Social Determinants of Health in Asthma Through the Life Course

被引:27
作者
Trivedi, Michelle [1 ,2 ,3 ]
Pappalardo, Andrea A. [4 ,5 ]
Udoko, Mfonobong [6 ]
Garg, Arvin [2 ]
Phipatanakul, Wanda [7 ]
Szefler, Stanley J. [6 ,8 ]
Nyenhuis, Sharmilee M. [5 ]
机构
[1] Univ Massachusetts, Chan Med Sch, Div Pediat Pulmonol, Worcester, MA 01605 USA
[2] Univ Massachusetts, Chan Med Sch, Dept Pediat, Worcester, MA 01605 USA
[3] Univ Massachusetts, Chan Med Sch, Dept Populat & Quantitat Hlth Sci, Worcester, MA 01605 USA
[4] Univ Illinois, Dept Pediat, Chicago, IL 60612 USA
[5] Univ Illinois, Dept Med, Chicago, IL 60612 USA
[6] Univ Colorado, Dept Pediat, Childrens Hosp Colorado, Breathing Inst, Anschutz Med Campus, Denver, CO 80202 USA
[7] Harvard Med Sch, Div Asthma Allergy & Immunol, Boston Childrens Hosp, Boston, MA 02115 USA
[8] Univ Colorado, Adult & Child Consortium Outcomes Res & Delivery, Anschutz Med Campus, Denver, CO 80202 USA
基金
美国国家卫生研究院;
关键词
Social determinants of health; Asthma; Pediatric; Adult; WORK GROUP-REPORT; UNITED-STATES; CHILDREN; OUTCOMES; COMMUNICATION; ADHERENCE; DISPARITIES; MORBIDITY; THERAPY; BLACK;
D O I
10.1016/j.jaip.2021.12.032
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
There is strong evidence supporting the influence of social determinants of health (SDOH) on the development and progression of asthma. SDOH are defined as conditions in which people are born, grow up, live, work, and age, which influence their opportunity to be healthy, risk of illness, and life expectancy. The goal of this article was to describe 2 case-based approaches (pediatric and adult) to assessing and addressing SDOH in asthma across the life course and in community settings. As asthma providers and specialists, the role of SDOH is complex in our clinical care; however, it is critical to address social needs identified through clinical care for our patients with asthma. Clinical-community partnerships, through grant and cost-sharing mechanisms with resource agencies, are necessary to ameliorate social needs for patients and their communities and have the potential to improve asthma outcomes. Although this is a unique and exciting time in health care to promote individual and population health, knowledge gaps remain, including best practices to integrate holistic SDOH care into the care of patients with asthma. (C) 2022 American Academy of Allergy, Asthma & Immunology
引用
收藏
页码:953 / 961
页数:9
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