Asthma in rural America

Research output: Contribution to journalReview article

21 Citations (Scopus)

Abstract

Objectives: To examine current trends of asthma prevalence, diagnosis, and utilization of care in rural areas, increase awareness about asthma disease burden, and provide general recommendations for improving care in this setting. Data Sources: MEDLINE searches were conducted for articles published from 1966 onward, with human subjects and the English language as descriptors. Other terms used included undiagnosed frequent wheezing, hygiene hypothesis, atopic sensitization, endotoxin, telemedicine, and asthma prevalence and care in rural or urban areas. Study Selection: Review and original research studies that reported on asthma care in rural areas were selected for evaluation. Results: Contrary to common belief, evidence suggests that asthma prevalence of rural and urban youth is comparable in the United States and may indeed be higher in rural areas. Data are not available to determine prevalence rates for rural adults in the United States. This review presents data suggesting that the utilization of asthma care among rural and urban residents may not be comparable. Rural residents are confronted with certain barriers to care that are not as common in the urban setting. These include lack of health care insurance, geographic obstacles to obtaining care, inability of getting suitable appointments, scarcity of health care professionals, and poor access to information about asthma. Conclusions: Current literature suggests that asthma in rural areas may be underdiagnosed and deserves additional study. Improving formal and continuing education of health care professionals, compensating for health care shortages by using existing resources, and facilitating patient support and education are some of the ways to address the special needs faced by rural residents.

Original languageEnglish (US)
JournalAnnals of Allergy, Asthma and Immunology
Volume95
Issue number5 SUPPL. 1
DOIs
StatePublished - Jan 1 2005

Fingerprint

Asthma
Delivery of Health Care
Hygiene Hypothesis
Access to Information
Telemedicine
Information Storage and Retrieval
Continuing Education
Respiratory Sounds
Patient Education
Health Insurance
Endotoxins
MEDLINE
Appointments and Schedules
Language
Research

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Asthma in rural America. / Ownby, Dennis Randall.

In: Annals of Allergy, Asthma and Immunology, Vol. 95, No. 5 SUPPL. 1, 01.01.2005.

Research output: Contribution to journalReview article

@article{a92b1169d64e4dfe9a8d4fbc5b781c63,
title = "Asthma in rural America",
abstract = "Objectives: To examine current trends of asthma prevalence, diagnosis, and utilization of care in rural areas, increase awareness about asthma disease burden, and provide general recommendations for improving care in this setting. Data Sources: MEDLINE searches were conducted for articles published from 1966 onward, with human subjects and the English language as descriptors. Other terms used included undiagnosed frequent wheezing, hygiene hypothesis, atopic sensitization, endotoxin, telemedicine, and asthma prevalence and care in rural or urban areas. Study Selection: Review and original research studies that reported on asthma care in rural areas were selected for evaluation. Results: Contrary to common belief, evidence suggests that asthma prevalence of rural and urban youth is comparable in the United States and may indeed be higher in rural areas. Data are not available to determine prevalence rates for rural adults in the United States. This review presents data suggesting that the utilization of asthma care among rural and urban residents may not be comparable. Rural residents are confronted with certain barriers to care that are not as common in the urban setting. These include lack of health care insurance, geographic obstacles to obtaining care, inability of getting suitable appointments, scarcity of health care professionals, and poor access to information about asthma. Conclusions: Current literature suggests that asthma in rural areas may be underdiagnosed and deserves additional study. Improving formal and continuing education of health care professionals, compensating for health care shortages by using existing resources, and facilitating patient support and education are some of the ways to address the special needs faced by rural residents.",
author = "Ownby, {Dennis Randall}",
year = "2005",
month = "1",
day = "1",
doi = "10.1016/S1081-1206(10)61005-8",
language = "English (US)",
volume = "95",
journal = "Annals of Allergy, Asthma and Immunology",
issn = "1081-1206",
publisher = "American College of Allergy, Asthma and Immunology",
number = "5 SUPPL. 1",

}

TY - JOUR

T1 - Asthma in rural America

AU - Ownby, Dennis Randall

PY - 2005/1/1

Y1 - 2005/1/1

N2 - Objectives: To examine current trends of asthma prevalence, diagnosis, and utilization of care in rural areas, increase awareness about asthma disease burden, and provide general recommendations for improving care in this setting. Data Sources: MEDLINE searches were conducted for articles published from 1966 onward, with human subjects and the English language as descriptors. Other terms used included undiagnosed frequent wheezing, hygiene hypothesis, atopic sensitization, endotoxin, telemedicine, and asthma prevalence and care in rural or urban areas. Study Selection: Review and original research studies that reported on asthma care in rural areas were selected for evaluation. Results: Contrary to common belief, evidence suggests that asthma prevalence of rural and urban youth is comparable in the United States and may indeed be higher in rural areas. Data are not available to determine prevalence rates for rural adults in the United States. This review presents data suggesting that the utilization of asthma care among rural and urban residents may not be comparable. Rural residents are confronted with certain barriers to care that are not as common in the urban setting. These include lack of health care insurance, geographic obstacles to obtaining care, inability of getting suitable appointments, scarcity of health care professionals, and poor access to information about asthma. Conclusions: Current literature suggests that asthma in rural areas may be underdiagnosed and deserves additional study. Improving formal and continuing education of health care professionals, compensating for health care shortages by using existing resources, and facilitating patient support and education are some of the ways to address the special needs faced by rural residents.

AB - Objectives: To examine current trends of asthma prevalence, diagnosis, and utilization of care in rural areas, increase awareness about asthma disease burden, and provide general recommendations for improving care in this setting. Data Sources: MEDLINE searches were conducted for articles published from 1966 onward, with human subjects and the English language as descriptors. Other terms used included undiagnosed frequent wheezing, hygiene hypothesis, atopic sensitization, endotoxin, telemedicine, and asthma prevalence and care in rural or urban areas. Study Selection: Review and original research studies that reported on asthma care in rural areas were selected for evaluation. Results: Contrary to common belief, evidence suggests that asthma prevalence of rural and urban youth is comparable in the United States and may indeed be higher in rural areas. Data are not available to determine prevalence rates for rural adults in the United States. This review presents data suggesting that the utilization of asthma care among rural and urban residents may not be comparable. Rural residents are confronted with certain barriers to care that are not as common in the urban setting. These include lack of health care insurance, geographic obstacles to obtaining care, inability of getting suitable appointments, scarcity of health care professionals, and poor access to information about asthma. Conclusions: Current literature suggests that asthma in rural areas may be underdiagnosed and deserves additional study. Improving formal and continuing education of health care professionals, compensating for health care shortages by using existing resources, and facilitating patient support and education are some of the ways to address the special needs faced by rural residents.

UR - http://www.scopus.com/inward/record.url?scp=28044447878&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28044447878&partnerID=8YFLogxK

U2 - 10.1016/S1081-1206(10)61005-8

DO - 10.1016/S1081-1206(10)61005-8

M3 - Review article

VL - 95

JO - Annals of Allergy, Asthma and Immunology

JF - Annals of Allergy, Asthma and Immunology

SN - 1081-1206

IS - 5 SUPPL. 1

ER -