TY - JOUR
T1 - A population-based study of health service deficits for us adults with asthma
AU - Lutfiyya, May Nawal
AU - McCullough, Joel Emery
AU - Lipsky, Martin Stephen
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Objective. Asthma prevalence in the United States is higher than it is in many other countries and its impact in terms of healthcare expenditures and morbidity and mortality is staggering. In the United States, many groups bear a disproportionate burden of asthma. Understanding the epidemiology of adult asthma and deficits in health care can identify opportunities for improving care and effectively managing resources. Methods. The computed dependent variable, health service deficits, entails a lack of health insurance, not having a healthcare provider, deferring medical care because of cost, and having had no routine medical exam. Bivariate and multivariate analyses were performed on 2005 Behavioral Risk Factor Surveillance Survey data to examine the relationship between health service deficits experienced by adults with asthma and socioeconomic status (SES), race and ethnicity, and geographic locale. The variable was also calculated for each US state. Results. Hispanic (OR = 1.594, 95% CI = 1.5881.599) and Other/Multiracial (OR = 1.447, 95% CI = 1.4411.452) adults with current asthma had greater odds of having a health service deficit. Rural adults with current asthma had greater odds of having a health service deficit (OR = 1.086, 95% CI = 1.0831.089) when compared with non-rural adult residents. Low-SES (OR = 1.976, 95% CI = 1.9711.982) and middle-SES (OR = 1.596, 95% CI = 1.5921.600) adults with current asthma had greater odds of having a health service deficit. The percentage of current asthma adults experiencing at least one health service deficit by state ranged from a low of 28.5% (Delaware) to a high of 58.8% (Wyoming). Conclusion. There are clear patterns of disparity associated with health services and asthma that can help target interventions.
AB - Objective. Asthma prevalence in the United States is higher than it is in many other countries and its impact in terms of healthcare expenditures and morbidity and mortality is staggering. In the United States, many groups bear a disproportionate burden of asthma. Understanding the epidemiology of adult asthma and deficits in health care can identify opportunities for improving care and effectively managing resources. Methods. The computed dependent variable, health service deficits, entails a lack of health insurance, not having a healthcare provider, deferring medical care because of cost, and having had no routine medical exam. Bivariate and multivariate analyses were performed on 2005 Behavioral Risk Factor Surveillance Survey data to examine the relationship between health service deficits experienced by adults with asthma and socioeconomic status (SES), race and ethnicity, and geographic locale. The variable was also calculated for each US state. Results. Hispanic (OR = 1.594, 95% CI = 1.5881.599) and Other/Multiracial (OR = 1.447, 95% CI = 1.4411.452) adults with current asthma had greater odds of having a health service deficit. Rural adults with current asthma had greater odds of having a health service deficit (OR = 1.086, 95% CI = 1.0831.089) when compared with non-rural adult residents. Low-SES (OR = 1.976, 95% CI = 1.9711.982) and middle-SES (OR = 1.596, 95% CI = 1.5921.600) adults with current asthma had greater odds of having a health service deficit. The percentage of current asthma adults experiencing at least one health service deficit by state ranged from a low of 28.5% (Delaware) to a high of 58.8% (Wyoming). Conclusion. There are clear patterns of disparity associated with health services and asthma that can help target interventions.
KW - Adult asthma
KW - Health disparities
KW - Health service deficits
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U2 - 10.3109/02770903.2011.619023
DO - 10.3109/02770903.2011.619023
M3 - Article
C2 - 21967575
AN - SCOPUS:80054928066
SN - 0277-0903
VL - 48
SP - 931
EP - 944
JO - Journal of Asthma
JF - Journal of Asthma
IS - 9
ER -