School-Supervised Asthma Therapy Is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children
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| Title: | School-Supervised Asthma Therapy Is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children |
|---|---|
| Language: | English |
| Authors: | Holly N. Shillan (ORCID |
| Source: | Journal of School Nursing. 2024 40(4):440-445. |
| Availability: | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com |
| Peer Reviewed: | Y |
| Page Count: | 6 |
| Publication Date: | 2024 |
| Sponsoring Agency: | National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH) National Heart, Lung, and Blood Institute (NHLBI) (DHHS/NIH) National Cancer Institute (NCI) (DHHS/NIH) |
| Contract Number: | UL1TR00145301 KL2TR001455 K23HL15034 T32CA172009 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Diseases, Therapy, Minority Group Children, Disproportionate Representation, Health Services, Comprehensive School Health Education, School Nurses, Program Effectiveness, Health Behavior, Low Income Students, Partnerships in Education |
| Geographic Terms: | Massachusetts |
| DOI: | 10.1177/10598405221100470 |
| ISSN: | 1059-8405 1546-8364 |
| Abstract: | Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all p-values< 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma. |
| Abstractor: | As Provided |
| Entry Date: | 2024 |
| Accession Number: | EJ1434813 |
| Database: | ERIC |
| Abstract: | Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all p-values< 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma. |
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| ISSN: | 1059-8405 1546-8364 |
| DOI: | 10.1177/10598405221100470 |
