title: Asthma Home Management in the Inner-City: What can the Children Teach us?
abstract: Knowledge of asthma home management from the perspective of poor, minority children with asthma is limited.
  
  
  
  Convenience sampling methods were used to recruit families of low-income children who are frequently in the emergency department for uncontrolled asthma. Thirteen youths participated in focus groups designed to elicit reflections on asthma home management. Data were analyzed using grounded theory coding techniques.
  
  
  
  Participants (Mean age = 9.2 years) were African American (100%), enrolled in Medicaid (92.3%), averaged 1.4 (standard deviation = 0.7) emergency department visits over the prior 3 months, and resided in homes with at least 1 smoker (61.5%). Two themes reflecting multifaceted challenges to the development proper of self-management emerged in the analysis.
  
  
  
  Findings reinforce the need to provide a multipronged approach to improve asthma control in this high-risk population including ongoing child and family education and self-management support, environmental control and housing resources, linkages to smoking cessation programs, and psychosocial support.
authors.forename: Melissa H
authors.initials: MH
authors.lastname: Bellin
authors.forename: Angelica
authors.initials: A
authors.lastname: Newsome
authors.forename: Cassie
authors.initials: C
authors.lastname: Land
authors.forename: Joan
authors.initials: J
authors.lastname: Kub
authors.forename: Shawna S
authors.initials: SS
authors.lastname: Mudd
authors.forename: Mary Elizabeth
authors.initials: ME
authors.lastname: Bollinger
authors.forename: Arlene M
authors.initials: AM
authors.lastname: Butz
mesh_terms: D000293:Adolescent; D001741:Black or African American; D016902:Air Pollution, Indoor / Q000706:statistics & numerical data; D001249:Asthma / Q000188:drug therapy* / Q000191:economics / Q000453:epidemiology; D002648:Child; D002662:Child Health Services; D002947:Cities / Q000453:epidemiology; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services; D006801:Humans; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D036501:Metered Dose Inhalers / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D011203:Poverty; D012648:Self Care / Q000379:methods*; D012931:Social Environment; D014481:United States / Q000453:epidemiology; D014505:Urban Population; D016903:Drug Monitoring
keywords: Asthma; children; focus groups; poverty; self-management