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. 2009 Jan;6(1):A12.
Epub 2008 Dec 15.

Health care utilization by children with asthma

Hyoshin Kim  1 , Gail M Kieckhefer, April A Greek, Jutta M Joesch, Nazli Baydar
Affiliations

Health care utilization by children with asthma

Hyoshin Kim et al. Prev Chronic Dis. 2009 Jan.

Abstract

Introduction: We examined how differences in health service utilization among children with asthma are associated with race/ethnicity, socioeconomic status (family income, mother's education), and health insurance coverage.

Methods: We analyzed Medical Expenditure Panel Survey data from 1996 through 2000 (982 children younger than 18 years with asthma). We calculated percentages and mean distributions, odds ratios, and incidence rate ratios.

Results: Non-Hispanic black children used more urgent care services and fewer preventive health services. Children in low-income families (125%-199% of the poverty line) had the lowest levels of prescription fills and general checkups. Children whose mothers had more education had more checkups and fewer emergency department visits. Children who were insured during the 2-year study period used more health services for asthma, not including emergency department visits.

Conclusion: Minority children and children of socioeconomically disadvantaged families use more urgent care and less preventive care for asthma. Children without health insurance use fewer health services overall. Future research should address how related factors might explain health services utilization in effectively managing asthma in children.

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References

    1. Bloom B, Dey AN. Summary health statistics for US children: National Health Interview Survey, 2004. Vital Health Stat 10 2006;(227):1–85. - PubMed
    1. Newacheck PW, Halfon N. Prevalence, impact, and trends in childhood disability due to asthma. Arch Pediatr Adolesc Med. 2000;154(3):287–293. - PubMed
    1. Akinbami LJ, Schoendorf KC. Trends in childhood asthma: prevalence, health care utilization, and mortality. Pediatrics. 2002;110(2 Pt 1):315–322. - PubMed
    1. Centers for Disease Control and Prevention. Asthma prevalence, health care use and mortality: United States, 2003-05. [Accessed August 19, 2008]. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/ashtma03-05/asthma03-... .
    1. McDaniel M, Paxson C, Waldfogel J. Racial disparities in childhood asthma in the United States: evidence from the National Health Interview Survey, 1997 to 2003. Pediatrics. 2006;117:e868–e877. - PubMed

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