Prevalence of Selected Chronic Conditions Among Children, Adolescents, and Young Adults in Acute Care Settings in Hawai‘i

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Sentell, Tetine ; Choi, So Yung ; Ching, Lance ; Quensell, Michelle ; Keliikoa, L. Brooke ; Corriveau, Émilie ; Pirkle, Catherine
• Description:
  Introduction
  
  Chronic disease prevalence among young people is understudied generally and specifically for Native Hawaiian, Filipino, and Pacific Islander youth who are at high risk for these conditions. We determined the statewide prevalence of chronic diseases in acute care for those aged 5 to 29 years, including Native Hawaiians, Filipinos, and Pacific Islanders.
  
  Methods
  
  We used Hawai‘i statewide inpatient and emergency department (ED) data across all payers from 2015–2016 to determine the presence of at least 1 of 5 chronic conditions (ie, asthma, hypertension, chronic kidney disease, diabetes, stroke) from 13,514 inpatient stays by 9,467 unique individuals and 228,548 ED visits by 127,854 individuals.
  
  Results
  
  Twenty-eight percent of youth who were hospitalized and 12% with an ED visit had at least 1 chronic condition. Medicaid covered more than half of these visits. When comparing patients with and without a chronic condition, race/ethnicity, age group, and payer varied significantly in both inpatient and ED settings. Patients with a chronic condition were disproportionately Native Hawaiian, Filipino, and Pacific Islander; 32.3% of those with an inpatient chronic condition and 34.9% of those with an ED chronic condition were Native Hawaiian. Prevalence of chronic conditions among racial/ethnic groups varied significantly by age.
  
  Conclusion
  
  Chronic diseases, including those more often seen in adulthood, are prevalent in young people in acute care settings in Hawai‘i, with notable disparities. These findings can help justify, guide, and support programs that are needed to address these changing epidemiological trends, which may be of particular interest for Medicaid.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 2020; 17
• ISSN:
  1545-1151
• Pubmed ID:
  32701433
• Pubmed Central ID:
  PMC7380289
• Document Type:
  Journal Article
• Funding:
  U54 MD007601/MD/NIMHD NIH HHS/United States ; U54 MD007584/MD/NIMHD NIH HHS/United States
• Place as Subject:
  Hawaii
• Location:
  Oceania
• Volume:
  17
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:6440fba4561cce8d9b68f6bcc9377dba22f76419884291bdf5d6c6e41a28f1d7ba0ad1fdeb9a2420f281bece0fe8034b02cfae4700b3df8446dd4e7bf5a31cd1
• Download URL:
  https://stacks.cdc.gov/view/cdc/91692/cdc_91692_DS1.pdf
• File Type:
  [PDF - 537.30 KB ]