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Health disparities among children with asthma in the U.S. by place of residence

The Journal of Allergy and Clinical Immunology: In Practice May 27, 2018

Sullivan PW, et al. - Given children residing in poor-urban areas may have greater asthma morbidity but it is unclear if this is due to individual characteristics like race and ethnicity or place of residence, researchers evaluated indicators of control and treatment by residence in this cross-sectional analysis involving children (aged 1-17) in the 2000-2014 Medical Expenditure Panel Survey (MEPS). Having a controller-to-total ratio ≥ 0.7 and reporting an asthma attack, children with asthma were found to have lower odds of using controller medications after controlling for covariates; in addition, higher odds of having an Emergency Department (ED)/inpatient (IP) visit were also present compared to those living elsewhere. Overall, even after controlling for individual characteristics like race and ethnicity, there may exist an independent association between poor-urban residence and asthma control and treatment.
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