Childhood asthma.
- 1 June 1999
- journal article
- review article
- Published by Environmental Health Perspectives in Environmental Health Perspectives
- Vol. 107 (suppl 3), 421-429
- https://doi.org/10.1289/ehp.99107s3421
Abstract
Asthma prevalence in children has increased 58% since 1980. Mortality has increased by 78%. The burden of the disease is most acute in urban areas and racial/ethnic minority populations. Hospitalization and morbidity rates for nonwhites are more than twice those for whites. Asthma is characterized by recurrent wheezing, breathlessness, chest tightness, and coughing. Research in the past decade has revealed the importance of inflammation of the airways in asthma and clinical treatment to reduce chronic inflammation. Asthma is associated with production of IgE to common environmental allergens including house dust mite, animal dander, cockroach, fungal spores, and pollens. Some interventions to reduce symptoms through control of dust mite and animal dander have had positive results. Control of symptoms through interventions to reduce exposures to cockroach antigen has not been reported. Studies illustrating causal effects between outdoor air pollution and asthma prevalence are scant. Increases in asthma prevalence have occurred at the same time as general improvements in air quality. However, air quality appears to exacerbate symptoms in the child who already has the disease. Decreased pulmonary function has been associated with exposure to particulates and bronchial hyperresponsiveness to smoke, SO(2) and NO(2). Symptoms have been correlated with increased levels of respirable particulates, ozone, and SO(2). Interventions that reduce the negative outcomes in asthma associated with outdoor environmental factors have not been reported. Control of asthma in children will entail the collaborative efforts of patients, family, clinical professionals, and school personnel, as well as community-wide environmental control measures and conducive national and local policies based on sound research.Keywords
This publication has 83 references indexed in Scilit:
- Self image, coping and familial interaction among asthmatic children and adolescents in israelPatient Education and Counseling, 1997
- Ethnic Differences in the Prevalence of Asthma in Middle Class ChildrenAnnals of Allergy, Asthma & Immunology, 1997
- Reducing Tobacco Smoke in the Environment of the Child with Asthma: A Cotinine-Assisted, Minimal-Contact InterventionJournal of Asthma, 1994
- A double-blind, placebo controlled trial of solidified benzyl benzoate applied in dwellings of asthmatic patients sensitive to mites: Clinical efficacy and effect on mite allergensJournal of Allergy and Clinical Immunology, 1993
- Risk factors for asthma in inner city childrenThe Journal of Pediatrics, 1992
- Benzyl benzoate moist powder: Investigation of acarical activity in cultures and reduction of dust mite allergens in carpetsJournal of Allergy and Clinical Immunology, 1992
- Pulmonary Function, Airway Responsiveness, and Respiratory Symptoms in Asthmatics Following Exercise in No2Toxicology and Industrial Health, 1990
- The effect of paternal social support on maternal disruption caused by childhood asthmaJournal of Community Health, 1988
- Asthma education by community child health nurses.Archives of Disease in Childhood, 1986
- Evaluation of a Self-Help Education-Exercise Program for Asthmatic Children and Their Parents: Six-Month Follow-UpJournal of Asthma, 1981