In the United States, Blacks and Asian/Pacific Islanders Are More Likely Than Whites to Seek Medical Care for Atopic Dermatitis

Janumpally, Shirisha R.; Feldman, Steven R.; Gupta, Aditya; Fleischer, Alan B.

doi:10.1001/archderm.138.5.634

Cited by 65 publications

(56 citation statements)

References 9 publications

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“…Our population-based study adds to the limited existing literature on healthcare utilization for eczema in children 5,15,16 by examining racial/ethnic differences in multiple healthcare utilization outcomes with granularity at the individual level. Unlike prior studies using the NAMCS and NHAMCS data samples of all U.S. office-based and hospital outpatient and emergency department visits, 15,16 respectively, use of MEPS data allowed us to evaluate healthcare utilization among all individuals with eczema regardless of whether or not they were accessing medical care for their skin disease.…”

Section: Discussionmentioning

confidence: 99%

“…Two studies using data from the National Ambulatory Medical Care Survey (NAMCS) or the National Hospital Ambulatory Medical Care Survey (NHAMCS) found minority race/ethnicity to be associated with increased healthcare utilization as measured by ambulatory visits for eczema. 15,16 However, these studies were limited by their inclusion of only those individuals with eczema who were accessing medical care. Thus, the purpose of our study was to evaluate healthcare utilization among all children with eczema by race/ethnicity at a population level and with patient-level granularity using data from the Medical Expenditure Panel Surveys.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys

Fischer

Shin

Margolis

et al. 2017

Journal of the American Academy of Dermatology

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Background Eczema is a common chronic inflammatory disease of the skin. Studies suggest differences in disease prevalence and severity by race/ethnicity. Our knowledge of healthcare utilization for eczema among different racial/ethnic groups remains limited. Objective To evaluate healthcare utilization for childhood eczema among different racial/ethnic groups in the U.S. Methods We performed a cohort study of non-Hispanic white (reference), non-Hispanic black, and Hispanic white individuals under age 18 with caregiver-reported eczema (N=2,043) pooled from the two-year longitudinal cohorts of the 2001–2013 Medical Expenditure Panel Surveys. Healthcare utilization outcomes were evaluated over the two-year follow-up period by race/ethnicity using multivariable regression. Results Among all children with eczema, non-Hispanic blacks versus whites were less likely to report an ambulatory visit for eczema (adjusted odds ratio [ORadj] 0.69; 95% confidence interval 0.51–0.92). Among those with at least one ambulatory visit for eczema, non-Hispanic blacks versus whites reported more visits (adjusted incidence rate ratio [IRRadj] 1.68; 1.10–2.55) and prescriptions (IRRadj 1.22; 1.01–1.46), and were more likely to report a dermatology visit (ORadj 1.82; 1.06–3.14) for eczema. Limitations Caregiver- or self-reported data. Conclusions Our findings suggest disparities in healthcare utilization for eczema among non-Hispanic black children despite healthcare utilization patterns suggestive of more severe disease.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys

Fischer

Shin

Margolis

et al. 2017

Journal of the American Academy of Dermatology

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“…There is also a greater frequency of seeking medical care for atopic dermatitis in black people compared with white people. 17 The differences in health care utilization may be due to differences in prevalence of the disease, or it may reflect racial differences in the impact of diseases that affect skin pigmentation. All other racial groups were diagnosed with pityriasis versicolor more frequently than Asian/Pacific islanders.…”

Section: Discussionmentioning

confidence: 99%

Treatment of pityriasis versicolor in the United States

Mellen

Vallee

Feldman

et al. 2004

Journal of Dermatological Treatment

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“…Furthermore, normal skin of African Americans is characterized by a lower ceramide-to-cholesterol ratio [78] and greater TEWL [79,80]. A higher prevalence of AD has also been reported in Asian and Hispanic AD populations [81,82], and an association between central obesity and systolic hypertension and AD has recently been reported in a pediatric cohort of Hispanic and Asian heritage [83]. Despite these observed racial variations, there is a lack of data regarding possible differences in immune activation and epidermal responses in different ethnic populations.…”

Section: Phenotypic Variations Based On Ethnicitymentioning

confidence: 99%

Immune Pathways in Atopic Dermatitis, and Definition of Biomarkers through Broad and Targeted Therapeutics

Mansouri

Guttman‐Yassky

2015

JCM

107

105

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Atopic dermatitis (AD) is the most common inflammatory skin disease. Recent research findings have provided an insight into the complex pathogenic mechanisms involved in this disease. Despite a rising prevalence, effective and safe therapeutics for patients with moderate-to-severe AD are still lacking. Biomarkers of lesional, nonlesional skin, and blood have been developed for baseline as well as after treatment with broad and specific treatments (i.e., cyclosporine A and dupilumab). These biomarkers will help with the development of novel targeted therapeutics and assessment of disease reversal, with the promise of a more personalized treatment approach. Since AD involves more than one subtype (i.e., intrinsic/extrinsic, pediatric/adult, etc.), these molecular fingerprints needs to be validated in all subpopulations with AD.

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In the United States, Blacks and Asian/Pacific Islanders Are More Likely Than Whites to Seek Medical Care for Atopic Dermatitis

Cited by 65 publications

References 9 publications

Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys

Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys

Treatment of pityriasis versicolor in the United States

Immune Pathways in Atopic Dermatitis, and Definition of Biomarkers through Broad and Targeted Therapeutics

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