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Coalition-Based Approaches for Addressing Environmental Issues in Childhood Asthma

Long Beach Alliance for Children with Asthma (LBACA), The Children’s Clinic, Serving Children and Their Families in Long Beach, CA, University of California at Irvine School of Medicine in Irvine, California

Maura Dwyer, MPH

Amy Murphy, MPH

Fight Asthma Milwaukee Allies (FAM Allies) Steering Committee, Home Environmental Health Programs for the City of Milwaukee Health Department in Milwaukee, Wisconsin

Judith C. Taylor-Fishwick, MSc, AE-C

Allies Against Asthma initiative for the Consortium for Infant and Child Health (CINCH), Eastern Virginia Medical School in Norfolk, Virginia

Jennifer H. Cohn, MLS

Fight Asthma Milwaukee Allies (FAM Allies), Department of Pediatrics at the Medical College of Wisconsin in Milwaukee, Wisconsin

Cynthia S. Kelly, MD, FAAP

Consortium for Child and Infant Health (CINCH), Eastern Virginia Medical School Children’s Hospital of The King’s Daughters in Norfolk, Virginia

Christine Gould

National Capital Asthma Coalition in Washington, D.C.

Daeman Di Stefano

National Capital Asthma Coalition in Washington, D.C.

Outdoor air pollution and the indoor environment have been shown to cause or exacerbate childhood asthma. Allies Against Asthma coalitions implemented a broad range of activities to reduce or remediate indoor exposure to asthma environmental triggers for children with asthma including education and trigger remediation, physician and other health care provider education, and policy efforts to improve air quality in homes and schools. Outdoor environmental triggers were addressed through programs to increase education and awareness and efforts to change policies related to environmental conditions. Implementation of such efforts was complicated by the lack of safe and affordable housing and the amount of time and resources necessary to address policy change. Keys to success included promoting coordination and partnerships among coalition members, implementation of consistent messages, and building a broad and unified voice for policy change.

Key Words: asthma • environment • triggers • indoor air • outdoor air • coalition

Health Promotion Practice, Vol. 7, No. 2 suppl, 108S-116S (2006)
DOI: 10.1177/1524839906287060


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