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Exploring factors associated with health disparities in asthma and poorly controlled asthma among school-aged children in the U.S.

Journal of Asthma Feb 14, 2019

Sullivan PW, et al. - Via this cross-sectional analysis performed using the nationally representative 2007–2014 Medical Expenditure Panel Survey, researchers sought to provide a national descriptive profile of asthma control and treatment patterns among school-aged children (SAC: aged 6–17) in the U.S. Higher odds of having asthma were evident in correlation with non-Hispanic black, non-Hispanic multiple races, Puerto Rican, obese, Medicaid, poor, ≥2 non-asthma chronic comorbidities (CC), and family average CC ≥ 2. Compared to non-Hispanic whites, significantly higher odds ratios (OR) of excessive short-acting beta agonist (SABA) use were noted among the following: Puerto Rican, Mexican, Central/South American, Hispanic-other, non-Hispanic black, and non-Hispanic Asian. In addition, they observed significant SABA odds ratios (OR) for Spanish spoken at home, obese, Medicaid, no medical insurance, no prescription insurance, poor, CC ≥ 2, parent-without high-school degree, parent-SF-12 Physical Component Scale <50 and Mental Component Scale <50. These findings suggest the existence of disparities in asthma control and prevalence among certain populations in the U.S.
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