Prevalence of possible undiagnosed asthma and associated morbidity among urban schoolchildren

Joseph, Christine L.M.; Foxman, Betsy; Leickly, Frederick E.; Peterson, Edward L.; Ownby, Dennis R.

doi:10.1016/s0022-3476(96)70158-0

Cited by 142 publications

(80 citation statements)

References 44 publications

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“…Our study also avoided the drawback of prevalence estimates drawn solely from medical records, which have been shown to overlook some asthmatic children, 22,23 particularly the poor and those without insurance. 23 Low birthweight and maternal smoking were associated with a substantial increase in asthma risk. 4,24 Having been breast-fed had a sizable protective effect.…”

Section: Discussionmentioning

confidence: 99%

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

2000

Am J Public Health

171

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OBJECTIVES: Asthma is the most common chronic illness among US children and is most prevalent in low-income and minority groups. We used multivariate models to disentangle the effects of race/ethnicity, income, and other individual-level risk factors on asthma in a population-based sample of children aged 3 years. METHODS: Data are from the 1988 National Maternal and Infant Health Survey and 1991 Longitudinal Follow-Up. Odds ratios of asthma prevalence, hospitalization, and emergency room use were estimated, with control for socioeconomic characteristics, health behaviors, and insurance. RESULTS: Asthma prevalence, hospitalization, and emergency room use declined with increasing income for non-Black but not Black children. CONCLUSIONS: Lifetime income and sociodemographic characteristics do not explain the excess risks of asthma and emergency health care use for asthma among young Black children.

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Section: Discussionmentioning

confidence: 99%

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

2000

Am J Public Health

171

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“…Despite progress in better recognition of asthma, however, concern remains that asthma is underdiagnosed and that children with undiagnosed disease remain at high risk of decreased quality of life and adverse outcomes. [42][43][44] Populations of concern include adolescents, 45 inner-city children, 42,43 and girls, who may present with more-subtle patterns of symptoms than boys. 46 However, 1 study in an urban area found rela- tively low prevalence of undiagnosed wheezing among children; the authors credited public awareness campaigns and asthma education for this finding.…”

Section: Asthma Is a Significant Public Health Burden About Which Manmentioning

confidence: 99%

Status of Childhood Asthma in the United States, 1980–2007

et al. 2009

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Centers for Disease Control and Prevention data were used to describe 1980 -2007 trends among children 0 to 17 years of age and recent patterns according to gender, race, and age. Asthma period prevalence increased by 4.6% per year from 1980 to 1996. New measures introduced in 1997 show a plateau at historically high levels; 9.1% of US children (6.7 million) currently had asthma in 2007. Ambulatory care visit rates fluctuated during the 1990s, whereas emergency department visits and hospitalization rates decreased slightly. Asthma-related death rates increased through the middle 1990s but decreased after 1999. Recent data showed higher prevalence among older children (11-17 years), but the highest rates of asthmarelated health care use were among the youngest children (0 -4 years). After controlling for racial differences in prevalence, disparities in adverse outcomes remained; among children with asthma, non-Hispanic black children had greater risks for emergency department visits and death, compared with non-Hispanic white children. For hospitalizations, for which Hispanic ethnicity data were not available, black children had greater risk than white children. However, nonemergency ambulatory care use was lower for non-Hispanic black children. Although the large increases in childhood asthma prevalence have abated, the burden remains large. Potentially avoidable adverse outcomes and racial disparities continue to present challenges. These findings suggest the need for sustained asthma prevention and control efforts for children. Pediatrics 2009;123:S131-S145

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“…Asthma is particularly prevalent among urban populations and minority populations (3)(4)(5). The national trends in the increase in asthma are visible in Detroit, where a 1993-1994 study found that 17.4% of the 230 children in the sample had a physician diagnosis of asthma (6) and where pediatric hospital admissions for asthma among African American children has escalated (from 11.6% of pediatric hospital admissions in 1986 to 17.5% in 1989). Data from the Michigan Department of Community Health show childhood asthma hospitalization rates in Detroit were more than twice the statewide average during the period from 1991 to 1996 (75.5 ± 1.4 per 10,000 children under 18 years of age for Detroit vs. 30.1 ± 0.3 per 10,000 for Michigan).…”

Section: Background On Asthma Prevalence Causation and Aggravationmentioning

confidence: 99%

Assessment of personal and community-level exposures to particulate matter among children with asthma in Detroit, Michigan, as part of Community Action Against Asthma (CAAA).

Keeler

Dvonch

Yip

et al. 2002

Environ Health Perspect

112

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We report on the research conducted by the Community Action Against Asthma (CAAA) in Detroit, Michigan, to evaluate personal and community-level exposures to particulate matter (PM) among children with asthma living in an urban environment. CAAA is a community-based participatory research collaboration among academia, health agencies, and community-based organizations. CAAA investigates the effects of environmental exposures on the residents of Detroit through a participatory process that engages participants from the affected communities in all aspects of the design and conduct of the research; disseminates the results to all parties involved; and uses the research results to design, in collaboration with all partners, interventions to reduce the identified environmental exposures. The CAAA PM exposure assessment includes four seasonal measurement campaigns each year that are conducted for a 2-week duration each season. In each seasonal measurement period, daily ambient measurements of PM 2.5 and PM 10 (particulate matter with a mass median aerodynamic diameter less than 2.5 µm and 10 µm, respectively) are collected at two elementary schools in the eastside and southwest communities of Detroit. Concurrently, indoor measurements of PM 2.5 and PM 10

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Prevalence of possible undiagnosed asthma and associated morbidity among urban schoolchildren

Cited by 142 publications

References 44 publications

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

Status of Childhood Asthma in the United States, 1980–2007

Assessment of personal and community-level exposures to particulate matter among children with asthma in Detroit, Michigan, as part of Community Action Against Asthma (CAAA).

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