Poor Asthma Outcomes in Black Children Despite Access to Care

Monday, June 7 (HealthDay News)-Black and Hispanic children are more likely to have than white children, even with equal access to health care. asthma And those results are often worse, US studies have found.

Researchers analyzed data from 822,900 children aged 2 to 17 years who were continuously enrolled in the Department of Defense’s Health Maintenance Organization-type program, TRICARE Prime, throughout 2007. asthma Prevalence, treatment and outcome were assessed among children in three age groups: 2-4, 5-10, and 11-17.

The study found some racial and ethnic differences.Blacks and Hispanic children were more likely to be diagnosed than whites asthma At all ages, black children of all ages and Hispanic children aged 5-10 were likely to be potentially avoidable. asthmaRelated hospitalization or emergency department visits.

“Our discoveries about treatment patterns were mixed,” wrote Kate A. Stewart and colleagues at Mathematica Policy Research in Chicago. “Black children, who were more likely to be diagnosed with asthma at all ages and had worse outcomes than white children, were also more likely to receive recommendations. Asthma remedy, Especially inhalation Corticosteroid.. “

However, this finding may be related to the high rates of emergency department and hospital visits among black children. Prescriptions for the drug may have been written and filled out during or after these visits, the study authors said.

Researchers also found that black children are less likely to be treated by asthma specialists and are more likely to follow treatment guidelines, including the proper use of asthma control drugs.

“Therefore, even if black children meet more prescriptions Asthma remedy, They may have been less likely than white children who visited specialists to control asthma and use the drug properly, “the researchers wrote.

“Our findings suggest that eliminating racial and ethnic disparities in health care is likely to require a multifaceted approach that goes beyond universal health insurance coverage.” The authors concluded.

The study was released online on June 7, before it was published in the August print edition of the journal. Archive Pediatrics & Adolescent medicine..

–Robert Preidt

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Asthma is a chronic respiratory illness.
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Source: JAMA / Archive Journal, News Release, June 7, 2010

Poor Asthma Outcomes in Black Children Despite Access to Care

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