The relationship between childhood asthma and socioeconomic status

A Korean nationwide population-based study

Datos Bibliográficos

ID22067089
AutoresWon Seok Lee (0000-0001-5356-7770, CHA University), Jae Kyoon Hwang (0000-0003-0312-567X, Hanyang University Guri Hospital), Jiin Ryu (0000-0001-9763-5413, Biostatistical Consulting (United States)), Young-Jin Choi, Young‐Jin Choi (0000-0002-8466-4132, Hanyang University Guri Hospital), Jae-Won Oh, Jae‐Won Oh (0000-0003-2714-0065, Hanyang University Guri Hospital), Chang-Ryul Kim, Chang‐Ryul Kim (0000-0003-3008-4260, Hanyang University Guri Hospital), Man Yong Han (0000-0002-9077-5779, CHA University Bundang Medical Center), In‐hwan Oh (0000-0002-5450-9887, Kyung Hee University), In Hwan Oh, Kyung Suk Lee (0000-0003-4327-7213, Hanyang University Guri Hospital, autor de correspondencia)
Año2023
Volumen11
Páginas1133312-1133312
Fecha de publicación2023-04-25
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1133312
PMID37181696
OpenAlexW4366989105
IdiomaEN
Referencias citadas35

Purpose This study aimed to investigate associations of socioeconomic status (SES) with asthma exacerbation and asthma-related hospital utilization factors among children with asthma in the Republic of Korea. Methods This study retrospectively analyzed population-level data from the Korean National Health Insurance Service, collected from 2013 through 2019. SES was classified into five categories according to the national health insurance premiums quantiles (0 [lowest] to 4 [highest]). The hazard ratios (HRs) for asthma exacerbation, emergency department (ED) visits, hospital admission, and intensive care unit (ICU) admission were analyzed with respect to SES. Results Among the five SES groups, SES group 0 (medical aid), had the highest tallies and proportions of children who experienced asthma exacerbations ( n = 1,682, 4.8%), ED visits ( n = 932, 2.6%), hospital admission ( n = 2,734, 7.7%) and ICU admission ( n = 14, 0.04%). Compared with SES group 4, SES group 0 had adjusted HRs of 3.73 ( p = 0.0113) and 1.04 ( p < 0.0001) for ventilator support/tracheal intubation and administration of systemic corticosteroids, respectively. Relative to group 4, the adjusted HRs for ED visits, hospital admission, and ICU admission in group 0 were 1.88 ( p < 0.0001), 2.20 ( p < 0.0001), and 7.12 ( p < 0.0001), respectively. In the survival analysis, group 0 had a significantly higher risk of ED presentation, hospital admission, and ICU admission than the other groups (log-rank p < 0.001). Conclusion Compared with children of higher SES, those in the lowest SES group had increased risk of asthma exacerbation, hospital admission, and receiving treatment for severe asthma symptoms

Asthma · Asthma exacerbations · Emergency department · Environmental health · Exacerbation · Hospital admission · Intensive care unit · Population · Socioeconomic status · Asthma and respiratory diseases · Delphi Technique in Research · Medicine · Pediatric health and respiratory diseases · Emergency Medicine · Internal Medicine · Pediatrics