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Asthma in the African-American Minority. By: Adrianna Frazier Gloria Essien. What is Asthma?. Chronic respiratory disease Inflammation of the air ways Effects the bronchi, bronchioles and lungs Effects: Wheezing Coughing Difficultly breathing.
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Asthma in the African-AmericanMinority By: Adrianna Frazier Gloria Essien
What is Asthma? • Chronic respiratory disease • Inflammation of the air ways • Effects the bronchi, bronchioles and lungs • Effects: • Wheezing • Coughing • Difficultly breathing
What is a disparity? dis·par·i·ty (n.); • A health condition or disease that is higher for one group than the general population • Such as: • Race • Age • Sex
Why is it a Health Disparity?Where Did it Come From? • More common in African-Americans in Massachusetts • Dates back to 800 B.C. • Mentioned in Homers’ “The Iliad” • "Invented” in 400 B.C.: • “asthma” - “to pant”
Anatomy • Respiration – Essential for life • Airways and bronchial tubes carry oxygen through: • Nose and mouth • Trachea • Lung cavity • Bronchi • Bronchioles Nasal cavity Mouth Trachea Lung Cavity
Types and Their Triggers [5] • Allergic • Triggered by allergens • Exercise-Induced • Strenuous exercise • Nocturnal • Bed allergens • Occupational • Chemically-Induced • Steroid-Resistant • Over dose 5. Retrieved from http://www.livestrong.com/article/95146-causes-adult-asthma/.
Some Facts • In Massachusetts, more than 9.8% of people have asthma [1] • 4.18% of those are African American • Minorities – Low income – Poor Quality Care • Effects • Treatment Plans [6] • Prevention • Communication Issues • Reason for disparity remains unknown 1. Gold, D. Population disparities in asthma. (2005) Annual review of public health. 26: 89-113 6. retrieved from http://www.therapytimes.com/harvard_initiates_study_to_evaluate_asthma_therapies_in_black_patients/content=0902j84c487e588440a0
Common Causes (Among African- Americans) [4] • Pollution/Environmental conditions • Urban areas in Massachusetts [1] • Lack of access to quality healthcare • Little acknowledgement of severity of symptoms [6] • Poverty[4] • Affordability/Cost • Limits quality of healthcare 1. Gold, D. Population disparities in asthma. (2005) Annual review of public health. 26: 89-113 4.Retrieved from http://www.tree.com/health/asthma-types.aspx. 6. retrieved from http://www.therapytimes.com/har
Asthma in Massachusetts AfricanAmerican Children [2] • Children from birth to 17 years old • Why? • Smaller airways • Second-hand smoke • Environmental conditions • 3rd leading cause of hospitalizations • Deaths are rare - rate increases with age 2. Castillo, R., Jordan, M., Tan, L., & Williams, T. Prevalence of asthma disparities amongst African-American children. (2010) p1-2.
Asthma prevention and control • Most important: prevent severe asthma attacks • Peak Flow • Keeps asthma under control • Get smart: Trigger prevention • Correct /constant use of medication • Bronchodilators • Inhalers • medication
The Future • July 2010- no more inhalers- Interferon [8] • June 2011- Bronchial Thermoplasty [7] 7.retreived from http://www.dailymail.co.uk/health/article-2000283/Breakthrough-asthma-operation-burns-away-lung-tissue-radio-waves.html 8.retrieved from http://www.sciencedaily.com/releases/2010/07/100713144922.htm
Prevention Organizations • Lowell Center/Toxic Use Reduction Institute [9] • Education for people • Chemical and environmental exposures • Improve technology and products • Strategic Plan for Asthma in Massachusetts 2010-2014 [9] • State plan • Understanding role of primary prevention • Strategies to replace chemicals that induce asthma 9. http://www.mass.gov/Eeohhs2/docs/dph/com_health/asthma/state_plan.pdf
Conclusion • Prevalence of asthma in African-Americans is most likely due to poverty • Lower socioeconomic statuses • Poor living and environmental conditions • Lack of access to quality healthcare
References • Gold, D. Population disparities in asthma. (2005) Annual review of public health. 26: 89-113 • Castillo, R., Jordan, M., Tan, L., & Williams, T. Prevalence of asthma disparities amongst African-American children. (2010) p1-2. • Graham, T. MassCOSH. (2010, March 6). Asthma report. Retrieved from http://www.masscosh.org/node/92. • "Types and causes of asthma - health & wellness - tree.com." Tree.com. (2011). Retrieved from http://www.tree.com/health/asthma-types.aspx. • Vermillion, F. Claritin.com. (19 Mar. 2010). Causes of adult asthma | livestrong.com - lose weight & get fit with diet, nutrition & fitness tools. Retrieved from http://www.livestrong.com/article/95146-causes-adult-asthma/. • Therapy times , Harvard initiates study to evaluate asthma therapies in black patients, (2011), retrieved from http://www.therapytimes.com/harvard_initiates_study_to_evaluate_asthma_therapies_in_black_patients/content=0902j84c487e588440a040441
References contd. • Sophia Borland, Radio wave surgery gives hope to thousands of asthma sufferers, (June 2011), http://www.dailymail.co.uk/health/article-2000283/Breakthrough-asthma-operation-burns-away-lung-tissue-radio-waves.html • Science daily, (July 14, 2010), Interferon might help asthma patients breathe easier, http://www.sciencedaily.com/releases/2010/07/100713144922.htm • Government, (2009-2014), Strategic Plan for Asthma in Massachusetts, http://www.mass.gov/Eeohhs2/docs/dph/com_health/asthma/state_plan.pdf