Racial Disparities in Asthma Morbidity Among Pediatric Patients Seeking Asthma Specialist Care

Academic Pediatrics
Stephanie J MitchellSande O Okelo

Abstract

To elucidate whether there may be a higher morbidity threshold for African American versus white children to be referred to or seek asthma specialist care. Secondary analysis of registry data captured from children presenting for an initial routine outpatient asthma consultation. Parents completed standard survey instruments, and spirometry was conducted when deemed appropriate by the provider. Wilcoxon rank sum tests revealed that African American patients had been hospitalized twice as often and admitted to the intensive care unit or intubated significantly more than 1½ times more frequently than their white patient counterparts. t tests indicated African American patients' forced expiratory volume in 1 second (FEV1) percentage predicted was significantly worse than that of whites, but there was no significant difference for FEV1/forced vital capacity ratio. t tests suggested that African American patients had statistically worse asthma control than did white patients at the time of initial presentation to the pulmonologist, but there was no difference in the distribution of asthma severity categories. Multivariate regression models indicated that racial differences in parent education did not explain the disparities in asthm...Continue Reading

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Citations

Apr 12, 2016·The Journal of Pediatrics·Stephanie L SantoroBonnie Patterson
Sep 10, 2016·American Journal of Respiratory and Critical Care Medicine·Berta AlmogueraHakon Hakonarson
Jul 15, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Michelle TrivediAnn Chen Wu
Aug 17, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Karen L Warman, Ellen J Silver
Jan 1, 2018·Journal of Immigrant and Minority Health·Consuelo M Beck-SagueJanvier Gasana
Jul 5, 2018·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Neha T AgnihotriSande O Okelo
Jan 22, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Kathryn H PadeSande O Okelo
Nov 22, 2018·Clinical Pediatrics·ChangWon C LeeClement J Bottino
May 8, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Diana S LeeDeepa Rastogi
Jul 26, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Cynthia A PateHatice S Zahran
Aug 23, 2017·The Cochrane Database of Systematic Reviews·Gabrielle B McCallumAnne B Chang
Feb 6, 2017·Clinical Pediatrics·Anisha GundewarJill S Halterman
Jul 12, 2019·Frontiers in Pediatrics·Michelle Trivedi, Eve Denton
Mar 10, 2020·Clinical Pediatrics·Katelyn CappotelliJill S Halterman
Jun 18, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Alayna P TackettElizabeth L McQuaid
Oct 5, 2019·Hospital Pediatrics·Kaitlyn PhilipsMichael L Rinke
Oct 26, 2020·Gastroenterology·Edward L BarnesMichael D Kappelman
Aug 1, 2020·Journal of the National Medical Association·Rebecca N JeromeConsuelo H Wilkins
Sep 14, 2021·Journal of Medical Internet Research·Made Ary SarasmitaHsiang-Yin Chen
Jun 6, 2018·Preventive Medicine Reports·Wande O Benka-CokerSheryl Magzamen

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