Healthcare utilization for asthma exacerbation among children of migrant and seasonal farmworkers.
Healthcare utilization for asthma exacerbation among children of migrant and seasonal farmworkers.
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DOI：
10.1016/j.pmedr.2024.102598
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发表时间：
2024-02
影响因子：
2.8
通讯作者：
Heintzman, John
中科院分区：
文献类型：
--
作者：
Kasten-Arias, Cassandra;Hodes, Tahlia;Marino, Miguel;Kaufmann, Jorge;Lucas, Jennifer A.;Guzman, Cirila Estela Vasquez;Giebultowicz, Sophia;Chan, Brian;Heintzman, John
拉丁裔儿童比非西班牙裔白色儿童有更多的急性哮喘门诊就诊。移民和季节性农场工人的子女急诊和医院就诊较少。社区卫生中心可以减轻移民家庭儿童的差异。患有哮喘的移民和季节性农场工人（MSFW）的拉丁裔儿童由于医疗准入障碍而面临健康状况不良的风险。我们比较了美国社区卫生中心的移民和非移民拉丁裔和非西班牙裔白色（NHW）儿童在哮喘急性加重时急性护理利用的差异。一项利用美国社区卫生中心ADVANCE临床研究网络的电子健康记录数据的回顾性观察性研究包括来自8个州的13，423名3-17岁儿童，他们在2005年至2017年期间接受了初级保健访问。急诊科（艾德）和住院数据来自俄勒冈州医疗补助索赔。结局包括急性门诊访视、艾德访视和因哮喘急性发作住院。针对患者水平协变量调整回归分析。与NHW儿童相比，拉丁裔儿童因哮喘急性发作而接受急性门诊访视的几率更高（MSFW比值比[OR] = 1.17，95% CI = 1.03-1.33;无移民身份的OR = 1.13，95% CI = 1.03-1.23）。与NHW儿童相比，使用俄勒冈州医疗补助的MSFW儿童的艾德就诊次数（率比[RR] = 0.72，95% CI = 0.52-0.99）和住院次数（RR = 0.47，95% CI = 0.26-0.86）较少。增加社区卫生中心的访问可能有助于减轻MSFW儿童急性哮喘护理的差异。
Latino children had more clinic visits for acute asthma than non-Hispanic white children. Children of migrant and seasonal farmworkers had fewer emergency and hospital visits. Community health centers may mitigate disparities for children in migrant families. Latino children of Migrant and Seasonal Farmworkers (MSFWs) with asthma are at risk for poor health outcomes due to medical access barriers. We compared differences in acute care utilization for asthma exacerbations among migrant and non-migrant Latino and non-Hispanic white (NHW) children at U.S. community health centers. A retrospective observational study utilizing electronic health record data from the ADVANCE Clinical Research Network of United States community health centers included 13,423 children ages 3–17 with a primary care visit between 2005 and 2017 from eight states. Emergency department (ED) and hospitalization data came from Oregon Medicaid claims. Outcomes included acute clinic visits, ED visits, and hospitalizations for asthma exacerbation. Regression analyses adjusted for patient-level covariates. Latino children had higher odds of acute clinic visits for asthma exacerbation compared to NHW children (MSFW odds ratio [OR] = 1.17, 95 % CI = 1.03–1.33; without migrant status OR = 1.13, 95 % CI = 1.03–1.23). MSFW children using Oregon Medicaid had fewer ED visits (rate ratio [RR] = 0.72, 95 % CI = 0.52–0.99) and hospitalizations (RR = 0.47, 95 % CI = 0.26–0.86) compared to NHW children. Increased community health center visits may help mitigate disparities in acute asthma care for MSFW children.
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DOI：
10.3122/jabfm.2020.05.190468
发表时间：
2020-09
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
--
作者：
Heintzman J;Kaufmann J;Lucas J;Suglia S;Garg A;Puro J;Giebultowicz S;Ezekiel-Herrera D;Bazemore A;Marino M
通讯作者：
Marino M
影响因子：
3.1
作者：
Hasegawa, Kohei;Stoll, Samantha J.;Camargo, Carlos A., Jr.
通讯作者：
Camargo, Carlos A., Jr.
影响因子：
3
作者：
Huguet, Nathalie;Kaufmann, Jorge;Marino, Miguel
通讯作者：
Marino, Miguel
影响因子：
1
作者：
Bechtel, G A;Shepherd, M A;Rogers, P W
通讯作者：
Rogers, P W
影响因子：
12.7
作者：
Martin MA;Pugach O;Mosnaim G;Weinstein S;Rosales G;Roy A;Pappalardo AA;Walton S
通讯作者：
Walton S