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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Factors associated with disparities in emergency department use among Latino children with asthma
Annals of allergy, asthma, & immunology, v 108(4), pp 266-270
01 Apr 2012
PMID: 22469447
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Significant disparities in emergency department (ED) rates exist for Latinos; however, few studies have investigated the factors that may account for these disparities.
Objectives: To examine individual/family and health system factors among Latino and non-Latino white (NLW) children with asthma to explain disparities in ED rates.
Methods: The study was carried out in Puerto Rico (PR) and Rhode Island (RI) with the same design: a cross-sectional, observational approach with repeated measurements of selected variables.
Results: The sample was composed of 804 children ages 7 to 15 years, with 405 from PR and 399 from RI. Latino children from both sites had significantly higher rates of ED use as compared with NLWs from RI. Regression analyses showed site, asthma control, parental reported severity of asthma and public insurance to be significantly associated with ED use.
Conclusion: Latino ethnicity and public insurance were among the most important factors related to frequent ED use. Revisions of the policies driving public insurance to assure better access to specialists, preventive education, and evidence-based treatment are needed. The results also suggest the need for the development of interventions in the ED that are geared toward educating families on how best to use emergency services. (C) 2012 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
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Details
- Title
- Factors associated with disparities in emergency department use among Latino children with asthma
- Creators
- Glorisa Canino - University of Puerto Rico, Medical Sciences CampusAris Garro - Brown UniversityMaria M. Alvarez - University of Puerto Rico, Medical Sciences CampusAngel Colon-Semidey - University of Puerto Rico, Medical Sciences CampusCynthia Esteban - Brown UniversityGregory Fritz - Brown UniversityDaphne Koinis-Mitchell - Brown UniversitySheryl J. Kopel - Brown UniversityAlexander N. Ortega - UCLA Department of Public Health, Department of Health Services, Los Angeles, CaliforniaRonald Seifer - Brown UniversityElizabeth L. McQuaid - Brown University
- Publication Details
- Annals of allergy, asthma, & immunology, v 108(4), pp 266-270
- Publisher
- Elsevier
- Number of pages
- 5
- Grant note
- U01-Hl072438-01; HL 072519-05 / National Heart Lung and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) S21MD000242 / NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) National Center for Minority Health and Health Disparities (NCMHD-NH) 5S21MD000242; 5S21MD000138 / UPR School of Medicine Endowed Health Services Research Center from NCMHD-NIH 5P60 MD002261-02 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA U01HL072438 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000302268900013
- Scopus ID
- 2-s2.0-84859422815
- Other Identifier
- 991019297107704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Allergy
- Immunology