Disparities Between Asthma Management and Insurance Type Among Children

作者：Piper Crystal N^*; Elder Keith; Glover Saundra; Baek Jong Deuk; Murph Keva

来源：Journal of the National Medical Association, 2010, 102(7): 556-561.

DOI：10.1016/S0027-9684(15)30633-7

• children/adolescents
• asthma
• race/ethnicity
• health disparities
• insurance

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.

• 出版日期2010-7