Asthma prevalence among US children in underrepresented minority populations: American Indian/Alaska Native, Chinese, Filipino, and Asian Indian
Asthma prevalence among US children in underrepresented minority populations: American Indian/Alaska Native, Chinese, Filipino, and Asian Indian
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DOI：
10.1542/peds.2007-3825
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发表时间：
2008-07-01
期刊：
影响因子：
8
通讯作者：
Callahan, David B.
中科院分区：
文献类型：
--
作者：
Brim, Susan N.;Rudd, Rose A.;Callahan, David B.
目标。这项工作的目的是估计在儿童哮喘文献中历史上代表性不足的少数族裔美国儿童的哮喘患病率。这些亚群体包括美国印第安人/阿拉斯加原住民，中国人，菲律宾人和亚洲印第安人的孩子。在调整了人口统计学和社会人口学特征后，我们还探讨了这些种族类别与哮喘之间的关系，并探讨了出生地对当前哮喘的影响。患者和方法。对2001 - 2005年全国健康访谈调查中所有51 944名2至17岁儿童的数据进行汇总和分析，以根据种族和出生地估计当前哮喘、终生哮喘和哮喘发作的患病率。在控制其他人口统计学和社会人口统计学变量的同时，采用Logistic回归来确定根据种族和出生地点调整的哮喘的优势比。在选定的少数民族亚组中，目前儿童哮喘患病率的全国估计从亚洲印第安儿童的4.4%到美洲印第安/阿拉斯加土著儿童的13.0%不等。总体而言，在美国出生的儿童报告当前哮喘的调整后几率高于在美国以外出生的儿童。较小的种族和少数民族群体经常被排除在哮喘研究之外。本研究表明，在不同亚裔美国人亚群的儿童中，哮喘患病率可能存在很大差异。我们还发现，在美国出生的孩子比在美国以外出生的孩子更容易患哮喘。
OBJECTIVES. The purpose of this work was to estimate asthma prevalence among US children in racial minority subgroups who have been historically underrepresented in the pediatric asthma literature. These subgroups include American Indian/Alaska Native, Chinese, Filipino, and Asian Indian children. We also explored the association between these race categories and asthma after adjusting for demographic and sociodemographic characteristics and explored the effect of place of birth as it relates to current asthma.PATIENTS AND METHODS. Data on all 51 944 children aged 2 to 17 years from the 2001 2005 National Health Interview Survey were aggregated and analyzed to estimate the prevalence of current asthma, lifetime asthma, and asthma attacks according to race and place of birth. Logistic regression was used to determine adjusted odds ratios for current asthma according to race and place of birth while controlling for other demographic and sociodemographic variables.RESULTS. National estimates of current asthma prevalence among the children in the selected minority subgroups ranged from 4.4% in Asian Indian children to 13.0% in American Indian/Alaska Native children. Overall, children born in the United States had greater adjusted odds of reporting current asthma than did children born outside of the United States.CONCLUSIONS. Smaller racial and ethnic minority groups are often excluded from asthma studies. This study reveals that, among children from different Asian American subgroups, wide variation may occur in asthma prevalence. We also found that children born in the United States were more likely than children born outside of the United States to have current asthma.