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Exposure to violence, psychosocial stress and asthma

Landeo Gutierrez, Jeremy (2020) Exposure to violence, psychosocial stress and asthma. Master Essay, University of Pittsburgh.

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Abstract

Over the last two decades, a growing body of evidence has linked chronic psychosocial stress to asthma. Exposure to violence can lead to chronic stress and has received recent attention in the asthma literature, as is a common exposure for people living in urban settings, particularly in the U.S. Improving our understanding of whether and how exposure to chronic stressors causes or worsens asthma could help us gain insights into disease pathogenesis, design public health policies, and develop new interventions. In this essay, the evidence linking violence or stress to asthma is explored, including recent insights on potential mechanisms, and a discussion on current challenges and future directions. To date, experimental and observational studies support a causal association between chronic stress and worse asthma control, and increasing evidence suggests that pre- or post-natal chronic stress may lead to new-onset asthma. Such evidence supports conducting randomized controlled trials of stress-reduction interventions to improve asthma control in subjects with high chronic stress. On the other hand, more experimental and longitudinal studies are needed to better understand if violence exposure leads to asthma or worse asthma outcomes. Longitudinal studies with assessment of co-exposures and coping mechanisms are key to not only better understand the independent effects of violence or stress on asthma but also to identify factors that could ameliorate or worsen such effects.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Landeo Gutierrez, Jeremyjsl65@pitt.edujsl650000-0001-7916-067X
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairFinegold, Daviddnf@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberCeledon, Juan C.juan.celedon@chp.eduUNSPECIFIEDUNSPECIFIED
Centers: Other Centers, Institutes, Offices, or Units > Center for Comparative Archaeology
Date: 1 April 2020
Date Type: Publication
Number of Pages: 27
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Official URL: https://doi.org/10.1164/rccm.201905-1073PP
Date Deposited: 29 Aug 2020 01:26
Last Modified: 29 Aug 2020 01:26
URI: http://d-scholarship.pitt.edu/id/eprint/38868

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