Socio-demographics and asthma prevalence,management,and outcomes among children 1-11 years of age in California  

作　　者：Jim E.Banta Majed Ramadan Noara Alhusseini Khaled Aloraini Naomi Modeste 

机构地区：[1]Loma Linda University School of Public Health,24951 Circle Dr,CA 92354 Loma Linda,USA [2]College of Medicine,Alfaisal University,7746 Ibrahim Alziady St.,Alwurud District,122532499 Riyadh,Saudi Arabia

出　　处：《Global Health Research and Policy》2021年第1期329-340,共12页全球健康研究与政策（英文）

摘　　要：Background:Asthma disproportionately affects minority and low-income children.We examined asthma prevalence,management and outcomes,focusing on race/ethnicity and acculturation of parents(particularly English language proficiency).Methods:This cross-sectional,correlational analysis used a de-identified population-based survey,the California Health Interview Survey,for years 2001–2015.Survey-weighted analysis with SAS 9.4 was used to determine asthma prevalence among children 1 to 11 years of age.Descriptive analysis was conducted,adjusting for survey design and combination of multiple years of data.The Pearson test,using design-based F values was used to determine statistically significant differences between those having/not having a doctor diagnosis of asthma.Multivariable logistic regression,with jackknife approach to obtain confidence intervals,was used to examine associations of child and parental characteristics with asthma prevalence,management,and outcomes.Results:The 61,625 completed surveys represented an estimated annual population of 5.7 million children,of which 12.9%had asthma.There were significant(p<0.001)differences by age,gender,race,and language proficiency,with higher asthma prevalence for children 6 to 11 years of age(15.5%),males(15.3%),African Americans(19.5%),and parents speaking English very well(14.1%).Compared to children whose parents spoke English very well,those whose parents spoke English not well or not at all were less likely to achieve optimal asthma management,i.e.to have received a management plan from doctor(OR 0.30;95%Confidence Interval 0.20–0.46)),to be currently taking medication to control asthma(OR 0.52;95%CI 0.36–0.74)),or to be not confident in ability to control asthma(OR 3.10;95%CI 1.49–6.42).Children whose parents spoke English fairly well rather than very well had worse outcomes,i.e.were more likely to have an emergency room visit in past 12 months(OR 1.92;95%CI 1.03–3.61)and were more likely to miss school due to asthma in past 12 months(OR 0.71;1.01–2

关 键 词：CHILDREN Ethnic groups PARENTS ASTHMA Cross-sectional studies Surveys and Questionnaires Language California 

分 类 号：R56[医药卫生—呼吸系统]