Author/Authors :
Seth E. Spielman، نويسنده , , Cynthia A. Golembeski، نويسنده , , Mary E. Northridge، نويسنده , , Roger D. Vaughan، نويسنده , , Rachel Swaner، نويسنده , , Betina Jean-Louis، نويسنده , , Katherine Shoemaker، نويسنده , , Sandra Klihr-Beall، نويسنده , , Eric Polley، نويسنده , , Linda F. Cushman، نويسنده , , Benjamin Ortiz، نويسنده , , Vincent E. Hutchinson، نويسنده , , Stephen W. Nicholas، نويسنده , , Terry Marx، نويسنده , , Roger Hayes، نويسنده , , Andrew Goodman & Elliott D. Sclar ، نويسنده ,
Abstract :
Health disparities that affect whole communities may involve factors like housing quality that lie at least partly within plannersʹ realm of policy influence. This article demonstrates a link between housing and childhood asthma. The magnitude of the childhood asthma epidemic in Harlem in New York City and the commitment of engaged community partners led to an interdisciplinary, participatory, and multifaceted approach to the planning, implementation, and evaluation of the Harlem Childrenʹs Zone Asthma Initiative. Here we present the first yearʹs data on environmental triggers in the homes of program participants, showing that intensive, community-based programs can reduce both home environmental triggers and adverse childhood asthma outcomes. This provides an example of a community-wide public health intervention that informs public policy and planning, and may provide a sustainable model for reducing childhood asthma in impoverished communities.
