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Am J Public Health. 2000 March; 90(3): 428–430.
PMCID: PMC1446167

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

Abstract

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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Selected References

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  • Newacheck PW, Taylor WR. Childhood chronic illness: prevalence, severity, and impact. Am J Public Health. 1992 Mar;82(3):364–371. [PMC free article] [PubMed]
  • Weitzman M, Gortmaker S, Sobol A. Racial, social, and environmental risks for childhood asthma. Am J Dis Child. 1990 Nov;144(11):1189–1194. [PubMed]
  • Schwartz J, Gold D, Dockery DW, Weiss ST, Speizer FE. Predictors of asthma and persistent wheeze in a national sample of children in the United States. Association with social class, perinatal events, and race. Am Rev Respir Dis. 1990 Sep;142(3):555–562. [PubMed]
  • Crain EF, Weiss KB, Bijur PE, Hersh M, Westbrook L, Stein RE. An estimate of the prevalence of asthma and wheezing among inner-city children. Pediatrics. 1994 Sep;94(3):356–362. [PubMed]
  • Wissow LS, Gittelsohn AM, Szklo M, Starfield B, Mussman M. Poverty, race, and hospitalization for childhood asthma. Am J Public Health. 1988 Jul;78(7):777–782. [PMC free article] [PubMed]
  • De Palo VA, Mayo PH, Friedman P, Rosen MJ. Demographic influences on asthma hospital admission rates in New York City. Chest. 1994 Aug;106(2):447–451. [PubMed]
  • Carr W, Zeitel L, Weiss K. Variations in asthma hospitalizations and deaths in New York City. Am J Public Health. 1992 Jan;82(1):59–65. [PMC free article] [PubMed]
  • Gergen PJ, Weiss KB. Changing patterns of asthma hospitalization among children: 1979 to 1987. JAMA. 1990 Oct 3;264(13):1688–1692. [PubMed]
  • Evans R., 3rd Asthma among minority children. A growing problem. Chest. 1992 Jun;101(6 Suppl):368S–371S. [PubMed]
  • Marder D, Targonski P, Orris P, Persky V, Addington W. Effect of racial and socioeconomic factors on asthma mortality in Chicago. Chest. 1992 Jun;101(6 Suppl):426S–429S. [PubMed]
  • Halfon N, Newacheck PW. Childhood asthma and poverty: differential impacts and utilization of health services. Pediatrics. 1993 Jan;91(1):56–61. [PubMed]
  • McGauhey PJ, Starfield B. Child health and the social environment of white and black children. Soc Sci Med. 1993 Apr;36(7):867–874. [PubMed]
  • Fienberg SE, Loftus EF, Tanur JM. Cognitive aspects of health survey methodology: an overview. Milbank Mem Fund Q Health Soc. 1985 Summer;63(3):547–564. [PubMed]
  • Sanderson M, Placek PJ, Keppel KG. The 1988 National Maternal and Infant Health Survey: design, content, and data availability. Birth. 1991 Mar;18(1):26–32. [PubMed]
  • Joseph CL, Foxman B, Leickly FE, Peterson E, Ownby D. Prevalence of possible undiagnosed asthma and associated morbidity among urban schoolchildren. J Pediatr. 1996 Nov;129(5):735–742. [PubMed]
  • Oliveti JF, Kercsmar CM, Redline S. Pre- and perinatal risk factors for asthma in inner city African-American children. Am J Epidemiol. 1996 Mar 15;143(6):570–577. [PubMed]
  • Bosco LA, Gerstman BB, Tomita DK. Variations in the use of medication for the treatment of childhood asthma in the Michigan Medicaid population, 1980 to 1986. Chest. 1993 Dec;104(6):1727–1732. [PubMed]
  • Eggleston PA, Malveaux FJ, Butz AM, Huss K, Thompson L, Kolodner K, Rand CS. Medications used by children with asthma living in the inner city. Pediatrics. 1998 Mar;101(3 Pt 1):349–354. [PubMed]
  • Guarnaccia PJ, Pelto PJ, Schensul SL. Family health culture, ethnicity, and asthma: coping with illness. Med Anthropol. 1985 Summer;9(3):203–224. [PubMed]
  • Haire-Joshu D, Fisher EB, Jr, Munro J, Wedner HJ. A comparison of patient attitudes toward asthma self-management among acute and preventive care settings. J Asthma. 1993;30(5):359–371. [PubMed]

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