A Population-Based Study of Health Service Deficits for US Adults with Asthma
| Autor: | Joel Emery McCullough, Martin S. Lipsky, May Nawal Lutfiyya |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Multivariate analysis Adolescent Ethnic group Young Adult Environmental health Epidemiology Health care medicine Humans Immunology and Allergy Healthcare Disparities Socioeconomic status Aged Asthma business.industry Middle Aged medicine.disease United States Health equity Pediatrics Perinatology and Child Health Survey data collection Female Medical emergency business |
| Zdroj: | Journal of Asthma. 48:931-944 |
| ISSN: | 1532-4303 0277-0903 |
| Popis: | Asthma prevalence in the United States is higher than it is in many other countries and its impact in terms of healthcare expenditures and morbidity and mortality is staggering. In the United States, many groups bear a disproportionate burden of asthma. Understanding the epidemiology of adult asthma and deficits in health care can identify opportunities for improving care and effectively managing resources.The computed dependent variable, health service deficits, entails a lack of health insurance, not having a healthcare provider, deferring medical care because of cost, and having had no routine medical exam. Bivariate and multivariate analyses were performed on 2005 Behavioral Risk Factor Surveillance Survey data to examine the relationship between health service deficits experienced by adults with asthma and socioeconomic status (SES), race and ethnicity, and geographic locale. The variable was also calculated for each US state.Hispanic (OR = 1.594, 95% CI = 1.588-1.599) and Other/Multiracial (OR = 1.447, 95% CI = 1.441-1.452) adults with current asthma had greater odds of having a health service deficit. Rural adults with current asthma had greater odds of having a health service deficit (OR = 1.086, 95% CI = 1.083-1.089) when compared with non-rural adult residents. Low-SES (OR = 1.976, 95% CI = 1.971-1.982) and middle-SES (OR = 1.596, 95% CI = 1.592-1.600) adults with current asthma had greater odds of having a health service deficit. The percentage of current asthma adults experiencing at least one health service deficit by state ranged from a low of 28.5% (Delaware) to a high of 58.8% (Wyoming).There are clear patterns of disparity associated with health services and asthma that can help target interventions. |
| Databáze: | OpenAIRE |
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