Racial disparities in childhood asthma in the United States: Evidence from the National Health Interview Survey, 1997 to 2003
Racial disparities in childhood asthma in the United States: Evidence from the National Health Interview Survey, 1997 to 2003
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DOI：
10.1542/peds.2005-1721
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发表时间：
2006-05-01
期刊：
影响因子：
8
通讯作者：
Waldfogel, J
中科院分区：
文献类型：
--
作者：
McDaniel, M;Paxson, C;Waldfogel, J
OBJECTIVE.在1997年至2003年的一个全国代表性的大样本中，研究非西班牙裔黑人和白色儿童哮喘患病率和急诊（艾德）就诊率的差异，以及可能解释这些差异的因素。对1997年至2003年全国健康访谈调查中所有非西班牙裔黑人和白色儿童（< 18岁）的样本进行了二元和多元回归分析（使用logit和多项式logit方法）。模型包括一个逐步扩大的控制因素，这些因素可能解释哮喘患病率和哮喘艾德就诊的种族差异。作为黑人与目前患有哮喘的可能性更大以及在过去1年内前往艾德接受哮喘治疗的可能性更大相关。在控制了一系列可能解释黑人儿童哮喘风险的儿童和家庭特征后，黑人儿童哮喘风险的升高是稳健的。与其他可比的白色儿童相比，黑人儿童更有可能患有哮喘并因哮喘而经历艾德就诊，这些种族差异不能用可测量的儿童或家庭特征的差异来解释。这些结果表明，哮喘的种族差异继续对黑人儿童构成风险，他们指出需要对潜在的解释和补救措施进行更多的研究。
OBJECTIVE. To examine differences in asthma prevalence and emergency department ( ED) visits for asthma between non-Hispanic black and white children, and factors that might explain those differences, in a large, nationally representative sample covering the period 1997 to 2003.METHODS. Bivariate and multivariate regression analyses ( with logit and multinomial logit methods) were conducted with a sample consisting of all non-Hispanic black and white children ( < 18 years of age) from the 1997 to 2003 rounds of the National Health Interview Survey. Models included a progressively larger set of controls for factors that might explain racial differences in asthma prevalence and ED visits for asthma.RESULTS. Being black was associated with a greater likelihood of currently having asthma and with a greater likelihood of having gone to the ED for asthma treatment in the past 1 year. Elevated asthma risks for black children were robust after controlling for a host of child and family characteristics that might explain them.CONCLUSIONS. Black children are more likely to have asthma and to experience ED visits for asthma, compared with otherwise comparable white children, and these racial disparities cannot be explained by differences in measurable child or family characteristics. These results suggest that racial disparities in asthma continue to pose risks for black children, and they point to the need for additional research into potential explanations and remedies.