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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
A Malone, MPH1, E Grant, MD1, C Lyttle, MS1, and K Weiss, MD, MPH2. (1) Center of Heathcare Studies, Northwestern University Medical School, 676 N. St. Clair, Suite 200, Chicago, IL 60649, 312-695-4364, a-malone@northwestern.edu, (2) Midwest Center for Health Services and Policy Research, Hines VA Hospital, P O Box 5000 (151H), Hines, IL 60141
Background: Asthma morbidity and mortality disproportionately affect certain urban low-income minority communities. However, little is known about the knowledge, attitudes and beliefs of asthma among persons living in racial and ethnic minority communities. The current study compares asthma awareness in a community sample of residents of 4 high-risk neighborhoods in Chicago with a random sample of the 6 county Chicago-area. Methods: The Chicago Community Asthma Survey-32 (CCAS-32) consists of 21 dichotomous items, designed to test community asthma knowledge and 11 Likert-scale items, focusing on asthma attitudes and beliefs. Demographic variables included sex, age, education and race/ethnicity. During 1999-2000 a random-digit dial (RDD) method was used to administer the CCAS-32 via telephone survey to 1006 Chicago area (seven county) residents. Because telephone survey methods may not produce good representation of young adults, a “street intercept” method was used to survey 388 residents (ages 18 and older) in 4 high-risk Chicago inner-city neighborhoods during 1999-2001. Results: There was a significant difference in asthma knowledge between groups. Based on the 21 dichotomous items, the general Chicago-area respondents had an average desirable response rate of 71.6% versus 64.7% for respondents in high-risk communities (p<0001). However, the source of interview (general community vs. high-risk neighborhood) was not significantly associated with asthma knowledge after controlling for a number of individual sociodemographic variables (gender, age, race), and asthma experience (none, family member or self). Conclusion: The results of this study suggest that community characteristics may be less associated with asthma knowledge than individual characteristics.
Learning Objectives:
Keywords: Asthma, Urban Health
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.