Details:

Alternative Title:
J Asthma
Publisher's site:
http://dx.doi.org/10.3109/02770903.2013.790417
Personal Author:
Oraka, Emeka ; Iqbal, Shahed ; Flanders, W. Dana ; Brinker, Kimberly ; Garbe, Paul
Oraka, Emeka ; Iqbal, Shahed ; Flanders, W. Dana ; Brinker, Kimberly ; Garbe, Paul Less -
Description:
Objectives

Racial/ethnic disparities in current asthma prevalence and medical care are a major public health concern. We examined the differences in asthma prevalence and morbidity among major racial/ethnic populations in the U.S.

Methods

We analyzed data from the 2001–2010 National Health Interview Survey for adults (≥18 years) and children and adolescents (<18 years). Outcome variables were current asthma prevalence, episodes and emergency department/urgent care center (ED/UCC) visits. We used multivariate logistic regression to calculate model-adjusted prevalence and risk ratios (ARR).

Results

In our study, 9.0% children and 7.2% adults had current asthma. Non-Hispanic black and Puerto Rican children were more likely to have current asthma (ARR 1.46, 1.66 respectively) and ED/UCC visits (ARR 1.61, 1.66, respectively) than non-Hispanic whites. Prevalence of asthma episodes did not differ significantly (P>0.05) among different race/ethnicities after adjusting for covariates. Among adults, Puerto Ricans were more likely to have current asthma (ARR 1.60) than non-Hispanic whites, and Non-Hispanic blacks (ARR 1.78) and Puerto Rican adults (ARR 1.71) reported ED/UCC visits more frequently than non-Hispanic whites. Adults and children who received emergency care for asthma in the past 12 months more frequently received multiple components of asthma management and control (e.g., taking long-term medication, having an asthma management plan) compared to those without emergency care.

Conclusions

Racial/ethnic differences in current asthma prevalence persist among children and adults, but are most prominent among adults with asthma-related ED/UCC visits. Appropriate and effective asthma management and education may lead to better asthma control and reduce emergency care utilization.


Subject:
[+]
Adolescent Adult Aged Article Asthma Child Child, Preschool Emergency Service, Hospital Female Health Status Disparities Health Surveys Humans Logistic Models Male Middle Aged Prevalence Time Factors
Source:
J Asthma. 50(5):488-496.
Pubmed ID:
23544662
Pubmed Central ID:
PMC4566965
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:16889a514dfdf25125016db91b0fd20ea3a2bf30422d14c98ca006beafdc8904
Download URL:
https://stacks.cdc.gov/view/cdc/34216/cdc_34216_DS1.pdf
File Type:

Supporting Files

• nihms-714947.nxml

  bin

More +