Health Disparities Among Children with Asthma in the United States by Place of Residence

The Journal of Allergy and Clinical Immunology. in Practice
Patrick SullivanBenjamin Ortiz

Abstract

Children residing in poor-urban areas may have greater asthma morbidity. It is unclear whether this is due to individual characteristics such as race and ethnicity or place of residence. Assess indicators of control and treatment by residence. This was a cross-sectional analysis of children (aged 1-17 years) in the 2000-2014 Medical Expenditure Panel Survey (MEPS). Indicators of poor control included use of more than 3 canisters of short-acting beta agonist (SABA) in 3 months, asthma attack, and emergency department (ED) or inpatient (IP) visit during the year. Treatment measures included use of controller medications and a ratio of controller-to-total prescriptions of 0.7 or more. There were 15,052 children with asthma in the MEPS 2000-2014 data, reflecting 8.4 million children in 2014. After controlling for covariates, children with asthma residing in poor-urban areas had lower odds of using controller medications (odds ratio [OR] = 0.77), having a controller-to-total ratio of 0.7 or more (OR = 0.75), and reporting an asthma attack (OR = 0.75) and higher odds of having an ED/IP visit (OR = 1.3) compared with those living elsewhere. Black race and Hispanic ethnicity were associated with greater odds of excessive SABA use (OR =...Continue Reading

Citations

Jan 28, 2021·Medical Anthropology Quarterly·Julie SprayJean M Hunleth
Oct 28, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Jean HunlethErika A Waters

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