Objective: Racial/ethnic disparities in Emergency Department (ED) visits due to childhood asthma are well documented. We assessed disparities among multiple racial/ethnic groups and examined the effects of asthma management in emergent health care use among children in the United States. Methods: Data come from the sample child component of the 2013-2015 National Health Interview Survey (NHIS) (ages 2-17). Among children with current asthma, (N = 3336) we assessed racial/ethnic disparities in ED visits due to asthma in the past 12 months. We used multivariate logistic regression to calculate model adjusted odds ratios (ORs) including adjustment of asthma management questions available in NHIS 2013: use of an asthma action plan, preventative medication use, and an asthma management course. Results: Using 2013-2015 NHIS data, Puerto Rican children had the highest prevalence of current asthma (21.2%). Among children with asthma, significantly higher odds of ED visits were seen among all minority subgroups (except non-Hispanic other) compared to non-Hispanic white children with Hispanic other having the highest adjusted odds ratio (OR = 2.4), followed by Puerto Rican (OR = 2.0), Mexican American (OR = 1.8) and non-Hispanic black children (OR = 1.7). In sub analyses using 2013 data, adjustment of management measures resulted in a modest to no effect in the odds of having an ED visit due to asthma.Conclusions: The high prevalence of asthma and the disparity in asthma related ED visits among minority children exemplify the need for further research in understanding the mechanisms underlying the continuing existence of these health imbalances.
Objective: Racial/ethnic disparities in Emergency Department (ED) visits due to childhood asthma are well documented. We assessed disparities among multiple racial/ethnic groups and examined the effects of asthma management in emergent health care use among children in the United States. Methods: Data come from the sample child component of the 2013-2015 National Health Interview Survey (NHIS) (ages 2-17). Among children with current asthma, (N = 3336) we assessed racial/ethnic disparities in ED visits due to asthma in the past 12 months. We used multivariate logistic regression to calculate model adjusted odds ratios (ORs) including adjustment of asthma management questions available in NHIS 2013: use of an asthma action plan, preventative medication use, and an asthma management course. Results: Using 2013-2015 NHIS data, Puerto Rican children had the highest prevalence of current asthma (21.2%). Among children with asthma, significantly higher odds of ED visits were seen among all minority subgroups (except non-Hispanic other) compared to non-Hispanic white children with Hispanic other having the highest adjusted odds ratio (OR = 2.4), followed by Puerto Rican (OR = 2.0), Mexican American (OR = 1.8) and non-Hispanic black children (OR = 1.7). In sub analyses using 2013 data, adjustment of management measures resulted in a modest to no effect in the odds of having an ED visit due to asthma.Conclusions: The high prevalence of asthma and the disparity in asthma related ED visits among minority children exemplify the need for further research in understanding the mechanisms underlying the continuing existence of these health imbalances.
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Keywords:
National Health Interview Survey (NHIS); asthma action plan; asthma management; health disparities; prevalence
Authors: Carole Ober; Chris G McKennan; Kevin M Magnaye; Matthew C Altman; Charles Washington; Catherine Stanhope; Katherine A Naughton; Mario G Rosasco; Leonard B Bacharier; Dean Billheimer; Diane R Gold; Lisa Gress; Tina Hartert; Suzanne Havstad; Gurjit K Khurana Hershey; Brian Hallmark; D Kyle Hogarth; Daniel J Jackson; Christine C Johnson; Meyer Kattan; Robert F Lemanske; Susan V Lynch; Eneida A Mendonca; Rachel L Miller; Edward T Naureckas; George T O'Connor; Christine M Seroogy; Ganesa Wegienka; Steven R White; Robert A Wood; Anne L Wright; Edward M Zoratti; Fernando D Martinez; Dennis Ownby; Dan L Nicolae; Albert M Levin; James E Gern Journal: Lancet Respir Med Date: 2020-05 Impact factor: 30.700
Authors: Matthew C Altman; Kaitlin Flynn; Mario G Rosasco; Matthew Dapas; Meyer Kattan; Stephanie Lovinsky-Desir; George T O'Connor; Michelle A Gill; Rebecca S Gruchalla; Andrew H Liu; Jacqueline A Pongracic; Gurjit K Khurana Hershey; Edward M Zoratti; Stephen J Teach; Deepa Rastrogi; Robert A Wood; Leonard B Bacharier; Petra LeBeau; Peter J Gergen; Alkis Togias; William W Busse; Scott Presnell; James E Gern; Carole Ober; Daniel J Jackson Journal: J Allergy Clin Immunol Date: 2021-05-18 Impact factor: 10.793
Authors: Evin J Howard; Stephen J Vesper; Barbara J Guthrie; Carter R Petty; Valeria A Ramdin; William J Sheehan; Jonathan M Gaffin; Perdita Permaul; Peggy S Lai; Lisa M Bartnikas; Amparito Cunningham; Marissa Hauptman; Diane R Gold; Sachin N Baxi; Wanda Phipatanakul Journal: J Allergy Clin Immunol Pract Date: 2020-10-19
Authors: Anna Volerman; Ashley A Lowe; Andrea A Pappalardo; Charmayne M C Anderson; Kathryn V Blake; Tyra Bryant-Stephens; Thomas Carr; Heather Carter; Lisa Cicutto; Joe K Gerald; Tina Miller; Nuala S Moore; Hanna Phan; S Christy Sadreameli; Andrea Tanner; Tonya A Winders; Lynn B Gerald Journal: Am J Respir Crit Care Med Date: 2021-09-01 Impact factor: 21.405