Rural Asthma: Current Understanding of Prevalence, Patterns, and Interventions for Children and Adolescents

Robin Dawson Estrada, Dennis R. Ownby

Research output: Contribution to journalReview articlepeer-review

37 Scopus citations


Purpose of Review: Asthma is the most common chronic illness of children and adolescents in the USA. While asthma has been understood to disproportionately affect urban dwellers, recent investigations have revealed rural pediatric asthma prevalence to be very similar to urban and to be more closely correlated with socioeconomic and environmental factors than geographic location or population density. Recent Findings: Rural children experience factors unique to location that impact asthma development and outcomes, including housing quality, cigarette smoke exposure, and small/large-scale farming. Additionally, there are challenging barriers to appropriate asthma care that frequently are more severe for those living in rural areas, including insurance status, lack of primary care providers and pulmonary specialists, knowledge deficits (both patient and provider), and a lack of culturally tailored asthma interventions. Summary: Interventions designed to address rural pediatric asthma disparities are more likely to be successful when targeted to specific challenges, such as the use of school-based services or telemedicine to mitigate asthma care access issues. Continued research on understanding the complex interaction of specific rural environmental factors with host factors can inform future interventions designed to mitigate asthma disparities.

Original languageEnglish (US)
Article number37
JournalCurrent Allergy and Asthma Reports
Issue number6
StatePublished - Jun 1 2017
Externally publishedYes


  • Adolescents
  • Asthma
  • Asthma intervention
  • Asthma prevalence
  • Pediatric asthma
  • Rural asthma

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Pulmonary and Respiratory Medicine


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