Asthma is an inflammatory lung condition that affects millions of children and adults. Asthma may cause symptoms of chest tightness, coughing, wheezing, mucus production, and shortness of breath. There are several medications that can be used in order to manage asthma. However, your lifestyle is a major contributing factor that can worsen or help alleviate the symptoms.

For instance, the city you live in may have negative (i.e., high pollution) or positive effects (i.e., clean air) on your condition. The following is a list of U.S. cities that are difficult to live in for asthma patients:

1. Philadelphia, PA
Philadelphia is a city that is full of history. However, it is also one of the worst cities that you can live in if you suffer from asthma. Poor air quality is one of the reasons that asthma sufferers tend to have it worse here. Many of the bars and restaurants allow people to smoke inside. Additionally, a large percentage of the population is uninsured. People who are uninsured are less likely to get the treatment that they need. It is common for people who have asthma to be referred to a specialist, which many people cannot afford without insurance.

2. Greensboro, NC
Greensboro is known for their trails and greenways. You can enjoy the beauty of nature in this city. However, it is not a good place to be if you have asthma. Greensboro has a lot of smokers in it. The poverty rate in Greensboro is also higher than the national average. Poverty can make it a lot harder for people to get the health care that they need. Furthermore, there are not many asthma specialists in this city. Greensboro has a tendency to get hot and humid during the summer. Hot, humid weather creates the perfect opportunity for dust and mold. Dust and mold can trigger allergy symptoms in many people.

3. Dayton, Ohio
Asthma and allergies are strongly linked. People who suffer from allergies are more likely to have asthma. Pollen is a trigger for allergies and asthma. Dayton has higher-than-average pollen counts. The poverty rate in Dayton can also make it harder for people to get the treatment that they need.

4. Cleveland, Ohio
Ragweed and pollution are two of the reasons that Cleveland has that make it dangerous for asthma sufferers. Experts predict that things are going to continue to get worse if the pollution is not controlled. The weather in Cleveland, Ohio is another factor that can put one at risk for suffering severe asthma symptoms. Cleveland, Ohio has a tendency to have very cold winters. The cold air can trigger asthma symptoms in some people.

5. Springfield, MA
Springfield is not only one of the worst cities for asthma, but it is also one of the worst cities for allergies. It has a high pollen content. Furthermore, Springfield has the highest rates of emergency room visits due to asthma.