Advertisement

The Challenge of Asthma in Minority Populations

  • Albin B. Leong
  • Clare D. Ramsey
  • Juan C. Celedón
Chapter

Abstract

While asthma affects all races and ethnic groups, there is significant disparity in asthma morbidity and mortality. Minority populations suffer disproportionately higher rates of fatalities, hospitalizations, and emergency department and urgent care visits due to asthma.

Keywords

National Health Interview Survey Royal Jelly Controller Medication California Health Interview Survey Asthma Morbidity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

The authors thank Yvonne Sargent and Suzanne Beattie, MLIS for medical literature research, Lara Akinbami, MD, with assistance for with the CDC NCHS and NHIS data and review of the manuscript, Kathleen Abanilla, MPH for CHIS access assistance, and Diana Carolina Sanchez Mendez for assistance in preparation of figures.

References

  1. 1.
    A Changing Population. The Wall Street Journal. June 10, 2010. http://online.wsj.com/public/resources/documents/st_census0610b_20100610.html. Accessed 21 November, 2010.
  2. 2.
    Pew Research Center. Social and Demographic Trends. February 11, 2008. http://pewsocialtrends.org/2008/02/11/us-population-projections-2005-2050/. Accessed 21 November, 2010.
  3. 3.
    Centers for Disease Control and Prevention. National Center for Health Statistics. Health Data Interactive. www.cdc.gov/nchs/hdi.htm. Accessed November 11, 2010.
  4. 4.
    Weiss KB. Eliminating asthma disparities: a national workshop to set a working agenda. Chest 2007;132:753S-6S.PubMedCrossRefGoogle Scholar
  5. 5.
    Lai CK, Beasley R, Crane J, Foliaki S, Shah J, Weiland S. Global variation in the prevalence and severity of asthma symptoms: phase three of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax 2009;64:476–83.PubMedCrossRefGoogle Scholar
  6. 6.
    European Community Respiratory Health Survey (ECRHS). Variations in the prevalence of respiratory symptoms, self-reported asthma attacks, and use of asthma medication in the European Community Respiratory Health Survey (ECRHS). Eur Respir J 1996;9:687–95.CrossRefGoogle Scholar
  7. 7.
    Pearce N, Sunyer J, Cheng S, et al. Comparison of asthma prevalence in the ISAAC and the ECRHS. ISAAC Steering Committee and the European Community Respiratory Health Survey. International Study of Asthma and Allergies in Childhood. Eur Respir J 2000;16:420–6.PubMedCrossRefGoogle Scholar
  8. 8.
    Sembajwe G, Cifuentes M, Tak SW, Kriebel D, Gore R, Punnett L. National income, self-reported wheezing and asthma diagnosis from the World Health Survey. Eur Respir J 2010;35:279–86.PubMedCrossRefGoogle Scholar
  9. 9.
    Hjern A, Haglund B, Bremberg S, Ringback-Weitoft G. Social adversity, migration and hospital admissions for childhood asthma in Sweden. Acta Paediatr 1999;88:1107–12.PubMedCrossRefGoogle Scholar
  10. 10.
    Partridge MR. In what way may race, ethnicity or culture influence asthma outcomes? Thorax 2000;55:175–6.PubMedCrossRefGoogle Scholar
  11. 11.
    Whitrow MJ, Harding S. Asthma in Black African, Black Caribbean and South Asian adolescents in the MRC DASH study: a cross sectional analysis. BMC Pediatr 2010;10:18.PubMedCrossRefGoogle Scholar
  12. 12.
    Sin DD, Wells H, Svenson LW, Man SF. Asthma and COPD among aboriginals in Alberta, Canada. Chest 2002;121:1841–6.PubMedCrossRefGoogle Scholar
  13. 13.
    Shafazand S, Colice G. Asthma: the epidemic has ended, or has it? Chest 2004;125:1969–70.PubMedCrossRefGoogle Scholar
  14. 14.
    Moorman JE, Rudd RA, Johnson CA, et al. National surveillance for asthma – United States, 1980–2004. MMWR Surveill Summ 2007;56:1–54.PubMedGoogle Scholar
  15. 15.
    California Health Interview Survey. Los Angeles, CA: UCLA Center for Health Policy Research. http://www.chis.ucla.edu Accessed November 14, 2010.
  16. 16.
    Smith LA, Hatcher-Ross JL, Wertheimer R, Kahn RS. Rethinking race/ethnicity, income, and childhood asthma: racial/ethnic disparities concentrated among the very poor. Public Health Rep 2005;120:109–16.PubMedGoogle Scholar
  17. 17.
    Davis AM, Kreutzer R, Lipsett M, King G, Shaikh N. Asthma prevalence in Hispanic and Asian American ethnic subgroups: results from the California Healthy Kids Survey. Pediatrics 2006;118:e363–70.PubMedCrossRefGoogle Scholar
  18. 18.
    Lin S, Fitzgerald E, Hwang SA, Munsie JP, Stark A. Asthma hospitalization rates and socioeconomic status in New York State (1987–1993). J Asthma 1999;36:239–51.PubMedCrossRefGoogle Scholar
  19. 19.
    Jones C, Clement L. Inner city asthma. In: Leung D, Sampson H, Geha R, Szefler S, eds. Pediatric Allergy: Principles and Practice. St. Louis: Mosby, Inc.; 2010:392–403.CrossRefGoogle Scholar
  20. 20.
    Weitzman M, Gortmaker S, Sobol A. Racial, social, and environmental risks for childhood asthma. Am J Dis Child 1990;144:1189–94.PubMedGoogle Scholar
  21. 21.
    Grant EN, Lyttle CS, Weiss KB. The relation of socioeconomic factors and racial/ethnic differences in US asthma mortality. Am J Public Health 2000;90:1923–5.PubMedCrossRefGoogle Scholar
  22. 22.
    Miller JE. The effects of race/ethnicity and income on early childhood asthma prevalence and health care use. Am J Public Health 2000;90:428–30.PubMedCrossRefGoogle Scholar
  23. 23.
    Holguin F, Mannino DM, Anto J, et al. Country of birth as a risk factor for asthma among Mexican Americans. Am J Respir Crit Care Med 2005;171:103–8.PubMedCrossRefGoogle Scholar
  24. 24.
    Eldeirawi K, McConnell R, Freels S, Persky VW. Associations of place of birth with asthma and wheezing in Mexican American children. J Allergy Clin Immunol 2005;116:42–8.PubMedCrossRefGoogle Scholar
  25. 25.
    Leung RC, Carlin JB, Burdon JG, Czarny D. Asthma, allergy and atopy in Asian immigrants in Melbourne. Med J Aust 1994;161:418–25.PubMedGoogle Scholar
  26. 26.
    Centers for Disease Control and Prevention (CDC). Prevalence of cigarette use among 14 racial/ethnic populations, United States 1999–2001. MMWR 2004;53:49–52.Google Scholar
  27. 27.
    Heinrich J. Influence of indoor factors in dwellings on the development of childhood asthma. Int J Hyg Environ Health 2010;214:1–25.PubMedCrossRefGoogle Scholar
  28. 28.
    Litonjua AA, Gold DR. Asthma and obesity: common early-life influences in the inception of disease. J Allergy Clin Immunol 2008;121:1075–84; quiz 85–6.Google Scholar
  29. 29.
    Brehm JM, Schuemann B, Fuhlbrigge AL, et al. Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol 2010;126:52–8 e5.Google Scholar
  30. 30.
    Kozyrskyj AL, Mai XM, McGrath P, Hayglass KT, Becker AB, Macneil B. Continued exposure to maternal distress in early life is associated with an increased risk of childhood asthma. Am J Respir Crit Care Med 2008;177:142–7.PubMedCrossRefGoogle Scholar
  31. 31.
    Crocker D, Brown C, Moolenaar R, et al. Racial and ethnic disparities in asthma medication usage and health-care utilization: data from the National Asthma Survey. Chest 2009;136:1063–71.PubMedCrossRefGoogle Scholar
  32. 32.
    Lieu TA, Lozano P, Finkelstein JA, et al. Racial/ethnic variation in asthma status and management practices among children in managed medicaid. Pediatrics 2002;109:857–65.PubMedCrossRefGoogle Scholar
  33. 33.
    Flores G, Tomany-Korman SC. Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children. Pediatrics 2008;121:e286–98.PubMedCrossRefGoogle Scholar
  34. 34.
    Piper CN, Elder K, Glover S, Baek JD. Racial influences associated with asthma management among children in the United States. Ethn Dis 2008;18:225–7.PubMedGoogle Scholar
  35. 35.
    Wells K, Pladevall M, Peterson EL, et al. Race-ethnic differences in factors associated with inhaled steroid adherence among adults with asthma. Am J Respir Crit Care Med 2008;178:1194–201.PubMedCrossRefGoogle Scholar
  36. 36.
    Montalto D, Bruzzese JM, Moskaleva G, Higgins-D’Alessandro A, Webber MP. Quality of life in young urban children: does asthma make a difference? J Asthma 2004;41:497–505.PubMedCrossRefGoogle Scholar
  37. 37.
    Bailey EJ, Cates CJ, Kruske SG, Morris PS, Brown N, Chang AB. Culture-specific programs for children and adults from minority groups who have asthma. Cochrane Database Syst Rev 2009:CD006580.Google Scholar
  38. 38.
    Chang AB, Taylor B, Masters IB, Laifoo Y, Brown AD. Indigenous healthcare worker involvement for Indigenous adults and children with asthma. Cochrane Database Syst Rev 2010:CD006344.Google Scholar
  39. 39.
    Morgan WJ, Crain EF, Gruchalla RS, et al. Results of a home-based environmental intervention among urban children with asthma. N Engl J Med 2004;351:1068–80.PubMedCrossRefGoogle Scholar
  40. 40.
    Sullivan SD, Weiss KB, Lynn H, et al. The cost-effectiveness of an inner-city asthma intervention for children. J Allergy Clin Immunol 2002;110:576–81.PubMedCrossRefGoogle Scholar
  41. 41.
    Szefler SJ, Gergen PJ, Mitchell H, Morgan W. Achieving asthma control in the inner city: do the National Institutes of Health Asthma Guidelines really work? J Allergy Clin Immunol 2010;125:521–6; quiz 7–8.Google Scholar
  42. 42.
    Landon BE, Hicks LS, O’Malley AJ, et al. Improving the management of chronic disease at community health centers. N Engl J Med 2007;356:921–34.PubMedCrossRefGoogle Scholar
  43. 43.
    Canino G, McQuaid EL, Rand CS. Addressing asthma health disparities: a multilevel challenge. J Allergy Clin Immunol 2009;123:1209–17; quiz 18–9.Google Scholar
  44. 44.
    Scirica CV, Celedon JC. Genetics of asthma: potential implications for reducing asthma disparities. Chest 2007;132:770S-81S.PubMedCrossRefGoogle Scholar
  45. 45.
    National Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda: National Heart Lung and Blood Institute; 2007.Google Scholar
  46. 46.
    Diette GB, Rand C. The contributing role of health-care communication to health disparities for minority patients with asthma. Chest 2007;132:802S-9S.PubMedCrossRefGoogle Scholar
  47. 47.
    George M. The challenge of culturally competent health care: applications for asthma. Heart Lung 2001;30:392–400.PubMedCrossRefGoogle Scholar
  48. 48.
    Hardie GE, Janson S, Gold WM, Carrieri-Kohlman V, Boushey HA. Ethnic differences: word descriptors used by African-American and white asthma patients during induced bronchoconstriction. Chest 2000;117:935–43.PubMedCrossRefGoogle Scholar
  49. 49.
    Beach MC, Cooper LA, Robinson KA. Strategies for improving minority healthcare quality. Evidence Report/Technology Assessment No. 90 (prepared by the Johns Hopkins University Evidenced-based Practice Center). Baltimore, MD: Agency for Healthcare Research and Quality; 2004 JanuaryGoogle Scholar
  50. 50.
    Lieu TA, Finkelstein JA, Lozano P, et al. Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children. Pediatrics 2004;114:e102–10.PubMedCrossRefGoogle Scholar

Selected Books on Culturally Competent Care

  1. Helman CG. Culture, health and illness. 5th Ed. London: Hodder Arnold; 2007.Google Scholar
  2. Lipson JG, Dibble SL. Culture & Clinical Care. San Francisco: UCSF Nursing Press; 2005.Google Scholar
  3. Purnell LD, Paulanka BJ, Eds. Transcultural health care. A culturally competent approach. 3rd Ed. Philadelphia: FA Davis Company; 2008Google Scholar
  4. Spector RE. Cultural diversity in health and illness. 7th Ed. Upper Saddle River, NJ: Pearson Education, Inc.; 2009.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Albin B. Leong
    • 1
  • Clare D. Ramsey
    • 2
  • Juan C. Celedón
    • 3
  1. 1.Department of Pediatric Pulmonology and AllergyKaiser Permanente Medical Group, IncSacramentoUSA
  2. 2.Department of Medicine and Community Health Sciences, Sections of Respiratory and Critical Care MedicineUniversity of ManitobaWinnipegCanada
  3. 3.Division of Pediatric Pulmonary Medicine, Allergy and ImmunologyUniversity of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh of UPMCPittsburghUSA

Personalised recommendations