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-Risk Factors:
-Genetic predisposition
-Exposure to environmental allergens including outdoor air pollution
-Triggers:
-Dust mites, cockroaches, pets, & molds
-Second hand tobacco smoke (poor children are more like to be exposed)
-Chronic disease
- Prevalence is at historically
high levels
-Causes significant
morbidity
-Major reason for ED visits & hospitalizations
-Asthma management
-Socioeconomic Status
-Medication insurance characteristics
VS.
-Exacerbation frequency in children with asthma
-Retrospective cohort study
-490 asthmatic children --> Complete data
-Demographics
-SES
-Drug plan characteristics
-Health status
-Health Resource use
-Symptoms
-Interview and administrative data on asthma ED visits and hospitalizations (1 year)
-Younger age, previous emergency visits, nebulizer use, pet ownership, and receipt of asthma education but not an action plan associated with more frequent exacerbations.
-Children with high income adequacy: 28% fewer exacerbations
-Family with drug insurance: girls 26% fewer exacerbations than boys
-Annual income deductibles greater than $90: 95% fewer exacerbations
-%Increase spent out of pocket on asthma meds-14% increase in exacerbations
-Identify factors associated with asthma exacerbation causing ED visits or hospitalizations related to:
-Health Status
-Socioeconomic status
-Drug insurance
-In 2009–2010, asthma prevalence was higher for
children living in poverty than for those with higher
relative family income
-Exception: Hispanic children
**In 2009–2010, current asthma prevalence was lowest for children living at 200% or more of poverty, higher for children
in families at 100%–199% poverty, and highest for children living in poverty.