Asthma disparities among US children and adults

被引:8
作者
Pate, Cynthia A. [1 ,2 ]
Qin, Xiaoting [1 ]
Johnson, Carol [1 ]
Zahran, Hatice S. [1 ]
机构
[1] Natl Ctr Environm Hlth, CDCP, Div Environm Hlth Sci & Practice, Asthma & Community Hlth Branch, Atlanta, GA USA
[2] Natl Ctr Environm Hlth, CDCP, 4770 Buford highway,NE mailstop S106-6, Atlanta, GA 30341 USA
关键词
Survey research; socioeconomic factors; respiratory diseases; disparities; health outcomes; prevention; SOCIAL DETERMINANTS; CHILDHOOD ASTHMA; UNITED-STATES; HEALTH; CARE;
D O I
10.1080/02770903.2023.2228915
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
ObjectiveTo assess factors that are associated with asthma prevalence and asthma attacks among children (0-17 years) and adults (18 years and over) in the United States of America.MethodsThe 2019-2021 National Health Interview Survey data were analyzed using multivariable logistic regression models to determine associations between health outcomes (i.e. current asthma and asthma attacks) and demographic and socioeconomic factors. Each health outcome was regressed over each characteristic variable, adjusting for age, sex, and race/ethnicity for adults and sex and race/ethnicity for children.ResultsAsthma was more common among children who were male, blacks, parental education less than bachelor's, or had public health insurance, and among adults who had less than a bachelor's degree, do not own a home, or not in the workforce. Persons in families facing difficulty paying medical bills were more likely to have current asthma (children: aPR = 1.62[1.40-1.88]; adults: aPR = 1.67[1.55-1.81]) and asthma attacks (children: aPR = 1.34[1.15-1.56]; adults: aPR = 1.31[1.20-1.43]). Persons with family income <100% federal poverty threshold (FPT) (children: aPR = 1.39[1.17-1.64]; adults: aPR = 1.64[1.50-1.80]) or adults 100-199% FPT (aPR = 1.28[1.19-1.39]) were more likely to have current asthma. Children and adults with family income <100% FPT and adults 100-199% FPT were also more likely to have asthma attacks. Having asthma attacks was common among adults not in the workforce as well (aPR = 1.17[1.07-1.27]).ConclusionsAsthma affects certain groups disproportionately. The findings of this paper suggesting asthma disparities continue to persist may increase public health programs awareness to better deliver effective and evidence-based interventions.
引用
收藏
页码:2214 / 2223
页数:10
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