The Burden and Social Determinants of Asthma Among Children in the State of Georgia
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Asthma is one of the most common chronic health conditions in children, and social determinants are thought to be important risk factors. We used Georgia data from the Behavioral Risk Factors Surveillance Survey (BRFSS), and data from the Georgia hospital and emergency department survey for children with a diagnosis of asthma. All data were from the years 2011 to 2016. SAS and SUDAAN were used to calculate weighted prevalence estimates and to perform univariate and multivariate analysis of the association between social determinants, demographic characteristics, other potential risk factors, and asthma-related outcomes. The prevalence of asthma is higher in African-American children and when the parental income is less than $75,000 per year. A multivariate analysis adjusting for ethnicity, parental income, and sex found that the strongest independent predictor of asthma was African-American race (aOR 2.9, 95% CI 1.5–5.8). African-American and multiracial children also experienced extremely high burdens due to asthma related hospitalizations and emergency department visits, with rates two to five times higher than children in other groups. The secular trend for ED visits and hospitalizations is declining. African-American race is an independent predictor of asthma in children in Georgia, and African-American and multiracial children experience a greater burden of asthma than children of other races. Programmatic efforts at the state and national level to improve access, adherence, and knowledge about asthma are important if we are to continue to improve outcomes for these children.
KeywordsAsthma Prevalence Social determinants Adults Socioeconomic
The authors would like to thank the staff of the Georgia Department of Public Health for their assistance accessing deidentified data for this study.
This study was funded by a subcontract to the University of Georgia for epidemiologic support of asthma control efforts, as part of CDC-funded activities at the Department of Public Health, including Cooperative Agreement numbers U59EH000520 and 5U580000021-03.
Compliance with Ethical Standards
Conflict of interest
All authors declare that they have no conflict of interest.
- 2.Centers for Disease C, Prevention. (2011). Vital signs: Asthma prevalence, disease characteristics, and self-management education: United States, 2001–2009. MMWR Morbidity and Mortality Weekly Report, 60(17), 547–552.Google Scholar
- 3.Office of Minority Health DoHaHS. Asthma and African-Americans. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=15.
- 6.Vo, P., Bair-Merritt, M., Camargo, C. A. Jr., Eisenberg, S., & Long, W. (2016). Individual factors, neighborhood social context and asthma at age 5 years. The Journal of Asthma: Official Journal of the Association for the Care of Asthma.Google Scholar
- 8.Behavioral Risk Factor Surveillance System Survey Data.. In: Centers for Disease Control and Prevention (CDC). Atlanta G, ed. U.S. Department of Health and Human Services CfDCaP, trans. Atlanta, Georgia.Google Scholar
- 9.Foundation, A. E. C. Kids Count Data Center.Google Scholar
- 10.Bureau, U. S. C. QuickFacts: Georgia.Google Scholar
- 11.Gentili, M., Harati, P., Serban, N., O’Connor, J., & Swann, J. (2018). Quantifying disparities in accessibility and availability of pediatric primary care across multiple states with implications for targeted interventions. Health Services Research. https://doi.org/10.1111/1475-6773.12722.Google Scholar