Abstract: Poster Presentations |


David S. Trochtenberg, MD*; Kushal Patel, PhD; Corey Jones, PhD
Author and Funding Information

Meharry Medical College, Nashville, TN


Chest. 2009;136(4_MeetingAbstracts):4S. doi:10.1378/chest.136.4_MeetingAbstracts.4S-b
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PURPOSE:  African-Americans (AA) have a higher rate of morbidity and mortality than Caucasians. There have been studies on barriers to asthma care in AA populations, but there has never been a study including other groups involved in asthma care.

METHODS:  In this qualitative study, focus groups of AA with [1] asthma (separate male and female groups), [2] care-givers of those with asthma, and [3] providers of asthma care were conducted to explore the barriers to care in AA with asthma. Focus groups of AA were conducted using a standardized questionnaire and moderator. A pulmonologist was present during all focus group sessions. Focus groups were conducted until saturation of themes was obtained.

RESULTS:  Some of the emerging themes are: [1] cost of care and medications, lack of insurance, lack of paid sick time, [2] lack of knowledge of the disease and its treatment, [3] lack of symptom awareness and how to describe these symptoms to health-care providers, [4] apathy and indifference to their asthma (especially if the disease was long-standing), and [5] fear of the disease and its treatment (particularly as involves inhaled steroids due to the negative connotations of the word “steroid”).

CONCLUSION:  This study provides insight into barriers to successful asthma care in a small sample of multiple groups involved in asthma care in AA. Many of these barriers involve socio-economic status of the patients, but an emerging theme is that perception of severity and symptomology were highly variable in this group. Fear of treatment among asthmatics and their care-givers also emerged as an important theme.

CLINICAL IMPLICATIONS:  No changes in treatment guidelines have successfully addressed these barriers to care, potentially resulting in under-treatment of this vulnerable population.

DISCLOSURE:  David Trochtenberg, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, November 3, 2009

12:45 PM - 2:00 PM




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