Crystal N Piper1, Keith Elder, Saundra Glover, Jong-deuk Baek. 1. Institute for Health Disparities, Department of Health Services Policy and Management, Norman J. Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29210, USA. piper@gwm.sc.edu
Abstract
OBJECTIVE: To examine the influence of race and having an asthma management plan on the impact of experiencing asthmatic episodes. METHODS: This study utilized the 2002 and 2003 National Health Interview Survey to conduct a retrospective study and secondary data analysis. Univariate, bivariate, and multivariate analysis was performed to examine physician asthma management plan recommendations among minority and non-minority children in the United States. RESULTS: Most of the study participants (59%) reported not having an asthma management plan. Children who experienced an asthma episode in the past 12 months were less likely to have an asthma management plan (OR .51, P<.0001). In the multivariate analysis, Whites were significantly more likely than were Blacks and Hispanics to have an asthma management plan (OR 1.66, P=.0031). CONCLUSIONS: Findings from this study indicate that Black and Hispanic children with asthma are less likely to have an asthma management plan, and children with an asthma management plan are less likely to have had asthma episodes in the past 12 months. Requiring all insurers to provide an asthma management plan to children with asthma may reduce these race-based inequities.
OBJECTIVE: To examine the influence of race and having an asthma management plan on the impact of experiencing asthmatic episodes. METHODS: This study utilized the 2002 and 2003 National Health Interview Survey to conduct a retrospective study and secondary data analysis. Univariate, bivariate, and multivariate analysis was performed to examine physician asthma management plan recommendations among minority and non-minority children in the United States. RESULTS: Most of the study participants (59%) reported not having an asthma management plan. Children who experienced an asthma episode in the past 12 months were less likely to have an asthma management plan (OR .51, P<.0001). In the multivariate analysis, Whites were significantly more likely than were Blacks and Hispanics to have an asthma management plan (OR 1.66, P=.0031). CONCLUSIONS: Findings from this study indicate that Black and Hispanic children with asthma are less likely to have an asthma management plan, and children with an asthma management plan are less likely to have had asthma episodes in the past 12 months. Requiring all insurers to provide an asthma management plan to children with asthma may reduce these race-based inequities.
Authors: Santosh Krishna; Benjamin D Francisco; E Andrew Balas; Peter König; Gavin R Graff; Richard W Madsen Journal: Pediatrics Date: 2003-03 Impact factor: 7.124
Authors: Alison A Galbraith; Lauren A Smith; Barbara Bokhour; Irina L Miroshnik; Gregory S Sawicki; James H Glauber; Katherine H Hohman; Charlene Gay; Tracy A Lieu Journal: Arch Pediatr Adolesc Med Date: 2010-01
Authors: Felicity W K Harper; Susan Eggly; Beverly Crider; Hitomi Kobayashi; R N Kathleen; L Meert; Allison Ball; Louis A Penner; Herman Gray; Terrance L Albrecht Journal: J Natl Med Assoc Date: 2015-12-02 Impact factor: 1.798