 |
|
 |
|
 |
 |
|
 |
 |
 |
 |
 |
 |
 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PEDIATRICS Vol. 105 No. 6 June 2000, pp. 1188-1193
Received Jun 16, 1999; accepted Sep 28, 1999.
,
,
From the * Center for Urban Epidemiologic Studies, New York
Academy of Medicine; Centers for Disease Control and Prevention,
Epidemiology Program Office, Urban Research Centers Activity, and
§ National Center for Environmental Health, Division of Environmental
Hazards and Health Effects; Mount Sinai University School of
Medicine, Department of Community and Preventive Medicine; ¶ Hunter
College, Center for AIDS, Drugs and Community Health; # Columbia
University School of Public Health, Division of Population and Family
Health; and ** New York State Department of Health, New York, New York.
Purpose. To examine daily use of antiinflammatory medication among children with asthma in East Harlem, where hospitalization rates for asthma are among the highest in the United States.
Methods. We analyzed parent/guardian reports of medications used by children with current asthma (defined as physician diagnosis and wheezing during the previous 12 months) identified from a cross-sectional survey conducted in 2 elementary schools.
Results. From an overall sample of 1319 children, 298 with
current asthma were included in this analysis. Most of those with
asthma were Puerto Rican (136 [46%]) or black (98 [33%]), 168 (57%) were boys, and the median age was 8 years old. Overall, 65 (22%) were using antiinflammatory medication on a daily basis. A
subgroup of 107 children with asthma had been hospitalized during the
previous 12 months or had used 
2-agonist on a daily
basis, suggesting persistent or severe asthma. Of these 107 children,
42 (39%) were taking antiinflammatory medication on a daily basis.
Multivariate analysis of these 107 children revealed that daily use of
antiinflammatory medication was associated with using a spacer tube
(adjusted odds ratio [AOR]: 3.08; 95% confidence interval [CI]:
1.27,7.47) and having seen a physician in the past 6 months (AOR: 3.46;
CI: 1.01,11.9). Compared with Puerto Ricans, blacks (AOR: .32; CI:
.12,.89) or children of other races/ethnicities (AOR: .27; CI: .09,.85)
were less likely to use antiinflammatory medication on a daily
basis.
Conclusion. Daily use of antiinflammatory medication for children with persistent or severe asthma in East Harlem was underused. Differences in access to care may explain some findings; however, reasons for ethnic differences in use remain unclear. Both community interventions and additional provider education are needed. Key words: asthma, children, medication use, inner-city school.
This article has been cited by other articles:
 |
|
 |
|
  D. Koinis-Mitchell, E. L. McQuaid, R. Seifer, S. J. Kopel, C. Esteban, G. Canino, C. Garcia-Coll, R. Klein, and G. K. Fritz Multiple Urban and Asthma-Related Risks and Their Association with Asthma Morbidity in Children J. Pediatr. Psychol., June 1, 2007; 32(5): 582 - 595. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. A. Cagney, C. R. Browning, and D. M. Wallace The Latino Paradox in Neighborhood Context: The Case of Asthma and Other Respiratory Conditions Am J Public Health, May 1, 2007; 97(5): 919 - 925. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Butz, M. Tsoukleris, M. Donithan, V. D. Hsu, K. Mudd, I. H. Zuckerman, and M. E. Bollinger Patterns of Inhaled Antiinflammatory Medication Use in Young Underserved Children With Asthma Pediatrics, December 1, 2006; 118(6): 2504 - 2513. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Stingone and L. Claudio Asthma and Enrollment in Special Education Among Urban Schoolchildren Am J Public Health, September 1, 2006; 96(9): 1593 - 1598. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J S Halterman, H L Yoos, H Kitzman, E Anson, K Sidora-Arcoleo, and A McMullen Symptom reporting in childhood asthma: a comparison of assessment methods Arch. Dis. Child., September 1, 2006; 91(9): 766 - 770. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. L. Fuhlbrigge, T. Guilbert, J. Spahn, D. Peden, and K. Davis The Influence of Variation in Type and Pattern of Symptoms on Assessment in Pediatric Asthma Pediatrics, August 1, 2006; 118(2): 619 - 625. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Scarfone, J. J. Zorc, and C. J. Angsuco Emergency Physicians' Prescribing of Asthma Controller Medications Pediatrics, March 1, 2006; 117(3): 821 - 827. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. G. Szilagyi, A. W. Dick, J. D. Klein, L. P. Shone, J. Zwanziger, A. Bajorska, and H. L. Yoos Improved Asthma Care After Enrollment in the State Children's Health Insurance Program in New York Pediatrics, February 1, 2006; 117(2): 486 - 496. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. M. Hunninghake, S. T. Weiss, and J. C. Celedon Asthma in Hispanics Am. J. Respir. Crit. Care Med., January 15, 2006; 173(2): 143 - 163. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Lara, L. Akinbami, G. Flores, and H. Morgenstern Heterogeneity of Childhood Asthma Among Hispanic Children: Puerto Rican Children Bear a Disproportionate Burden Pediatrics, January 1, 2006; 117(1): 43 - 53. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Lozano, J. A. Finkelstein, V. J. Carey, E. H. Wagner, T. S. Inui, A. L. Fuhlbrigge, S. B. Soumerai, S. D. Sullivan, S. T. Weiss, and K. B. Weiss A Multisite Randomized Trial of the Effects of Physician Education and Organizational Change in Chronic-Asthma Care: Health Outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II Study Arch Pediatr Adolesc Med, September 1, 2004; 158(9): 875 - 883. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Boyle, R. R. Baker, and V. H. Kemp School-Based Asthma: A Study in an African American Elementary School J Transcult Nurs, July 1, 2004; 15(3): 195 - 206. [Abstract] [PDF]
|
|
|
|
 |
|
 A. L. Potts and C. B. Reagan Thinking Outside the Inhaler: Potential Barriers to Controlled Asthma in Children Journal of Pharmacy Practice, June 1, 2004; 17(3): 211 - 220. [Abstract] [PDF]
|
|
|
|
|
|
J. S. Halterman, P. G. Szilagyi, H. L. Yoos, K. M. Conn, J. M. Kaczorowski, R. J. Holzhauer, S. C. Lauver, T. L. Neely, P. M. Callahan, and K. M. McConnochie Benefits of a School-Based Asthma Treatment Program in the Absence of Secondhand Smoke Exposure: Results of a Randomized Clinical Trial Arch Pediatr Adolesc Med, May 1, 2004; 158(5): 460 - 467. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Shields, C. Comstock, and K. B. Weiss Variations in Asthma Care by Race/Ethnicity Among Children Enrolled in a State Medicaid Program Pediatrics, March 1, 2004; 113(3): 496 - 504. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Metzler, D. L. Higgins, C. G. Beeker, N. Freudenberg, P. M. Lantz, K. D. Senturia, A. A. Eisinger, E. A. Viruell-Fuentes, B. Gheisar, A.-G. Palermo, et al. Addressing Urban Health in Detroit, New York City, and Seattle Through Community-Based Participatory Research Partnerships Am J Public Health, May 1, 2003; 93(5): 803 - 811. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. M. Roberts Does Your Child Have Asthma?: Parent Reports and Medication Use for Pediatric Asthma Arch Pediatr Adolesc Med, May 1, 2003; 157(5): 449 - 455. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yeatts, K. J. Davis, M. Sotir, C. Herget, and C. Shy Who Gets Diagnosed With Asthma? Frequent Wheeze Among Adolescents With and Without a Diagnosis of Asthma Pediatrics, May 1, 2003; 111(5): 1046 - 1054. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Krishna, B. D. Francisco, E. A. Balas, P. Konig, G. R. Graff, and R. W. Madsen Internet-Enabled Interactive Multimedia Asthma Education Program: A Randomized Trial Pediatrics, March 1, 2003; 111(3): 503 - 510. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Lozano, J. A. Finkelstein, J. Hecht, R. Shulruff, and K. B. Weiss Asthma Medication Use and Disease Burden in Children in a Primary Care Population Arch Pediatr Adolesc Med, January 1, 2003; 157(1): 81 - 88. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Cloutier, D. B. Wakefield, P. S. Carlisle, H. L. Bailit, and C. B. Hall The Effect of Easy Breathing on Asthma Management and Knowledge Arch Pediatr Adolesc Med, October 1, 2002; 156(10): 1045 - 1051. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Finkelstein, P. Lozano, H. J. Farber, I. Miroshnik, and T. A. Lieu Underuse of Controller Medications Among Medicaid-Insured Children With Asthma Arch Pediatr Adolesc Med, June 1, 2002; 156(6): 562 - 567. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. A. Lieu, P. Lozano, J. A. Finkelstein, F. W. Chi, N. G. Jensvold, A. M. Capra, C. P. Quesenberry, J. V. Selby, and H. J. Farber Racial/Ethnic Variation in Asthma Status and Management Practices Among Children in Managed Medicaid Pediatrics, May 1, 2002; 109(5): 857 - 865. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Halterman, H. L. Yoos, J. M. Kaczorowski, K. McConnochie, R. J. Holzhauer, K. M. Conn, S. Lauver, and P. G. Szilagyi Providers Underestimate Symptom Severity Among Urban Children With Asthma Arch Pediatr Adolesc Med, February 1, 2002; 156(2): 141 - 146. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. O. Cooper and G. B. Hickson Corticosteroid Prescription Filling for Children Covered by Medicaid Following an Emergency Department Visit or a Hospitalization for Asthma Arch Pediatr Adolesc Med, October 1, 2001; 155(10): 1111 - 1115. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Martin The CGHA Asthma Management Program and Its Effect Upon Pediatric Asthma Admission Rates Clinical Pediatrics, August 1, 2001; 40(8): 425 - 434. [Abstract] [PDF]
|
|
|
|
|
|
R. J. Adams, A. Fuhlbrigge, J. A. Finkelstein, P. Lozano, J. M. Livingston, K. B. Weiss, and S. T. Weiss Use of Inhaled Anti-inflammatory Medication in Children With Asthma in Managed Care Settings Arch Pediatr Adolesc Med, April 1, 2001; 155(4): 501 - 507. [Abstract] [Full Text] [PDF]
|
|
 |
||
|
||
Home | My Pediatrics | Journal Information | Current Issue | Past Issues | Subscriptions & Services | Contact Us Click here for faster international access © 2000 American Academy of Pediatrics. All rights reserved. |
||
|
||
