reference : Racial and ethnic disparities in asthma medication usage and health-care utilization: Data from the National Asthma Survey

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Bibliographic fields
reftype Journal Article
Abstract BACKGROUND: Despite the availability of effective treatment, minority children continue to experience disproportionate morbidity from asthma. Our objective was to identify and characterize racial and ethnic disparities in health-care utilization and medication usage among US children with asthma in a large multistate asthma survey. METHODS: We analyzed questions from the 2003-2004 four-state sample of the National Asthma Survey to assess symptom control, medication use, and health-care utilization among white, black, and Hispanic children < 18 years old with current asthma who were residing in Alabama, California, Illinois, or Texas. RESULTS: Of the 1,485 children surveyed, 55% were white, 25% were Hispanic, and 20% were black. Twice as many black children had asthma-related ED visits (39% vs 18%, respectively; p < 0.001) and hospitalizations (12% vs 5%, respectively; p = 0.02) compared with white children. Significantly fewer black and Hispanic children reported using inhaled corticosteroids (ICSs) in the past 3 months (21% and 22%, respectively) compared to white children (33%; p = 0.001). Additionally, 26% of black children and 19% of Hispanic children reported receiving a daily dose of a short-acting beta-agonist compared with 12% of white children (p = 0.001). ED visits were positively correlated with short-acting beta-agonist use and were negatively correlated with ICS use when stratified by race/ethnicity. CONCLUSIONS: Children with asthma in this large, multistate survey showed a dramatic underuse of ICSs. Black and Hispanic children compared with white children had more indicators of poorly controlled asthma, including increased emergency health-care utilization, more daily rescue medication use, and lower use of ICSs, regardless of symptom control.
Author Crocker, D.; Brown, C.; Moolenaar, R.; Moorman, J.; Bailey, C.; Mannino, D.; Holguin, F.
DOI 10.1378/chest.09-0013
Date Oct
ISSN 1931-3543
Issue 4
Journal Chest
Keywords Administration, Inhalation; Adolescent; Adrenal Cortex Hormones/administration & dosage/therapeutic use; Adrenergic beta-Agonists/therapeutic use; African Continental Ancestry Group; Alabama; Anti-Asthmatic Agents/*therapeutic use; Asthma/*therapy; California; Child; Continental Population Groups; Emergency Service, Hospital/utilization; Ethnic Groups; European Continental Ancestry Group; Health Services/*utilization; Health Surveys; Hispanic Americans; Hospitalization/statistics & numerical data; Humans; Illinois; Interviews as Topic
Language eng
Notes 1931-3543 Crocker, Deidre Brown, Clive Moolenaar, Ronald Moorman, Jeanne Bailey, Cathy Mannino, David Holguin, Fernando Comparative Study Journal Article Research Support, U.S. Gov't, P.H.S. United States Chest. 2009 Oct;136(4):1063-71. doi: 10.1378/chest.09-0013. Epub 2009 Jun 30.
Pages 1063-1071
Title Racial and ethnic disparities in asthma medication usage and health-care utilization: Data from the National Asthma Survey
Volume 136
Year 2009
Bibliographic identifiers
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_record_number 18451
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