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Cited by 88Asthma and respiratory diseasesSchool Health and Nursing EducationOccupational exposure and asthma

Asthma and the Achievement Gap Among Urban Minority Youth

Basch, Charles E.·2011·Journal of School Health
DOI 10.1111/j.1746-1561.2011.00634.x
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Abstract

OBJECTIVES: To outline the prevalence and disparities of asthma among school-aged urban minority youth, causal pathways through which poorly controlled asthma adversely affects academic achievement, and proven or promising approaches for schools to address these problems. METHODS: Literature review. RESULTS: Asthma is the most common chronic disease affecting youth in the United States; almost 10 million youth under 18 (14%) have received a diagnosis and 6.8 million (9%) have active asthma. Average annual prevalence estimates were approximately 45% higher for Black versus White children (12.8% vs. 8.8%), as were average annual estimates of asthma attacks (8.4% vs. 5.8%). Urban minority youth have highly elevated prevalence of poorly controlled asthma as evidenced by overuse of emergency departments and under-use of efficacious medications. Poorly controlled asthma has functional consequences on cognition, connectedness with school, and absenteeism. Exemplary asthma programs include management and support systems, school health and mental health services, asthma education, healthy school environments, physical education and activity, and coordination of school, family, and community efforts. CONCLUSIONS: Asthma and, more importantly, poorly controlled asthma are highly and disproportionately prevalent among school-aged urban minority youth, has a negative impact on academic achievement through its effects on cognition, school connectedness, and absenteeism, and effective practices are available for schools to address this problem. To reduce the adverse effects of poorly controlled asthma on learning, a multifaceted approach to asthma control and prevention in which schools can and must play a central role is essential.

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  • Students with asthma have lower cognitive performance and increased school absenteeism.

    “Students with asthma have been shown to have lower cognitive performance and increased school absenteeism.26,32,58,59”

    From Critical connections: health and academics (2015) · cites this paper as [58]

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Authors
Basch, C. E.
Affiliations
Columbia University (US)
Corresponding author
Basch, Charles E.
ORCID
Basch, Charles E.
Venue
Journal of School Health
Publisher
Wiley
Published
2011-09-16
Volume
81
Issue
10
Pages
606-613
ISSN
0022-4391 (ISSN-L)
DOI
10.1111/j.1746-1561.2011.00634.x
OpenAlex
W2044551183
Cited by
88
References
112
Citations by year
2026: 1 · 2025: 3 · 2024: 6 · 2023: 8 · 2022: 3 · 2021: 13 · 2020: 6 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 9 · 2015: 5 · 2014: 5 · 2013: 4 · 2012: 2
FWCI
0.38
Type
journal article
Language
en
Open access
closed
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 1446 d)
Locations
  • Journal of School Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
Keywords
asthma, asthma control, achievement gap, urban minority youth, racial disparities, academic performance, school absenteeism, school connectedness, asthma prevalence, emergency department utilization, asthma management program, school health services, asthma education, physical activity, children with chronic illness
MeSH terms
Absenteeism, Achievement, Adolescent, Asthma, Child, Child Welfare, Cognition, Cognition Disorders, Humans, Learning, Minority Groups, School Health Services, Socioeconomic Factors, United States, Urban Population, Prevalence, Risk Assessment, Health Status Disparities

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