Poverty, race, and hospitalization for childhood asthma
Bibliographic Data
| ID | 11022326 |
|---|---|
| Authors | Lawrence S Wissow (0000-0003-2019-7472, Johns Hopkins University), Alan M Gittelsohn (Johns Hopkins University), Moyses Szklo (0000-0001-9433-6266, Johns Hopkins University), Barbara Starfield (Johns Hopkins University), Michael Mussman (Johns Hopkins University) |
| Year | 1988 |
| Volume | 78 |
| Issue | 7 |
| Pages | 777-782 |
| Publication date | 1988-07-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.78.7.777 |
| PMID | 3381951 |
| OpenAlex | W2043984517 |
| Language | EN |
| Citations received | 41 |
| References cited | 17 |
This study uses Maryland hospital discharge data for the period 1979-82 to determine whether Black children are more likely to be hospitalized for asthma and whether this difference persists after adjustment for poverty. The average annual asthma discharge rate was 1.95/1000 children aged 1-19; 3.75/1000 for Black children, and 1.25/1000 for White. Medicaid-enrolled children of both races had increased discharge rates for asthma compared to those whose care was paid for by other sources: 5.68/1000 vs 2.99/1000 for Blacks, and 3.10/1000 vs 1.11/1000 for Whites. When ecologic analyses were performed, populations of Black and White children had nearly equal asthma discharge rates after adjustment for poverty. The statewide adjusted rate was 2.70/1000 (95% CL = 1.93, 3.78) for Black children and 2.10/1000 (1.66, 2.66) for White children. Among Maryland counties and health planning districts, variation in asthma discharge rates was not associated with the supply of hospital beds or the population to primary-care physician ratio. We conclude that Black children are at increased risk of hospitalization for asthma, but that some or all of this increase is related to poverty rather than to race
Asthma · Environmental health · Health care · Hospital discharge · Medicaid · Population · Poverty · Poverty level · Race (biology) · Child and Adolescent Health · Demography · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Internal Medicine · Medicine · Pediatrics
Community-Based Approaches to Reduce Toxins in Housing
Childhood asthma along the United States/ Mexico border
The Relationship of Asthma and Anxiety Disorders
Socioeconomic Status and the Health of the Population
Iiia. Examining Issues in Health Care Delivery for Asthma
VC. Financial Payment Systems and Asthma Care
Geocoding and Monitoring of US Socioeconomic Inequalities in Mortality and Cancer Incidence
Rates of Avoidable Hospitalization by Insurance Status in Massachusetts and Maryland
Variation in Health and Health Care Use by Socioeconomic Status in Winnipeg, Canada
Population Disparities in Asthma
Characteristics of Children Having Multiple Medicaid-Paid Asthma Hospitalizations
The Contribution of Neighborhood Tree and Greenspace to Asthma Emergency Room Visits
Assessing ecologic proxies for household income
Relationships between pediatric asthma and socioeconomic/urban variables in Baltimore, Maryland
Developmental screening scores among preschoolaged children
Asthma and the home environment of low-income urban children
The prevalence of asthma in children of elementary school age in Western New York
A regional comparison of socioeconomic and health indices in a Canadian province
Health in the Inner City
The social construction of childhood asthma
Racism, Sexism, and Social Class
Associations of Provider‐to‐Population Ratios and Population Health by County‐Level Rurality
The Relationship of Asthma and Anxiety Disorders
The prevalence of asthma and severe asthma in children influenced by transportation factors
Race/ethnic differences in respiratory problems among a nationally-representative cohort of young children in the United States
Association between asthma and family size between 1977 and 1994
Variations in asthma hospitalizations and deaths in New York City
Effect of Weatherization Combined With Community Health Worker In-Home Education on Asthma Control
Prenatal hospitalization and compliance with guidelines for prenatal care
The relationship of prenatal care and pregnancy complications to birthweight in Winnipeg, Canada
Unraveling the Ecology of Risks for Early Childhood Asthma Among Ethnically Diverse Families in the Southwest
Low Birthweight and Asthma Among Young Urban Children
Factors Related to Potentially Preventable Hospitalizations Among the Elderly
Did Recent Expansions in Medicaid Narrow Socioeconomic Differences in Hospitalization Rates of Infants
Hospitalization for Ambulatory Care-Sensitive Conditions
American children at risk
Childhood Asthma Prevalence among Puerto Ricans and Mexican Americans
The influence of neighborhood environment on the incidence of childhood asthma
The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children
Socioeconomic differences in children's health
The Perception of Environmental Risks among Ethnically Diverse Groups
| Unique citing works | 41 |
|---|---|
| Citations per year | 1,14 |
| Citation span | 1990 - 2021 (32) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 35 |