ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2014
Self-management of multiple chronic conditions among African American women with asthma: a qualitative study.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views.NPJ primary care respiratory medicine · 2017Pooled it
- "Something Tells Me I Can't Do That No More": Experiences With Real-Time Glucose and Activity Monitoring Among Underserved Black Women With Type 2 Diabetes.The science of diabetes self-management and care · 2022Trial
- Impact of Goal Setting and Goal Attainment Methods on Asthma Outcomes.Health education & behavior : the official publication of the Society for Public Health Education · 2017Trial
- Asthma and Multimorbidity Amongst Ethnic Minority Groups in High Income Countries.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026Review
- Prevalence of fibromyalgia in asthma and its impact on asthma control: a case-control study.Annals of medicine · 2025Article
- The complex relationship between treatment burden of multimorbidity and self-care in multimorbid patients with hypertension.BMC primary care · 2025Article
- Knowledge, perceptions, facilitators, and barriers towards asthma self-management among patients: A systematic review of the literature.Exploratory research in clinical and social pharmacy · 2025Review
- Article
- A Longitudinal Observational Study of Multimorbidity and Partner Support for Physical Activity Among People with Osteoarthritis.International journal of behavioral medicine · 2021Observational
- The Association between Multiple Chronic Conditions and Depressive Symptoms: Intersectional Distinctions by Race, Nativity, and Gender.Journal of health and social behavior · 2021Article
- A Scoping Review of International Barriers to Asthma Medication Adherence Mapped to the Theoretical Domains Framework.The journal of allergy and clinical immunology. In practice · 2021Article
- A Walking Intervention Supplemented With Mobile Health Technology in Low-Active Urban African American Women With Asthma: Proof-of-Concept Study.JMIR formative research · 2020Article
- Understanding Patient Perspectives on Medication Adherence in Asthma: A Targeted Review of Qualitative Studies.Patient preference and adherence · 2020Review
- Identifying Barriers to Physical Activity Among African American Women with Asthma.Cogent medicine · 2019Article
- Chronic Kidney Disease and Older African American Adults: How Embodiment Influences Self-Management.Geriatrics (Basel, Switzerland) · 2018Review
- Number of Chronic Medical Conditions Fully Mediates the Effects of Race on Mortality; 25-Year Follow-Up of a Nationally Representative Sample of Americans.Journal of racial and ethnic health disparities · 2017Article
- Special challenges in treatment and self-management of older women with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2014Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveAfrican American women are disproportionately burdened by asthma morbidity and mortality and may be more likely than asthma patients in general to have comorbid health conditions. This study sought to identify the self-management challenges faced by African American women with asthma and comorbidities, how they prioritize their conditions and behaviors perceived as beneficial across conditions.
methodsIn-depth interviews were conducted with 25 African-American women (mean age 52 years) with persistent asthma and at least one of the following: diabetes, heart disease or arthritis. Information was elicited on women's experiences managing asthma and concurrent health conditions. The constant-comparison analytic method was used to develop and apply a coding scheme to interview transcripts. Key themes and subthemes were identified.
resultsParticipants reported an average of 5.7 comorbidities. Fewer than half of the sample considered asthma their main health problem; these perceptions were influenced by beliefs about the relative controllability, predictability and severity of their health conditions. Participants reported ways in which comorbidities affected asthma management, including that asthma sometimes took a "backseat" to conditions considered more troublesome or worrisome. Mood problems, sometimes attributed to pain or functional limitations resulting from comorbidities, reduced motivation for self-management. Women described how asthma affected comorbidity management; e.g. by impeding recommended exercise. Some self-management recommendations, such as physical activity and weight control, were seen as beneficial across conditions.
conclusionsMultiple chronic conditions that include asthma may interact to complicate self-management of each condition. Additional clinical attention and self-management support may help to reduce multimorbidity-related challenges.
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