You may not think of asthma – a breathing condition – and eczema – a skin condition – as being similar, but they are.
Two chronic conditions that can significantly affect life quality, asthma and eczema actually have a lot in common. In fact, studies show that these conditions hit harder and more frequently among Black individuals than all other racial groups.
Why?
Well, it turns out that asthma and eczema can be triggered by a wide range of variables. Environmental conditions, genetic factors, and other socioeconomic determinants all play a role in increasing rates of these conditions among Black people.
Genetic Factors
Research shows that particular genetic markers among Black populations may play a role in asthma and eczema. Take, for example, variations in genes that help regulate the immune system. Immunoglobulin E (IgE) may raise the likelihood of certain allergic conditions, especially asthma and eczema.
Perhaps more important is how Black individuals react genetically. Allergens, toxins, molds, and other substances can all be problematic for the Black population. This is believed to be due to an increased sensitivity in the Black community.
In other words, certain genetic responses may make Black folks have worse and more frequent issues from conditions like asthma and eczema.
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Environmental Triggers
Another reason for increased rates and severity in the Black population is the environment. Many Black communities are in areas with worse air pollution, often close to highways, industries, and other emission sources. These pollutants and contaminants can be disastrous for respiratory and skin health, especially among the vulnerable.
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Given that chronic inflammation may result as well, it’s essentially a one-two punch.
Then there are the indoor conditions. Lower-income housing may have excessive mold and dust, and financial constraints may make it more difficult to ensure the indoor spaces are clean and allergen-free. Overall, substandard housing is a major factor in higher rates of asthma and eczema.
Socioeconomic Disparities
Not everyone has access to quality healthcare, affordable medications, and trustworthy health clinics. In many marginalized communities, people simply don’t have access. This is also complicated by the lack of quality food, which is a major factor in poor health outcomes.
Given this lack of resources, conditions like asthma and eczema are exacerbated as well. In fact, studies indicate a relationship between higher flare-up rates, higher levels of financial stress, and more chronic conditions.
Financial strain also impacts mental health, worsening physical health if left untreated. Over time, the lack of high-quality housing, nutritious food, and safe environments becomes a cycle that greatly hinders healthy development.
Cultural Factors
Another reason that eczema and asthma are so pronounced in Black communities is cultural stigma. In many populations, chronic conditions may be underreported, with people reluctant to seek medical help. In other cases, traditional remedies or homemade cures may be prioritized over medical treatment, worsening health outcomes.
Unfortunately, conditions like asthma are sometimes considered a sign of weakness. This inaccurate understanding may be especially pronounced among athletes, who try to hide their asthma rather than treat it.
Unfortunately, the way these conditions are managed and perceived goes a long way. If people don’t want to acknowledge the extent of the condition, then they can never truly address it. Add in problems with healthcare access, lack of insurance, and limited healthcare availability, and asthma and eczema issues can go through the roof.
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Chronic Stress and Mental Health
The previous issues discussed can all have profound effects on one’s mental well-being. Chronic stress can lead to chronic inflammation, in both the brain and body.
And what do asthma and eczema fundamentally stem from? Inflammation.
Inflammation of the airways, inflammation of the skin, and more.
Chronic stress also contributes to depression and anxiety, which in some individuals can be debilitating. With crippling depression and anxiety, many sufferers may struggle to get proper treatment. In some ways, they may simply give up and stop trying.
When you consider historic medical distrust in the Black community, this can be a recipe for disaster.
But here’s the good news.
Despite the higher prevalence of asthma and eczema among Black individuals, there are answers out there. It certainly takes a comprehensive approach, but with a focus on the right things, it can happen.
We need to streamline healthcare for the underserved. We need to encourage local stores, shops, and farmers to provide healthy, whole, organic foods. We need to improve substandard housing. We need sensible policies that no longer entrap certain neighborhoods in high-pollution areas.
With a concerted effort, we can have a serious impact on eczema and asthma, and more importantly, address minority health issues overall.
