Journal article
Improving Asthma Symptoms Among Inner-City Women During Pregnancy: A Prospective Cohort Intervention
The journal of allergy and clinical immunology in practice (Cambridge, MA), v 9(10), pp 3672-3678
Oct 2021
PMID: 34033982
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
It is unknown how active asthma management influences symptom control among inner-city pregnant women who have unique exposures and socioeconomic limitations affecting their care.
To assess the impact of an integrated subspecialty intervention composed of education and monitoring on asthma control among underserved women in an antenatal clinic setting.
We conducted a prospective cohort study of pregnant asthmatic patients participating in a subspecialty clinic integrated into routine prenatal care. We compared baseline characteristics and objective measurements of asthma control between women at an initial visit and those who were evaluated in at least one follow-up. For follow-up, we measured symptom control at successive visits and the incidence of asthma-related complications.
Among 85 women enrolled, 53 (62.4%) returned for at least one follow-up visit. Mean baseline Asthma Control Test scores were similarly low (≤19) between groups (one or more follow-up and no follow-up), as were self-administered Asthma Quality of Life Questionnaire scores (<4.7). A total of 72 women had inadequate asthma control resulting in step-up therapy after the initial visit (84.7%). There was a significant increase in ACT scores between the initial and first follow-up visits. For those with an intervening self-administered Asthma Quality of Life Questionnaire, there was also a significant increase by 1.39 ± 0.67 (P = .0003).
We found that uncontrolled asthma is common among urban women seeking routine obstetric care. Our results suggest that even one interventional visit can result in significant improvement in asthma control. Further investigation into mechanisms for optimizing treatment strategies may improve the quality of asthma care during pregnancy in this underserved population.
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Details
- Title
- Improving Asthma Symptoms Among Inner-City Women During Pregnancy: A Prospective Cohort Intervention
- Creators
- Erika J. Yoo - Thomas Jefferson UniversityJessica F. Most - Thomas Jefferson UniversityNora L. Lee - Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PATara McWilliams - Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PALauren A. Plante - Drexel UniversityEdward S. Schulman - Drexel University
- Publication Details
- The journal of allergy and clinical immunology in practice (Cambridge, MA), v 9(10), pp 3672-3678
- Publisher
- Elsevier
- Grant note
- Urban Health Equity Pilot Grant Drexel University College of Medicine (https://doi.org/10.13039/100008212) Office of Urban Health Equity, Education, and Research
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pulmonary, Critical Care, and Sleep (Medicine); Epidemiology and Biostatistics
- Web of Science ID
- WOS:000730530900017
- Scopus ID
- 2-s2.0-85108544471
- Other Identifier
- 991019167987704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Allergy
- Immunology