Characteristics of Hospitalization for Asthma Among Persons Less than 35 Years of Age in Chicago

Details

• Personal Author:
  Addington W ; Kelleher P ; Persky VW ; Targonski PV
• Description:
  Mortality from asthma in Chicago is among the highest in the nation for 5-34-year-olds. Data for all hospitalizations among Chicago residents less than 35 years of age were examined to define characteristics that may be contributing to morbidity and mortality from asthma. From 1987 through 1989, the average annual age-adjusted hospitalization rate among persons less than 35 years of age in Chicago was 3.57 per 1000 persons. There were significant associations of community hospitalization rate with median income (r = -0.61, p < 0.001) and with proportion of community asthma hospitalizations using Medicaid, Medicare, or self-payment (r = 0.69, p < 0.001). Among 18-34-year-old men, asthma hospitalization rates for Medicaid recipients were 17.4-34.1-fold higher than among men using other forms of insurance. Asthma admissions using Medicaid, Medicare, or self-payment were more likely than those using other forms of insurance to present through the emergency department (79.3% and 66.4%, respectively, p < 0.001) and be discharged against medical advice (1.8% vs. 0.7%, respectively, p < 0.001). These data suggest that differential access to or utilization of health care may be contributing to asthma morbidity in Chicago. [Description provided by NIOSH]
• Subjects:
  Aging Asthma Asthma, Occupational Epidemiology Morbidity Mortality Occupational Health Safety
• Keywords:
  Age Groups Health Care Medical Records Morbidity Rates Mortality Rates
• ISSN:
  0277-0903
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  365-372
• Volume:
  32
• Issue:
  5
• NIOSHTIC Number:
  nn:20057929
• Citation:
  J Asthma 1995 Sep; 32(5):365-372
• Contact Point Address:
  Paul V. Targonski, M.P.H., University of Illinois School of Public Health, Division of Epidemiology-Biostatistics, 2121 West Taylor Street, Room 515, Chicago, IL 60612
• Federal Fiscal Year:
  1995
• Performing Organization:
  University of Illinois at Chicago
• Peer Reviewed:
  True
• Start Date:
  19770701
• Source Full Name:
  Journal of Asthma
• End Date:
  19940630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2363119f4a82d52d76c60764a8eaab87c1fa0d15efdd61b8f1bbbb65ef1e92451c89afd2ed4f5f5b3750cf55896aef260f88d8f630d9fb08e6767505e7cb3d26
• Download URL:
  https://stacks.cdc.gov/view/cdc/215131/cdc_215131_DS1.pdf
• File Type:
  [PDF - 762.68 KB ]