Does access to care equal asthma control in school-age children?

Most indicators of poor asthma control were similar between black and nonblack subjects--that is, comparable rates of steroid use in the past year (P = .95), history of hospitalization (P = .7) or emergency department visits (P = .4), daytime symptoms (P = .7), and bronchodilator rescue use (P = .1)...

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Bibliographic Details
Published in:Journal of allergy and clinical immunology 2009-08, Vol.124 (2), p.381-383
Main Authors: Kruzick, Tracy, MD, Covar, Ronina A., MD, Gleason, Melanie, PA, Cicutto, Lisa, RN, PhD, White, Marty, BSN, Shocks, Donna, RN, Szefler, Stanley J., MD
Format: Article
Language:English
Subjects:
Age
Allergy and Immunology
Anti-Asthmatic Agents - therapeutic use
Asthma - drug therapy
Asthma - epidemiology
Child
Colorado - epidemiology
Demographics
Emergency medical care
Female
Health insurance
Health Services Accessibility
Hospitalization
Hospitals
Humans
Insurance coverage
Insurance, Health - statistics & numerical data
Male
Primary care
Racial differences
School Health Services - statistics & numerical data
Schools - statistics & numerical data
Students
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Summary:Most indicators of poor asthma control were similar between black and nonblack subjects--that is, comparable rates of steroid use in the past year (P = .95), history of hospitalization (P = .7) or emergency department visits (P = .4), daytime symptoms (P = .7), and bronchodilator rescue use (P = .1), except for a higher percentage of uncontrolled nighttime symptoms reported by black children (47% vs 27%; P = .02). [...]in this study, 90% of students had medical insurance coverage, and 94% had accessibility to health providers, but there were still high percentages of students with uncontrolled asthma and no differences on the basis of type of insurance or practitioner. [...]this study found that despite having access to care, there were still high percentages of children with uncontrolled asthma, indicating that children are in need of additional programs to identify, monitor, and educate those at high risk for asthma morbidity.
ISSN:0091-6749
1097-6825
DOI:10.1016/j.jaci.2009.05.048