pediatric Endoscopic Sinus Surgery
    Pecha, Phayvanh P.
    Hamberis, Alexandra
    Patel, Terral A.
    Melvin, Cathy L.
    Ford, Marvella E.
    Andrews, Anne L.
    White, David R.
    Schlosser, Rodney J.
    [J]. LARYNGOSCOPE, 2021, 131 (04) : E1369 - E1374
  • [23] Air pollution exposure is linked with methylation of immunoregulatory genes, altered immune cell profiles, and increased blood pressure in children
    Prunicki, Mary
    Cauwenberghs, Nicholas
    Lee, Justin
    Zhou, Xiaoying
    Movassagh, Hesam
    Noth, Elizabeth
    Lurmann, Fred
    Hammond, S. Katharine
    Balmes, John R.
    Desai, Manisha
    Wu, Joseph C.
    Nadeau, Kari C.
    [J]. SCIENTIFIC REPORTS, 2021, 11 (01)
  • [24] Airborne Particulate Matter Induces Nonallergic Eosinophilic Sinonasal Inflammation in Mice
    Ramanathan, Murugappan, Jr.
    London, Nyall R., Jr.
    Tharakan, Anuj
    Surya, Nitya
    Sussan, Thomas E.
    Rao, Xiaoquan
    Lin, Sandra Y.
    Toskala, Elina
    Rajagopalan, Sanjay
    Biswal, Shyam
    [J]. AMERICAN JOURNAL OF RESPIRATORY CELL AND MOLECULAR BIOLOGY, 2017, 57 (01) : 59 - 65
  • [25] What is the Role of Air Pollution in Chronic Rhinosinusitis?
    Schwarzbach, Hannah L.
    Mady, Leila J.
    Lee, Stella E.
    [J]. IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA, 2020, 40 (02) : 215 - +
  • [26] Climate change and allergic disease
    Shea, Katherine M.
    Truckner, Robert T.
    Weber, Richard W.
    Peden, David B.
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2008, 122 (03) : 443 - 453
  • [27] Socioeconomic and demographic determinants of postoperative outcome after endoscopic sinus surgery
    Shen, Sarek A.
    Jafari, Aria
    Qualliotine, Jesse R.
    DeConde, Adam S.
    [J]. LARYNGOSCOPE, 2020, 130 (02) : 297 - 302
  • [28] Chronic rhinosinusitis, race, and ethnicity
    Soler, Zachary M.
    Mace, Jess C.
    Litvack, Jamie R.
    Smith, Timothy L.
    [J]. AMERICAN JOURNAL OF RHINOLOGY & ALLERGY, 2012, 26 (02) : 110 - 116
  • [29] Association between general practice referral rates and patients' socioeconomic status and access to specialised health care A population-based nationwide study
    Sorensen, Torben Hojmark
    Olsen, Kim Rose
    Vedsted, Peter
    [J]. HEALTH POLICY, 2009, 92 (2-3) : 180 - 186
  • [30] Chronic Rhinosinusitis with Nasal Polyps
    Stevens, Whitney W.
    Schleimer, Robert P.
    Kern, Robert C.
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, 2016, 4 (04) : 565 - +