Assessing Indoor Environmental Control Practices by Race/Ethnicity Among Children With Asthma in 14 US States and Puerto Rico, 2013–2014

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Rozwadowski, Faye M. ; Chew, Ginger L. ; Zahran, Hatice S. ; Santorelli, Melissa L.
• Description:
  Introduction
  
  In the United States, children in Puerto Rico and non-Hispanic black children in the mainland US have a higher burden of asthma than non-Hispanic white children in the mainland US. We examined indoor environmental control (IEC) practices that reduce asthma triggers, by race/ethnicity among children in the mainland US and Puerto Rico.
  
  Methods
  
  We used 2013 and 2014 data from the Behavioral Risk Factor Surveillance System Asthma Call-back Survey Child Questionnaire from 14 states and Puerto Rico to measure the association between race/ethnicity and IEC practices, adjusting for sociodemographic covariates, among children identified as ever receiving an asthma diagnosis. Racial/ethnic groups were compared in 14 US states using aggregated data. Separate analyses compared IEC practices for children diagnosed with asthma in Puerto Rico with children of all races/ethnicities diagnosed with asthma in 14 states.
  
  Results
  
  Among households in 14 US states that had a child with asthma, non-Hispanic black children were more likely than non-Hispanic white children to use an air purifier (36.8% vs 25.2%; adjusted odds ratio [aOR] = 2.0; 95% confidence interval [CI], 1.3–3.2) and avoid pets in the bedroom (87.9% vs 58.3%; aOR = 4.5; 95% CI, 2.3–8.8). Children in Puerto Rico were more likely than children in 14 states to use dust mite–impermeable pillow covers (53.7% vs 36.4%; aOR = 3.6; 95% CI, 1.8–7.1) and mattress encasements (60.3% vs 30.3%; aOR = 2.4; 95% CI, 1.2–4.8).
  
  Conclusion
  
  IEC practices such as using air purifiers, pillow covers, mattress encasements, and avoiding pets in the bedroom vary by race/ethnicity among children with asthma. These findings show that vulnerable populations are using IEC practices, but asthma prevention and control measures should continue to be assessed.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 16
• ISSN:
  1545-1151
• Pubmed ID:
  31878986
• Pubmed Central ID:
  PMC6936671
• Document Type:
  Journal Article
• Volume:
  16
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:4bb6a3872cac94e2cdb1df7c580039bced405d30ca49d300020f0ef013e0feaef27984dc52fd45ab572342637ac500698e03efeaa8ad48e1a114e1f344a31c94
• Download URL:
  https://stacks.cdc.gov/view/cdc/84197/cdc_84197_DS1.pdf
• File Type:
  [PDF - 270.33 KB ]