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- Title
Asthma Management Disparities.
- Authors
Evans-Agnew, Robin
- Abstract
Disparities in asthma management are a burden on African American youth. The objective of this study is to describe and compare the discourses of asthma management disparities (AMDs) in African American adolescents in Seattle to existing youth-related asthma policies in Washington State. Adolescents participated in a three-session photovoice project and presented their phototexts to the Washington State asthma planning committee. Critical discourse analysis methodology was used to analyze adolescent phototexts and the State asthma plan. We found that the State plan did not address AMD in African American adolescents. Adolescents discussed more topics on AMD than the State plan presented, and they introduced new topics concerning residential mobility, poor nutrition, inadequate athletic opportunities, and schools with stairs. Current health policy may be constraining effective responses to asthma disparities in youth. School nursing leadership can use photovoice to advance youth voice in transforming structural inequities in urban school environments.
- Subjects
WASHINGTON (State); ASTHMA treatment; PSYCHOLOGY of asthma; DRUG therapy for asthma; ASTHMA; BLACK people; DISCOURSE analysis; DISCRIMINATION (Sociology); ECOLOGICAL research; FOCUS groups; HEALTH care rationing; HEALTH services accessibility; HEALTH status indicators; HIGH school students; HIGH schools; HOSPITAL care; HEALTH insurance; HEALTH policy; PARENTS; PHOTOGRAPHY; RESEARCH funding; RESIDENTIAL mobility; SCHOOL health services; SCHOOL nursing; HEALTH self-care; MEDICAL care for teenagers; VIDEO recording; DISEASE management; QUALITATIVE research; SOCIOECONOMIC factors; SOCIAL context; DISEASE exacerbation; PHYSICAL activity; DATA analysis software; HEALTH &; social status; DESCRIPTIVE statistics; ADOLESCENCE
- Publication
Journal of School Nursing, 2016, Vol 32, Issue 2, p99
- ISSN
1059-8405
- Publication type
Article
- DOI
10.1177/1059840515588192