哮喘联盟

   摘要
   目的：旨在评估城市低收入家庭哮喘儿童的家庭干预措施与健康结果间的关系。
   方法：2009年9月～2012年1月在马萨诸塞州洛厄尔，对116户家庭170例哮喘儿童完成了全方位的健康和环境评估以及随后的干预措施。家庭护理者提供家庭安全教育，哮喘预防教育和针对性的环境干预以减少触发哮喘、改善家庭安全。在基线和随访11～12个月后通过问卷收集环境数据和粉尘样本，通过美国儿科学会对哮喘儿童健康调查和其他仪器的合并问卷收集健康信息，以评估干预措施对于儿童及家庭健康的影响。
   结果：低收入家庭儿童的人群多元化研究显示从基线至随访期间其健康具有显著改善。该干预措施的成本(不包括人事部门)为$36 240，然而超过4周评估期的预计医疗储蓄为$71 162，预计年储蓄大约$821 304。
   结论：在城市儿童多元化人群中，低成本、多元的干预措施减少了哮喘严重程度和卫生服务利用的所有产出。
 

（林江涛 审校）
Am J Public Health. 2014 Feb 13. [Epub ahead of print]


 

Healthy Homes: In-Home Environmental Asthma Intervention in a Diverse Urban Community.
 

Turcotte DA, Alker H, Chaves E, Gore R, Woskie S.
 

Abstract
OBJECTIVES：We evaluated health outcomes associated with in-home interventions in low-income urban households with children with asthma.
METHODS：A comprehensive health and environmental assessment and subsequent intervention were completed in 116 households with 170 enrolled children with asthma. Home health workers provided household safety, asthma prevention education, and targeted environmental intervention to decrease asthma triggers and improve household safety. We collected environmental data with questionnaire and dust samples and health information with a questionnaire incorporating the American Academy of Pediatrics Children's Health Survey for Asthma and other instruments at baseline and at follow-up 11 to 12 months later to evaluate the impact of the intervention on the health of the child and family in Lowell, Massachusetts, from September 2009 to January 2012.
RESULTS：The diverse study population of low-income children showed a statistically significant health improvement from baseline to follow-up. The cost of the interventions (not including personnel) was $36 240, whereas the estimated medical savings over a 4-week assessment period was $71 162, resulting in an estimated annual savings of about $821 304.
CONCLUSIONS：Low-cost, multicomponent interventions decrease all measures of asthma severity and health care utilization in a diverse population of urban children.

Am J Public Health. 2014 Feb 13. [Epub ahead of print]