Type of Document Master's Thesis Author Laster, Nastassia Lovie URN etd-04302008-183706 Title Self-Identified Barriers to Asthma Management Among Urban Families Degree MPH Department Public Health Advisory Committee
Advisor Name Title Derek G. Shendell Committee Co-Chair Frances McCarty Committee Co-Chair Chanda Nicole Holsey Committee Member Marianne Celano Committee Member Keywords
- asthma
- African American
- focus groups
- urban
Date of Defense 2008-04-09 Availability restricted Abstract Asthma is one of the most common chronic diseases of childhood. Those particularly affected are young, poor, African American children. Moreover, rates of ED visits, hospitalizations, and mortality are substantially higher for black children (Akinbami, 2006). Despite the ample published research on asthma prevalence and asthma management interventions, there is little research available on barriers to asthma care among urban low-income families as perceived by children with asthma and their caregivers. This qualitative study analyzed focus group data from five focus groups conducted with 28 participants in metropolitan Atlanta. This study found caregiver and child health beliefs and perceptions concerning the usage of daily controller medications to be a significant barrier to asthma care. Barriers to environmental control consistedmostly of financial constraints making environmental remediations difficult. Psychological distress was prevalent among both children and caregivers demonstrating the burden endured from managing a chronic illness.
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