ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2022
Situating household management of children's asthma in the context of social, economic, and environmental injustice.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 18 citations in OpenAlex.
- Working through cancer: Economic precarity and the social meaning of survival for parent-survivors in the United States.Medical anthropology quarterly · 2026Article
- Managing children's asthma: what role do caregivers' mental representations of trigger and symptom management behaviors play?Psychology & health · 2025Article
- Where there are no visitors: Improvising care in a pediatric hospital in Zambia.Social science & medicine (1982) · 2025Article
- How are mental representations of asthma triggers and symptoms related to interpersonal risk perceptions? A psychometric investigation of caregivers of children with asthma.Psychology & health · 2025Article
- Multilevel facilitators of pediatric asthma outcomes: The role of caregiver self-efficacy.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Interpersonal comparison among caregivers of children with asthma.Psychology & health · 2024Article
- The influence of social and environmental determinants of health on hospitalizations for pediatric asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024Article
- A Randomized Controlled Trial of a Family-Based Community Health Worker Delivered Intervention for Urban Adolescents with Uncontrolled Asthma.Children's health care : journal of the Association for the Care of Children's Health · 2024Article
- Linking cognitive and affective heuristic cues to interpersonal risk perceptions and behavior.Risk analysis : an official publication of the Society for Risk Analysis · 2023Article
- Exploring Caregiver Interest in and Preferences for Interventions for Children With Risk of Asthma Exacerbation: Web-Based Survey.JMIR formative research · 2023Article
- Breathing Together: Children Co-constructing Asthma Self-Management in the United States.Culture, medicine and psychiatry · 2023Article
- Towards emplaced understandings of risk: How caregivers of children with asthma identify and manage asthma-related risk across different places.Health & place · 2022Article
- How do embodied experiences of asthma influence caregiver conceptual models?Social science & medicine (1982) · 2022Article
- Caregiver Perceptions of Change in Pediatric Asthma Control During the COVID-19 Pandemic.Journal of asthma and allergy · 2022Article
- Not Breathing Easy: "Disarticulated Homework" in Asthma Management.Medical anthropology quarterly · 2021Article
- Unmet Social Needs and Pediatric Asthma Severity in an Urban Primary Care Setting.Academic pediatricsArticle
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundStructural determinants of health are social, economic, and environmental forces that generate unequal opportunities for resources and unequally distribute exposure to risk. For example, economic constraint, racial discrimination and segregation, and environmental injustice shape population-level asthma prevalence and severity. Structural determinants are especially relevant to consider in clinical settings because they affect everyday household asthma management.
objectiveTo examine how structural determinants shape everyday household management of pediatric asthma and offer a framework for providers to understand asthma management in social context.
designQualitative interviews of caregivers for children with asthma.
participantsParticipants included 41 caregivers in two U.S. cities: St. Louis, Missouri ( APPROACH: We carried out narrative interviews with caregivers using an adapted McGill Illness Narrative Interview and using qualitative analysis techniques (e.g. inductive and deductive coding, constant comparison). KEY
resultsCaregivers highlighted three ways that structural determinants complicated asthma management at home: 1) housing situations, 2) competing household illnesses and issues, and 3) multi-household care.
conclusionsBy connecting social, economic, and environmental injustices to the everyday circumstances of asthma management, our study can help providers understand how social contexts challenge asthma management and can open conversations about barriers to adherence and strategies for supporting asthma management at home. We offer recommendations for medical system reform, clinical interactions, and policy advocacy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.