Subject: Studies in the News 04-65 (October 5, 2004)

Studies in the News
Health Supplement: Asthma

Contents This Week

Introductory Material

   Parents managing child asthma triggers.
   Self-management program for children with asthma
   Asthma management program for teens
   School-based intervention for children with asthma
   Reduce absenteeism for school students with asthma
   Asthma management challenges for parents and teachers
   Hospital and emergency department utilization rates
   Intervention for inner-city children with asthma
   In-home care for children with asthma
   Neighborhood asthma coalitions
   Community-based asthma educational program
   Asthma management practices for inner-city children
   Asthmatic teens and smoking
   Physical activity in children with asthma
   Hospitalization rates by legislative districts
   Costly acute care services for Latino children
   Parents coping with their child's asthma
   Intervention among urban children with asthma
   Volatile organic compounds and asthma
   Mold-sensitive children with asthma
   Fume-emitting heaters and asthma
   Gaps in the diagnosis and treatment of childhood asthma
   Self-care management through education
   Cross-cultural asthma case-detection tool
   Relationship between asthma and obesity in children
   Intervention among urban children with asthma
   Cultural policies and asthma care
   Pediatric asthma management
   Parental management of asthma triggers
   Asthma intervention and healthy neighborhoods program
   Characteristics of asthmatic children in Head Start
   Effect of air pollution on lung development
   Health Supplement: Asthma, June 2004

Studies in the News is a very current compilation of items significant to the Legislature and Governor's Office. It is created weekly by the State Library's Research Bureau to supplement the public policy debate in California’s Capitol. To help share the latest information with state policymakers, these reading lists are now being made accessible through the State Library’s website. This week's list of current articles in various public policy areas is presented below.

Service to State Employees:

  • When available, the URL for the full text of each item is provided.

  • California State Employees may contact the State Information & Reference Center (916-654-0206; with the SITN issue number and the item number [S#].

  • All other interested individuals should contact their local library - the items may be available there, or may be borrowed by your local library on your behalf.

The following studies are currently on hand:



"Parental Management of Asthma Triggers within a Child's Environment." By Michael D. Cabana and others. IN: Journal of Allergy and Clinical Immunology, vol. 114, no. 2 (August 2004) pp. 352-357.

["Parents of children with asthma try hard to protect their youngsters but often overlook the most important measures,including banning smoking in the house and shutting windows to keep pollen out." Reuters (August 19, 2004] 1.]

[Request #S3928]

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“Effectiveness of a Multicomponent Self-management Program in At-risk, School-aged Children with Asthma.” By R.S. Shames, Department of Pediatrics, Stanford University School of Medicine, and others. IN: Annals of Allergy, Asthma and Immunology, vol. 92, no. 6 (June 2004) pp. 611-618.

[“A multicomponent educational, behavioral, and medical intervention targeted at high-risk, inner-city children with asthma can improve asthma knowledge and quality of life.”]

[Request #S4072]

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“Talking With Teens About Asthma Management.” By Barbara Velsor-Friedrich, and others. IN: The Journal of School Nursing, vol. 20, no. 3 (June 2004) pp. 140-148.

[“Teens seem to be at higher risk for poor asthma health outcomes because of the tumultuous changes associated with adolescence. The purpose of this study was to explore experiences and behaviors related to the self-management of teens with asthma.... Recommendations for developing education and management strategies for teens with asthma are discussed.”]

[Request #S4073]

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“The Effects of a School-based Intervention on the Self-care and Health of African-American Inner-city Children with Asthma.” By Barbara Velsor-Friedrich, and others, Marcella Niehoff School of Nursing, Loyola University Chicago. IN: Journal of Pediatric Nursing, vol. 19, no. 4 (August 2004) pp. 247-256.

[“This study addresses a serious knowledge deficit about the management of asthma in minority children by testing the effect of a school-based asthma education program on psychosocial and health outcomes of 8–13-year-old inner-city minority students.... Although the mean scores of the treatment group were higher than the control group on several of the psychosocial measures, these changes were not significant. However, significant differences were found between the groups on health outcomes.”]

[Request #S4074]

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“School-based Asthma Disease Management.” By David Tinkelman and Abby Schwartz, National Jewish Medical and Research Center. IN: Journal of Asthma, vol. 41, no. 4 (July 2004) pp. 455-462.

[“A comprehensive, school-based asthma management program can successfully improve asthma control and reduce absenteeism in elementary and middle school students and reduce caregiver lost workdays.”]

[Request #S4075]

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“School-based Asthma: A Study in an African-American Elementary School.” By R. Randall Baker, Virginia H. Kemp and Joyceen S. Boyle. IN: Journal of Transcultural Nursing, vol. 15, no. 3 (July 2004) pp. 195-206.

[“This study explored beliefs about asthma and asthma management among schoolchildren, parents, and teachers in an African American school.... The children reported fear of not being able to breathe and the limitations of living with asthma. The teachers were concerned that they did not have a sufficient understanding of asthma to manage children's asthma during the school day. Parents described complex lifestyles and the challenges of asthma management.”]

[Request #S4076]

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“Relationships between Pediatric Asthma and Socioeconomic/Urban Variables in Baltimore, Maryland.” By Daniel Kimes, NASA's Goddard Space Flight Center, and others. IN: Health & Place, vol. 10, no. 2 (June 2004) pp. 141-152.

[“Spatial relationships between clinical data for pediatric asthmatics (hospital and emergency department utilization rates,) and socioeconomic and urban characteristics in Baltimore City were analyzed with the aim of identifying factors that contribute to increased asthma rates.... Evidence suggests that the high rates of hospital admissions and emergency department visits may partially be due to the difficulty of single parents with limited resources managing their child's asthma condition properly.”]

[Request #S4077]

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“Successful School-based Intervention for Inner-city Children with Persistent Asthma.” By Mark E. Anderson, Department of Community Health Services, University of Colorado Health Sciences Center, and others. IN: Journal of Asthma, vol. 41, no. 4 (July 2004) pp. 445-453.

[“The Kunsberg School in Denver, Colorado, enrolls children with chronic diseases, including asthma, into a daily program of school-based disease management. This study sought to determine the impact of the Kunsberg program on asthma utilization.... The Kunsberg school program improved asthma control and reduced disease severity for at-risk inner-city asthmatic children, leading to cost reduction for asthma management.”]

[Request #S4078]

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"Evaluating the Needs of Children with Asthma in Home Care: The Vital Role of Nurses as Caregivers and Educators." By Maryam Navaie-Waliser, Center for Home Care Policy and Research, Visiting Nurse Service of New York, and others. IN: Public Health Nursing, vol. 21, no. 4 (July/August 2004) pp. 306-315.

[“This study examined the characteristics, risk factors, and needs of children with asthma, and the impact of home health nurses on improving parents'/family caregivers' knowledge about asthma triggers and management.”]

[Request #S4079]

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“Community Organization to Reduce the Need for Acute Care for Asthma among African-American Children in Low-income Neighborhoods: The Neighborhood Asthma Coalition.” By Edwin B. Fisher, Departments of Psychology and Anthropology, Washington University, and others. IN: Pediatrics, vol. 114, no. 1 (July 2004) pp. 116-123.

[“Both contacts with NAC (Neighborhood Asthma Coalition) staff members and attendance at educational events were associated with changes toward stronger views that asthma can be managed. Structural equation modeling demonstrated that participation in the NAC was associated with positive changes on the Index of Asthma Attitudes scale and lower rates of acute care. Social isolation was associated with greater participation in the program and thus reduced care rates.”]

[Request #S4080]

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Community Asthma Education Program for Parents of Urban Asthmatic Children.” By T. Bryant-Stephens and Y. Li, Department of Pediatrics, School of Medicine, University of Pennsylvania. IN: Journal of the National Medical Association, vol. 96, no. 7 (July 2004) pp. 954-960.

[“A community-based asthma educational program for caregivers should be an important component of childhood asthma management. The complexities of asthma management are best taught in educational programs that are easily accessible, provide a comfortable environment for participants, and are taught by peers.”]

[Request #S4081]

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“Asthma Management Practices at Home in Young Inner-city Children.” By Arlene M. Butz, Department of Pulmonology and Critical Care, Johns Hopkins University School of Medicine, and others. IN: Journal of Asthma, vol. 41, no. 4 (July 2004) pp. 433-444.

[“Caregivers of 100 inner-city children diagnosed with persistent asthma and participating in an ongoing asthma intervention study were enrolled and interviewed to ascertain measures of asthma morbidity, medication use, health care use (acute and primary care), and asthma management practices.... Only 42% of caregivers reported administering asthma medicines when their child starts to cough and less than half (39%) reported having an asthma action plan.”]

[Request #S4082]

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“Increased Prevalence of Asthma and Allied Diseases among Active Adolescent Tobacco Smokers after Controlling for Passive Smoking Exposure: A Cause for Concern?” By I. Annesi-Maesano, and others. IN: Clinical and Experimental Allergy, vol. 34, no. 7 (July 2004) pp. 1017-1023.

[“Being asthmatic or allergic does not seem to act as a deterrent towards starting active smoking or continuing to smoke in adolescence. Results suggest the need for considering individual allergic status in programming health educational activities aimed at reducing smoking among adolescents.”]

[Request #S4083]

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"Physical Activity in Urban School-aged Children with Asthma." By David M. Lang, Warren Grant Magnuson Clinical Center, National Institutes of Health, and others. IN: Pediatrics, vol. 113, no. 4 (April 2004) pp. 341-346.

["Despite advances in medical therapy and a better understanding of asthma, beliefs persist to discourage exercise in children with asthma. Exercise has important benefits for children. Pediatricians should address exercise and its benefits with patients and their caregivers to help achieve the goal of normal physicial activity in children with asthma."]

[Request #S4084]

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"Hospitalization Rates of Asthmatic Children: California, 1998 - 2000: By Legislative Districts." IN: Community Action to Fight Asthma Newsletter (May 2004) pp. 1-3.

["This article presents two statistical analyses conducted by the Community Action to Fight Asthma staff.... 'We found in more than half of Senate and Assembly districts in California, the federally recommended objectives for reductions in asthma are not met.'"]

[Request #S4085]

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“Latino Children with Asthma: Rates and Risks for Medical Care Utilization.” By Jill Berg, School of Nursing, University of California, Los Angeles, and others. IN: Journal of Asthma, vol. 41, no. 2 (April 2004) pp. 147–157.

["As part of a community trial in a low income Latino population designed to decrease environmental tobacco smoke exposure in children with asthma in San Diego, we examined unscheduled medical care for asthma. … Findings indicate that low-income Latino families with young children with asthma lack the medical resources necessary for good asthma control. Quality and monitored health care with optimization of asthma management could reduce costly acute care services.”]

[Request #S4086]

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“Parents’ Experiences of Asthma: Process from Chaos to Coping.” By Anne Trollvik and Elisabeth Severinsson, Hedmark University College, Faculty of Health Studies. IN: Nursing and Health Sciences, vol. 6, no. 2 (June 2004) pp. 93-99.

[“The aim of the present qualitative study was to describe nine parents’ everyday experiences of living with a child suffering from asthma.... Four main themes emerged: feelings of uncertainty, helplessness and guilt; the need for support and help from healthcare professionals; adaptation to everyday life; and the development of coping strategies.”]

[Request #S4087]

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“Results of a Home-based Environmental Intervention among Urban Children with Asthma.” By Wayne J. Morgan, Arizona Respiratory Center, University of Arizona, and others. IN: New England Journal of Medicine, vol. 351, no. 11 (September 9, 2004) pp. 1068-1080.

[“We enrolled 937 children with atopic asthma (age, 5 to 11 years) in seven major U.S. cities in a randomized, controlled trial of an environmental intervention that lasted one year (intervention year) and included education and remediation for exposure to both allergens and environmental tobacco smoke.... The intervention group had fewer days with symptoms than did the control group both during the intervention year and the year afterward.... Reductions in the levels of cockroach allergen and dust-mite allergen on the bedroom floor were significantly correlated with reduced complications of asthma.”]

[Request #S4088]

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“Association of Domestic Exposure to Volatile Organic Compounds with Asthma in Young Children.” By K. Rumchev, School of Public Health, Curtin University of Technology. IN: Thorax, vol. 59, no. 9 (September 2004) pp. 746-751.

[“Domestic exposure to volatile organic chemicals (cleaning products, polishes and air fresheners, paints, floor adhesives, fitted carpets and cigarette smoke) at levels below currently accepted recommendations may increase the risk of childhood asthma.”]

[Request #S4089]

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“Airborne Fungi in the Homes of Children with Asthma in Low-income Urban Communities: The Inner-city Asthma Study.” By George T. O'Connor, Pulmonary Center, Boston University School of Medicine, and others. IN: Journal of Allergy and Clinical Immunology, vol. 114, no. 3 (September 2004) pp. 599-606.

[“Mold-sensitive children with asthma living in urban communities across the U.S. are exposed to airborne fungi in indoor and outdoor air. The concentrations of fungi are higher in homes with dampness problems, cockroach infestation, and cats. The indoor-outdoor difference in the concentration of airborne fungi may provide a valuable metric for investigations of the role of fungal exposure as a risk factor for asthma.”]

[Request #S4090]

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“Effects of Gas and Other Fume-emitting Heaters on the Development of Asthma During Childhood.” By L. L. Phoa, Woolcock Institute of Medical Research, and others. IN: Thorax, vol. 59, no. 9 (September 2004) pp. 741-745.

[“There was no association between the current use of fume-emitting heaters and any of the asthma outcomes. However, having been exposed to fume-emitting heaters during the first year of life was associated with an increased risk of having airway hyperresponsiveness and recent wheeze.”]

[Request #S4091]

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“Identification of Gaps in the Diagnosis and Treatment of Childhood Asthma Using a Community-based Participatory Research Approach.” By Toby C. Lewis, Department of Pediatrics and Communicable Diseases, University of Michigan School of Medicine, and others. IN: Journal of Urban Health: Bulletin of the New York Academy of Medicine, vol. 81, no. 3 (September 2004) pp. 472-488.

[“The goal of this investigation was to use a community-based participatory research approach to develop, pilot test, and administer an asthma screening questionnaire to identify children with asthma and asthma symptoms in a community setting.”]

[Request #S4092]

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“Implementing a Pediatric Asthma Program: Enabling Self-care Management Through Education.” By Maryam Navaie-Waliser, Center for Home Care Policy and Research, Visiting Nurse Service of New York, and others. IN: Home Healthcare Nurse, vol. 22, no. 9 (September 2004) pp. 633-639.

[“This article provides an overview of asthma prevalence among children, presents a summary of asthma triggers based on past research, outlines the essential components of a pediatric asthma home care model implemented by a large urban home health agency, and details the types of clinical documentation needed for care plan development and monitoring of asthma in the home.”]

[Request #S4093]

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“Predictive Value of a Cross-cultural Asthma Case-detection Tool in an Elementary School Population.” By Stanley P. Galant, and others, Children's Hospital of Orange County. IN: Pediatrics, vol. 114, no. 3 (September 2004) pp. e307-e316.

[“We assessed the validity and reliability of a new asthma questionnaire across 3 dominant cultures in Orange County, California (white, Hispanic, and Vietnamese).... Question 1 (asthma in the past 2 years), question 4 (cough, chest tightness, trouble breathing, or wheezing with exercise), and question 6 (same symptoms in the morning or day in the past 4 weeks) had >86% predictability in detecting children with persistent asthma and 56% predictability in detecting children with intermittent asthma.... The school setting is an excellent site for identifying children with asthma.”]

[Request #S4094]

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“The Relationship between Asthma and Obesity in Children: Is it Real or a Case of Over Diagnosis?” By Haim Bibi, Department of Pediatrics, Barzilai Medical Center, and others. IN: Journal of Asthma, vol. 41, no. 4 (July 2004) pp. 403-410.

[“Asthma, wheezing, and inhaler use were more common in obese children than in non-obese children. Symptoms were more prevalent among obese boys. Increasing body mass index among children is a risk factor for asthma, which may in reality be obesity-related chest symptoms.”]

[Request #S4095]

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“Pesticide Spraying for West Nile Virus Control and Emergency Department Asthma Visits in New York City, 2000.” By Adam M. Karpati. IN: Environmental Health Perspectives, vol. 112, no. 11 (August 2004) pp. 1183-1187.

[“This analysis shows that spraying pyrethroids for West Nile Virus control in New York City was not followed by population-level increases in public hospital Emergency Department visit rates for asthma.”]

[Request #S4096]

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“Cultural Competence Policies and Other Predictors of Asthma Care Quality for Medicaid-insured Children.” By Tracy A. Lieu, Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, and others. IN: Pediatrics, vol. 114, no. 1 (July 2004) pp. e102-e110.

[“Practice-site policies to support cultural competence, reports to clinicians, and access and continuity of care are associated with higher-quality care for Medicaid-insured children with asthma. Efforts to improve care for this vulnerable group should focus on practice-site policies rather than on structural features such as practice-site size or organizational type.”]

[Request #S4097]

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“Pediatric Asthma Case Management: A Review of Evidence and an Experimental Study Design.” By Amanda Schulte, Department of Pediatrics, Medical College of Wisconsin, and others. IN: Journal of Pediatric Nursing, vol. 19, no. 4 (August 2004) pp. 304-310.

[“This paper reviews childhood asthma case management by social service professionals, lay health workers, and nurses, and it presents a new randomized controlled study using nurse case management in a local community coalition.... Although case management time is an expense for a health care payer, provider, and the child and family, the positive outcomes achieved can demonstrate the benefit of these interventions to all parties involved.”]

[Request #S4099]

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“Parental Management of Asthma Triggers within a Child's Environment.” By Michael D. Cabana, University of Michigan School of Public Health, and others. IN: Journal of Allergy and Clinical Immunology, vol. 114, no. 2 (August 2004) pp. 352-357.

[“Only half of the 1,788 asthma-proofing steps taken by parents of 896 asthmatic children in the study were likely to work. The other half were unproven, unlikely to be helpful against the child's individual triggers, or, in a few cases, potentially harmful.”]

[Request #S4100]

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“An Evaluation of the Asthma Intervention of the New York State Healthy Neighborhoods Program.” By Shao Lin, Bureau of Environmental and Occupational Epidemiology, New York State Department of Health, and others. IN: Journal of Asthma, vol. 41, no. 5 (August 2004) pp. 583-595.

[“The Healthy Neighborhoods Program asthma intervention uses home visits to identify asthmatics, assess asthma morbidity and management, and identify environmental asthma triggers. Outreach workers provide education about asthma, referrals, and controls for asthma triggers.... In 2000 there were about 110 fewer hospital admissions thought to be due to the net effects of the HNP intervention, resulting in an estimated gross savings of $905,300.”]

[Request #S4101]

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“Characteristics of Children with Asthma who are Enrolled in a Head Start Program.” By Perla A. Vargas, Department of Pediatrics, University of Arkansas for Medical Sciences, and others. IN: Journal of Allergy and Clinical Immunology, vol. 114, no. 3 (September 2004) pp. 499-504.

[“Children with asthma enrolled in a Head Start program have significant environmental tobacco smoke exposure, are highly atopic and symptomatic, and do not receive appropriate medication treatment. Overall, children in the study had poor asthma control. This high-risk group could benefit from case management programs.”]

[Request #S4102]

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“The Effect of Air Pollution on Lung Development from 10 to 18 Years of Age.” By W. James Gauderman, Department of Preventive Medicine, University of Southern California, and others. IN: New England Journal of Medicine, vol. 351, no.11 (September 9, 2004) pp. 1057-1067.

[“In this prospective study, we recruited 1759 children from schools in 12 southern California communities and measured lung function annually for eight years.... The results of this study indicate that current levels of air pollution have chronic, adverse effects on lung development in children from the age of 10 to 18 years, leading to clinically significant deficits in attained forced expiratory volume in one second and other spirometric measures as children reach adulthood.”]

[Request #S4103]

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[This section links to items in Studies in the News since the last Asthma Supplement.]

"Health: Asthma Supplement." IN: Studies in the News, 04-42(June 21, 2004).

Full Text at:

[Includes: "Latino children with asthma;" "Risk factors for asthma in adults;" "Asthma among homeless children;" "Asthma patients living near Ground Zero after 9-11;" "Neighborhood-level variation in asthma;" "Asthma and allergy survival plan;" "Overview of asthma and state policies;" "State programs addressing asthma;" "State legislation and asthma;" "Inner city children and asthma;" "Medicaid recipients with asthma;" "Variations in asthma according to race;" "Involving parents of children with asthma;" "Impacts of climate change in the inner city;" "Respiratory disease and pollution;" "Health behaviors and asthma;" "Children and asthma medications;" "Construction chemicals contributing to asthma;" "School-based asthma treatment programs;" "Comprehensive school-based treatment programs;" "History of ear infections and prevalence of asthma;" "Relationship between socioeconomic status and asthma;" "Asthma prevention study;" and others.]

[Request #S4104]

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