ABSTRACT
Rationale: Asthma morbidity and mortality are disproportionately high in African Americans, especially in emerging adult (AAEA) population (age 18 to 30 years) who are between adolescence and adulthood. Few studies have been done to identify unique challenges to asthma care in African American emerging adults. Methods: We conducted virtual focus groups consisting of African American young adults (n = 16) with a physician diagnosis of asthma. Discussion questions regarding asthma triggers, management, and challenges were used. Focus group discussions were recorded and transcribed verbatim. The transcripts were then coded by three coders using a thematic saturation approach. Results: Six major domains were identified: heightened awareness and anxiety around environment and triggers;increased autonomy from parents and resultant challenges;desire for technology to aide in asthma management;impact of asthma on social group settings;asthma interference with school and/or work;and concerns during the Covid-19 pandemic. Participants reported difficulty affording asthma medications, living in unsafe environments, trouble keeping up with their young children due to asthma, regular use of technology, and utilization of nonpharmacologic remedies. While wanting to take more responsibilities as grown-ups, many felt their asthma was better controlled when they were children because of their parents' involvement in asthma management. Conclusions: African American emerging adults with asthma have unique challenges due to age and race. To achieve optimal asthma control, physicians must address these challenges through innovative means such as using technology-based tools.