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Use of Community Health Workers With Inner-City Children who Have Asthma

Johns Hopkins University School of Nursing, Baltimore, Maryland

Floyd J. Malveaux

Department of Microbiology, Howard University, Washington, DC

Peyton Eggleston

Department of Pediatric Allergy and Immunology, Johns Hopkins University School of Medicine, Baltimore, Maryland

Lera Thompson

Department of Microbiology, Howard University, Washington, DC

Susan Schneider

Georgetown University Laboratory for Children's Health Promotion, Washington, DC

Kathy Weeks

Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine

Karen Huss

Johns Hopkins University School of Nursing, Baltimore, Maryland

Charles Murigande

Department of Biostatistics, Howard University, Washington, DC

Cynthia S. Rand

Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine

Use of community health workers (CHWs) to obtain health, social, and environmental information from African-American inner-city children with asthma was one component of a larger intervention study designed to reduce morbidity in African-American children with asthma. A subset of 140 school-aged children with asthma was recruited and enrolled in a program to receive home visits by CHWs for the purposes of obtaining medical information and teaching basic asthma education to the families. Data obtained by the CHWs revealed low inhaled steroid use, high ß2 agonist use, frequent emergency-room visits, decreased primary-care visits, and increased allergen and irritant exposure. Appropriately recruited and trained CHWs are effective in obtaining useful medical information from inner-city families with children with asthma and providing basic asthma education in the home.

Clinical Pediatrics, Vol. 33, No. 3, 135-141 (1994)
DOI: 10.1177/000992289403300302


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