Navigation Links
Children of Different Race Show Different Patterns of Asthma Care

Puerto Rican children with asthma make more clinic visits than African-American children with similar disease severity.//

Asthma has been on the rise for the past two decades, and minority populations have an especially high prevalence. A study in the August issue of the journal Chest suggests that Puerto Rican children with asthma make more clinic visits than African-American children with similar disease severity, but that the latter spend more time in the hospital for asthma. The finding may reflect cultural differences in perceptions of medical care and how it is used, says lead investigator Robyn Cohen, MD, a pulmonary attending physician at Children’s Hospital Boston.

Cohen, who does research in Children’s Division of Respiratory Diseases and in Brigham and Women’s Hospital’s Channing Laboratory, analyzed data from more than 6,500 children from inner-city Hartford who were screened for asthma. All the children were on Medicaid or S-CHIP (a Connecticut state-funded health insurance program), indicating similar low-income status. Overall, more than 2,900 children (45 percent) were diagnosed with asthma.

The Puerto Rican children had more severe asthma than the African-American children, but after adjustment for disease severity and for asthma risk factors, like exposure to cockroaches and tobacco smoke, they still made almost 30 percent more outpatient clinic visits for asthma. However, the African-American children spent three times more days in the hospital.

The reasons for these differences need further study, Cohen says. “The Puerto Rican children had greater asthma severity, so it was interesting that the African American children ended up spending more days in the hospital,” she says. “Is that because Puerto Rican children get more care early in their illness? Are we not reaching out enough to make all families feel comfortable coming to the clinic? Are we not teaching families to recognize symptoms? We don’t know.”

Many studies have compared asthma care between whites and African Americans, but relatively few have looked at Hispanics and even fewer have looked at Puerto Rican children specifically. “Hispanics are usually reported as one mixed group, although there are substantial differences in asthma outcomes between Puerto Ricans and Mexican Americans, for example,” Cohen says. “Furthermore, grouping socioeconomically disadvantaged kids together doesn’t necessarily teach us that much about the children we’re seeing in the clinic.”

Elizabeth Woods, MD, director of the Children’s Hospital Boston Community Asthma Initiative, who was not involved in the study, speculates that families’ willingness to take medications preventively, a cornerstone of good asthma treatment, may be influenced by cultural factors. Overall, only 18 percent of the children classified as having persistent asthma filled prescriptions for preventive medications, such as inhaled steroids, but Puerto Rican families were more likely than African American families to fill them.

“We want patients to preemptively treat symptoms as they start up, so they don’t have severe exacerbations that require emergency visits and hospitalizations,” says Woods. “We need to help people understand the idea of taking preventive medication before they’re sick.”

(Source: Newswise)
'"/>




Related medicine news :

1. Antibiotics Dangerous for Diarrhoea in Children Caused by E.Coli
2. Inhaled Steroids Safe & Effective for Children with Asthma
3. General Anesthesia Safe For Children On Ketogenic Diet Suffering From Epilepsy
4. Children suffer the most when parents divorce
5. Childrens snoring may indicate a serious problem
6. Children exposed to smoke show decreased levels of Vitamin C
7. Children! Protecting them from medical mistakes
8. Children who used anaesthesia drugs could suffer brain damage
9. Children’s Cholesterol Matter
10. Race Affects Sleep in Children
11. Vaccine Reduces antibiotic-resistant infections in Children
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... Little Rock, AR (PRWEB) , ... October 13, ... ... owned firm with locations throughout Arkansas that offers insurance and financial preparation services, ... to benefit the Rock City Rescue organization. , Rock City Rescue is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association of ... of excellence for the field of eating disorders, announces the opening of early ... in Orlando, Florida at the Omni Resort at ChampionsGate. , The ...
(Date:10/13/2017)... ... 13, 2017 , ... Apple Rehab Shelton Lakes , which specializes in ... the facility as part of a disaster drill on October 3rd. , Apple Rehab ... City Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid ...
(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th Annual Kids ... Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, ... run is geared towards children of all ages; it is a non-competitive, non-timed event, ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains to the ... save lost souls in the Philippines. “The Journey: From the Mountains to the Mission ... of the Bible. She has taught all ages and currently teaches a class of ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... 25, 2017  EpiVax, Inc., a leader in ... immune-engineering today announced the launch of EpiVax Oncology ... personalized therapeutic cancer vaccines. EpiVax has provided $500,000 ... to enabling technologies to the new precision immunotherapy ... EpiVax Oncology as Chief Executive Officer. Gad brings ...
(Date:9/19/2017)... , Sept. 19, 2017 HistoSonics, Inc., a venture-backed medical device company developing a ... targeted tissues, announced three leadership team developments today:   ... ... ... Veteran medical device executive Josh Stopek , ...
(Date:9/13/2017)... OrthoAtlanta has been named the official orthopedic and sports ... the 2018 College Football Playoff (CFP) National Championship to be ... Atlanta, Georgia . OrthoAtlanta is proud to ... in many activities leading up to, and including the national ... OrthoAtlanta ...
Breaking Medicine Technology: