Use of Medicaid and housing data may help target areas of high asthma prevalence.

Use of Medicaid and housing data may help target areas of high asthma prevalence.
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使用医疗补助和住房数据可能有助于针对哮喘患病率高的地区。

DOI:
10.1080/02770903.2016.1212370
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发表时间:
2017-04
期刊:
The Journal of asthma : official journal of the Association for the Care of Asthma
影响因子:
--
通讯作者:
Batterman S
Batterman S
中科院分区:
其他
文献类型:
--
作者:
Vesper S;Robins T;Lewis T;Dombkowski K;Wymer L;Villegas R;Batterman S

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确定在底特律和非底特律密歇根州的房屋中,在新的和旧的房屋之间,霉菌污染和哮喘患病率之间是否存在显著差异,以及在底特律25个邮政编码中霉菌污染和哮喘医疗补助措施之间是否存在相关性。从底特律哮喘儿童的家庭(n = 113)和密歇根州的家庭(n = 43)的代表性组收集沉降的灰尘。每个家庭的霉菌污染测量使用环境相对发霉指数(ERMI)规模和平均ERMI值在底特律和非底特律家庭进行了统计比较。密歇根州医疗补助数据(13项与哮喘相关的指标)在底特律的25个邮政编码中的每一个都进行了测试,以确定这些邮政编码中家庭的ERMI值的相关性。底特律哮喘儿童之家的平均ERMI值(14.5 ± 8.0)显著(Student t检验,p<0.001)大于非底特律儿童之家的平均ERMI值(2.1 ± 6.2)。底特律> 60岁的家庭的平均ERMI值显著(p = 0.01)大于底特律≤ 60岁的家庭(15.87 vs. 11.25)。根据医疗补助数据,因持续性哮喘而接受肺量测定的儿童百分比与25个邮政编码中家庭的平均ERMI值显著正相关。应用医疗补助使用数据进行肺量测定测试和定位城市的旧住房存量可能有助于找到具有高ERMI值的家庭的焦点。
To determine if there was a significant difference between mold contamination and asthma prevalence in Detroit and non-DetroitMichigan homes, between newer and older homes, and if there is a correlation between mold contamination and measures of Medicaid use for asthma in the 25Detroit zip codes. Settled dust was collected from homes (n = 113) of Detroit asthmatic children and from a representative group of Michigan homes (n = 43). The mold contamination for each home was measured using the Environmental Relative Moldiness Index (ERMI) scale and the mean ERMI values in Detroit and non-Detroit homes were statistically compared. Michigan Medicaid data (13 measures related to asthma) in each of the 25 zip codes in Detroit were tested for correlation to ERMI values for homes in those zip codes. The mean ERMI value (14.5 ± 8.0) for Detroit asthmatic childrens’ homes was significantly (Student’s t-test, p<0.001) greater than the mean ERMI value (2.1 ± 6.2) for the non-Detroit homes. Detroit homes > 60 years old had significantly (p = 0.01) greater mean ERMI values than Detroit homes ≤ 60 years old (15.87 vs. 11.25). The percentage of children that underwent spirometry testing for their persistent asthma (based on Medicaid data) was significantly, positively correlated with the mean ERMI values of the homes in the 25 zip codes. Applying Medicaid-use data for spirometry testing and locating a city’s older housing stock might help find foci of homes with high ERMI values.
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发表时间: 2013-03-15
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影响因子: --
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