Online Program

Trends in asthma prevalence and agency policies to monitor asthmatic children enrolled in head start programs from 2009 to 2012 in Boston, Massachusetts

Wednesday, November 6, 2013

Karine Martirosyan, MD, MPH, Head Start and Children's Services Department, Action for Boston Community Development, Inc, Boston, MA
Karen Hampanda, MPH, PhD candidate, Department of Health and Behavioral Sciences, University of Colorado Denver, Denver, CO
Jennifer Pawson, BA, MS, RN, Head Start and Children's Services, Action for Boston Community Development, Inc., Boston, MA
Objectives: To establish trends in childhood asthma diagnosis among the Head Start population in Boston, Massachusetts from 2009 to 2012 and describe Action for Community Development (ABCD) Head Start asthma policies. Methods: A trend study of 3,941 children using cross-sectional data from 2009-2010 and 2011-2012 was employed to examine asthma prevalence among children 0 to 5 years in Head Start (HS)/Early Head Start (EHS). Data was collected using Promis Cleverex V5.16 database. Prevalence from two school years was compared. A review of ABCD HS child health policies was also conducted. Results: In 2009-2010, 177 children (17% of enrolled) had asthma: 172 (17.8%) in HS and 53 (20.1%) in EHS. In 2011-2012, 548 children (18.6% of enrolled) had asthma: 522 (19%) in HS and 35 (13.9%) in EHS. Children with an asthma diagnosis are required to have an Asthma Action Plan from the child's physician updated annually and emergency medication on site. Teachers are trained in medication administration. Parents are offered training sessions from an asthma specialist. In addition, ABCD Head Start and Boston Healthy Homes and Schools Collaborative are implementing the EPA Indoor Air Quality Tools for Schools framework. Conclusion: Head Start children have higher rates of asthma than the national and the MA state average. In addition asthma rates are increasing among 3-5 year olds. Head Start programs in Boston have policies and practices in place to successfully monitor children with asthma. ABCD is implementing new programs to improve asthma management and prevent asthma attacks in Head Start children.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention

Learning Objectives:
Compare the rates of asthma diagnosis among Head Start children from two consecutive schools years in Boston, Massachusetts Describe differences in asthma diagnosis by age of Head Start children Describe ABCD Head Start policies and practices to improve care for children with asthma

Keyword(s): Head Start, Asthma

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a registered nurse with a masters of science in nursing and certified clinical nurse leader. I serve children with asthma as I am a health services manager for Head Start and Early Head Start in Boston.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.