Ki Uk Kim, Hye-Kyung Park, Hee Young Jung, Jong-Joon Ahn, Eunsoo Moon, Yun Seong Kim, Min Ki Lee, Haejung Lee
Association of depression with disease severity in patients with chronic obstructive pulmonary disease
Lung
social determinants health sdoh including access care economic stability neighborhood factors social context strongly influence pediatric asthma outcomes schoolsupervised asthma therapy sst evidencebased strategy improves asthma outcomes particularly historically marginalized children providing support daily medication adherence school however little known relationship programs adverse sdoh commonly affecting underrepresented minority marginalized children asthma examined qualitative data interviews n 52 conducted 2017 2020 diverse multilevel partners involved asthma link sst intervention participants included endusers children parents deliverers school nurses pediatric providers systemslevel partners eg insurers legislators state officials used inductive coding determine themes subthemes deductive coding using healthy people 2030 sdoh framework three themes emerged 1 sst mitigates adverse sdoh improves access preventive healthcare asthma health literacy 2 sst benefits children experiencing specific adverse sdoh provides consistent medication routine children unstable familyhousing situations 3 specific adverse sdoh impede sst implementation economic instability culture language barriers study suggests important relationship sdoh sst warrants evaluation future work communitybased asthma intervention moreover findings underscore importance measuring sdoh implementation evaluation pediatric asthma interventions particularly given strong influence social factors child health outcomes