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Differing Reports of Asthma Symptoms in African Americans and Caucasians
Authors:D Scott Trochtenberg  Rhonda BeLue  Sharon Piphus  Niketa Washington
Institution:  a Division of Pulmonary and Critical Care Medicine, Department of Pulmonary and Critical Care Medicine, Meharry Medical College, Nashville, Tennessee, USA b Department of Health Policy and Administration, Pennsylvania State University, University Park, Pennsylvania, USA c Nashville General Hospital at Meharry, Nashville, Tennessee, USA
Abstract:Objective. This pilot study explores the reported symptoms in African Americans and Caucasians with asthma. Methods. Asthma patients in an inner-city pulmonary clinic were given a brief questionnaire of asthma symptoms and the BORG scale, followed by spirometry. Results. African Americans were less likely to report nocturnal awakenings (67% vs. 100%; p = 0.037), complain of dyspnea (33% vs. 75%; p = 0.038), or experience chest pain (13% vs. 75%; p = 0.002) than Caucasians. Conclusions. This is the first study to demonstrate that there are clinically significant differences in the reporting of asthma symptoms between African Americans and Caucasians.
Keywords:symptoms  African Americans  asthma  perception  disparities
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