Articulation of asthma and its care among low-income emergency care recipients

Janice F. Munro, Debra Haire-Joshu, Edwin B. Fisher, H. James Wedner

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Low-income minority patients from East St. Louis, Illinois, a depressed midwestern urban city, who had visited acute care settings with asthma symptoms, participated in a focus group. Questions were constructed around the Health Belief Model to characterize participants' experiences in receiving asthma care, their confidence in long-term asthma self-management, barriers they perceived to managing their asthma, and recommendations they would make for improving asthma care in their community. Analysis of comments suggests an appreciable understanding of asthma triggers, limited coping behaviors for asthma symptoms, very limited practice of active asthma management, perception of the health care system as frequently insensitive to their needs or their knowledge of their own care, exchange of well-articulated information regarding how to deal with the system, and an apparent lack of awareness of any potential contribution of patient education or support system.

Original languageEnglish
Pages (from-to)313-325
Number of pages13
JournalJournal of Asthma
Issue number5
StatePublished - 1996


  • African-American
  • Focus group
  • Health Belief Model
  • Low income
  • Patient perceptions


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