Examining Household Asthma Management Behavior through a Microeconomic Framework

Autor/inn/en	Magzamen, Sheryl; Brandt, Sylvia J.; Tager, Ira B.
Titel	Examining Household Asthma Management Behavior through a Microeconomic Framework
Quelle	In: Health Education & Behavior, 41 (2014) 6, S.651-662 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198114532288
Schlagwörter	Diseases; Child Health; Health Promotion; Chronic Illness; Social Differences; Minority Group Children; Racial Differences; Prevention; Public Health; Health Behavior; Economic Factors; Family Environment; Budgeting; Risk; Time; Drug Therapy; Decision Making + Suchen Sie Ihr Suchwort? Disease; Krankheit; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Chronic disease; Chronische Krankheit; Sozialer Unterschied; Rassenunterschied; Prävention; Vorbeugung; Gesundheitswesen; Health behaviour; Gesundheitsverhalten; Ökonomischer Faktor; Familienmilieu; Risiko; Zeit; Decision-making; Entscheidungsfindung
Abstract	National guidelines on the effective management of pediatric asthma have been promoted for over 20 years, yet asthma-related morbidity among low-income children remains disproportionately high. To date, household and clinical interventions designed to remediate these differences have been informed largely by a health behavior framework. However, these programs have not resulted in consistent sustained improvements in targeted populations. The continued funding and implementation of programs based on the health behavior framework leads us to question if traditional behavioral models are sufficient to understand and promote adaptation of positive health management behaviors. We introduce the application of the microeconomic framework to investigate potential mechanisms that can lead to positive management behaviors to improve asthma-related morbidity. We provide examples from the literature on health production, preferences, trade-offs and time horizons to illustrate how economic constructs can potentially add to understanding of disease management. The economic framework, which can be empirically observed, tested, and quantified, can explicate the engagement in household-level activities that would affect health and well-being. The inclusion of a microeconomic perspective in intervention research may lead to identification of mechanisms that lead to household decisions with regard to asthma management strategies and behavior. The inclusion of the microeconomic framework to understand the production of health may provide a novel theoretical framework to investigate the underlying causal behavioral mechanisms related to asthma management and control. Adaptation of an economic perspective may provide new insight into the design and implementation of interventions to improve asthma-related morbidity in susceptible populations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10