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Institution: Mount Sinai School of Medicine
Grant Title: Determinants
of Asthma Morbidity in an Urban Population
Grant Number: K08 HS013312
Total Award: $639,225
Project Description: The purpose of this project was
to evaluate the factors contributing to asthma morbidity in inner-city minority
populations. There were four main goals:
- To develop an instrument to
measure patient adherence to asthma control medications.
- To determine the
relative contribution of low adherence to medications, inadequate
patient-provider communication, and poor access to care to poor asthma
- To test if sensitization and indoor exposure to cockroach allergen
result in increased asthma morbidity.
- To develop the protocol and
perform pilot testing of an intervention to improve the outcomes of adult
Career Goals: Dr. Wisnivesky is a Professor
and Attending Physician at Mount Sinai School of Medicine in New York. He
received his M.D. from the University of Buenos Aires in Argentina where he also did his residency in Internal Medicine. He then served as a Fellow
in Pulmonary and Critical Care Medicine at New York-Presbyterian Hospital. Dr.
Wisnivesky went on to earn is M.P.H. in biostatistics from Columbia University.
Progress to Date: This K08 award has been
successfully completed. This study showed that several key beliefs about
medications are strongly associated and may predict adherence to asthma
controller medications. Additionally, inner-city asthmatics with limited
English proficiency have significantly poor asthma control, higher rates of
resource utilization, and a lower quality of life.
Halm E, Wisnivesky J,
Leventhal H. Quality and access to care among a cohort of inner city adults
with asthma: Who gets guideline concordant care? Chest 2005. 128:1943-50.
Wisnivesky J, Leventhal H, Halm E. A prospective study of predictors
of asthma-related health care utilization and quality of life among inner city
asthmatics. Journal of Allergy and Clinical Immunology 2005. 116:636-42.
Wisnivesky J, Halm E. Sex differences in lung cancer survival: Do
tumors behave differently in elderly women? Journal of Clinical Oncology 2007.
Wisnivesky J, Sampson H, Berns S, et al. Lack of association
between indoor allergen sensitization and asthma morbidity in inner-city
adults. Clinical Immunology 2007. 120:113-120.
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