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Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago.
- Source :
-
American journal of public health [Am J Public Health] 2006 Sep; Vol. 96 (9), pp. 1599-603. Date of Electronic Publication: 2006 Feb 28. - Publication Year :
- 2006
-
Abstract
- Objectives: We examined racial and ethnic disparities in the total potential burden of asthma in low-income, racially/ethnically heterogeneous Chicago schools.<br />Methods: We used the Brief Pediatric Asthma Screen Plus (BPAS+) and the Spanish BPAS+, validated, caregiver-completed respiratory questionnaires, to identify asthma and possible asthma among students in 14 racially/ethnically diverse public elementary schools.<br />Results: Among 11490 children, we demonstrated a high lifetime prevalence (12.2%) as well as racial and ethnic disparities in diagnosed asthma, but no disparities in prevalences of possible undiagnosed asthma. Possible asthma cases boost the total potential burden of asthma to more than 1 in 3 non-Hispanic Black and Puerto Rican children.<br />Conclusions: There are significant racial and ethnic disparities in diagnosed asthma among inner-city schoolchildren in Chicago. However, possible undiagnosed asthma appears to have similar prevalences across racial/ethnic groups and contributes to a high total potential asthma burden in each group studied. A better understanding of underdiagnosis is needed to address gaps in asthma care and intervention for low-income communities.
- Subjects :
- Adolescent
Black or African American
Asthma diagnosis
Asthma epidemiology
Chicago epidemiology
Child
Child, Preschool
Diagnostic Errors
Epidemiologic Studies
Female
Hispanic or Latino
Humans
Male
Poverty
Prevalence
Public Sector
Puerto Rico ethnology
Schools statistics & numerical data
Asthma ethnology
Cost of Illness
Subjects
Details
- Language :
- English
- ISSN :
- 1541-0048
- Volume :
- 96
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- American journal of public health
- Publication Type :
- Academic Journal
- Accession number :
- 16507720
- Full Text :
- https://doi.org/10.2105/AJPH.2005.071514