Patterns and predictors of air purifier adherence in children with asthma living in low-income, urban households
| العنوان: | Patterns and predictors of air purifier adherence in children with asthma living in low-income, urban households |
|---|---|
| المؤلفون: | Rachelle Koehl, Michelle N. Eakin, Emily P. Brigham, Kirsten Koehler, Meredith C. McCormack, Parisa Kaviany, Han Woo, Megan Wood, Joseph M. Collaco, Tianshi David Wu, Jessica L. Rice, Nadia N. Hansel |
| المصدر: | J Asthma |
| بيانات النشر: | Informa UK Limited, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, Low income, Pollution, media_common.quotation_subject, Article, 03 medical and health sciences, 0302 clinical medicine, Indoor air quality, HEPA, 030225 pediatrics, Environmental health, Humans, Immunology and Allergy, Medicine, Air purifier, Child, Poverty, Pediatric asthma, media_common, Asthma, business.industry, medicine.disease, Air Filters, 030228 respiratory system, Air Pollution, Indoor, Pediatrics, Perinatology and Child Health, Seasons, business |
| الوصف: | OBJECTIVE: Black children and children from low-income communities are disproportionately affected by asthma, attributed partly to pollution exposure. Air purifiers reduce indoor air pollution and improve asthma symptoms in children. In order to implement air purifier interventions, an understanding of patterns of use and potential barriers is necessary. METHODS: In a home intervention study, 127 children with asthma living in Baltimore were randomized to receive two active or two placebo air purifiers. The 16-week study period included: baseline clinic visit, home visit for air purifier installation (active or placebo) with instruction to use the high or turbo settings, and electronic adherence monitoring of air purifiers. Determinants of adherence were identified using linear regression models. RESULTS: Air purifiers were used 80% of the time, and participants demonstrated adherence to high or turbo settings for 60% of the time. In an adjusted model, season was the major determinant of air purifier adherence, with 21% lower use in the winter (p=0.025) attributed to the cold draft generated by the machine. CONCLUSION: In a clinical trial with electronic adherence monitoring, air purifier use was high and participants were adherent to use of high or turbo settings the majority of the time. Addressing practical barriers to consistent use, such as draft during the winter, in addition to financial barriers may improve air purifier adherence among children with asthma living in low-income, urban households. |
| تدمد: | 1532-4303 0277-0903 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e825fbe91e22b072f5823d29c46565f0Test https://doi.org/10.1080/02770903.2021.1893745Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e825fbe91e22b072f5823d29c46565f0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15324303 02770903 |
|---|