{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:46:37Z","timestamp":1787013997814,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,18]],"date-time":"2020-10-18T00:00:00Z","timestamp":1602979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Experimental Allergy"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Young adults (ages 18\u201044) have increased emergency department use for asthma and poor adherence to medications. The objective of this mixed\u2010methods study was to understand experiences with and approaches to managing asthma, of which little is known in this age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Surveys (Asthma Control Questionnaire, Asthma Quality of Life Questionnaire) and 1:1 semi\u2010structured interviews were used to explore experiences with asthma, symptoms, self\u2010management behaviours, and relationship to asthma control and quality of life. Qualitative data were analysed using content analysis techniques. Descriptive statistics and bivariate correlations were used to examine distributive characteristics and associations between variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty urban adults participated (mean age 32.7\u00a0\u00b1\u00a06.2, 1\u03c3). Coughing was reported nearly 46% more often than wheezing, with 42.5% (17\/40) coughing until the point of vomiting most days. Most participants delayed using medication for symptoms due to misperceptions about inhalers. Higher symptom frequency and worse asthma control were associated with greater use of non\u2010pharmacologic symptom management strategies (r\u00a0=\u00a00.645,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001; r\u00a0=\u00a00.360,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.022, respectively). Five themes were identified regarding young adults experiences with asthma: (1) having asthma means being limited and missing out on life; (2) health care for asthma is burdensome, and other things are more important; (3) there is not enough personal benefit in medical interactions to make preventive care worthwhile; (4) there are insufficient support and education about asthma for adults; and (5) people normalize chronic symptoms over time and find ways of coping that fit with their lifestyle.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Relevance<\/jats:title>\n                    <jats:p>Young adults may tolerate symptoms without using quick\u2010relief medication or seeking preventive care. Increasing engagement with preventive services will require decreasing perceived burdens and increasing the personal benefits of care. Evaluating for non\u2010pharmacologic approaches to managing symptoms and asthma\u2010related coughing may identify uncontrolled asthma. Enhanced training for clinicians in patient\u2010centric asthma care may be needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cea.13751","type":"journal-article","created":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T14:09:10Z","timestamp":1601647750000},"page":"63-77","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["A mixed\u2010methods analysis of younger adults' perceptions of asthma, self\u2010management, and preventive care: \"This isn't helping me none\""],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7858-9183","authenticated-orcid":false,"given":"Jennifer R.","family":"Mammen","sequence":"first","affiliation":[{"name":"College of Nursing University of Rhode Island  Kingston RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Turgeon","sequence":"additional","affiliation":[{"name":"College of Nursing University of Rhode Island  Kingston RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Philibert","sequence":"additional","affiliation":[{"name":"College of Nursing University of Rhode Island  Kingston RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith D.","family":"Schoonmaker","sequence":"additional","affiliation":[{"name":"University of Rochester School of Nursing  Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Java","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Computational Biology University of Rochester  Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Halterman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Rochester School of Medicine  Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc 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USA"},{"name":"Ferkauf Graduate School of Psychology Yeshiva University  Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Fortuna","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Rochester School of Medicine  Rochester NY USA"},{"name":"Department of Internal Medicine University of Rochester School of Medicine  Rochester NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Arcoleo","sequence":"additional","affiliation":[{"name":"College of Nursing University of Rhode Island  Kingston RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,18]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Center for Disease Control.Uncontrolled asthma among persons with current 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