Disparities Between Asthma Management and Insurance Type Among Children

被引:5
|
作者
Piper, Crystal N. [1 ]
Elder, Keith [2 ]
Glover, Saundra [3 ]
Baek, Jong-Deuk [4 ]
Murph, Keva [3 ]
机构
[1] Univ N Carolina, Coll Hlth & Human Serv, Dept Publ Hlth Sci, Charlotte, NC 28223 USA
[2] Univ Alabama, Dept Hlth Serv Adm, Birmingham, AL USA
[3] Univ S Carolina, Inst Partnership Eliminate Hlth Dispar, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[4] San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USA
关键词
children/adolescents; asthma; race/ethnicity; health disparities; insurance; UNITED-STATES; MEDICAID; CARE;
D O I
10.1016/S0027-9684(15)30633-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Asthma is a chronic illness among children. Minority children may be vulnerable to asthma complications since more than half are from households that are poor or near poor, and some have no health insurance. Asthma management plans are important for the long-term treatment of asthma and " beneficial for self-management. This study analyzed insurance type and the relationship between having an asthma management plan among children across all races with asthma. This study utilized the 2002 and 2003 National Health Interview Survey. Findings showed that whites were significantly more likely than Non-Hispanic blacks and Hispanics to have an asthma management plan (OR, 1.66; p = .0031). In this study, children who reported Children's Health Insurance Program (CHIP) coverage were twice as likely to have an asthma management plan (OR, 2.67; p = .0004). Mandating all insurers to provide an asthma management plan to children with asthma may reduce the race-based inequities and differences in asthma management plan status.
引用
收藏
页码:556 / 561
页数:6
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