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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Joanne K. Fagan, PhD1, Sebastian Bonner, PhD2, Thomas Matte, MD2, Ilan Meyer, PhD3, Jennifer Ahern, MPH2, and David Evans, PhD4. (1) Joseph L. Mailman School of Public Health, Columbia University, 118 Essex Avenue, Glen Ridge, NJ 07028, 973-566-0310, jfagan26@comcast.net, (2) Center for Urban Epidemiologic Studies, New York Academy of Medicine, 1216 Fifth Avenue, Fifth floor, New York, NY 10029, (3) Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, 722 West 168th Street, Room 928, New York, NY 10032, (4) Pediatrics, Columbia University College of Physicians & Surgeons, 630 West 168th Street, Room CHS-745, New York, NY 10032
Asthma related morbidity and mortality disproportionately impact children and urban underserved populations. We identified children with asthma in New York City Head Start programs in Central and East Harlem using a brief screening instrument and followed them for 12 months. We assessed baseline risk factors for asthma-related hospitalizations and Emergency Department (ED) visits during follow-up. Of the 149 parents/guardians of Head Start children interviewed at baseline, 108 (73%) were interviewed at 12 months. A total of 31 (29%) experienced at least one hospitalization or ED visit during the 12 month study period. The following risk factors were associated with asthma-related hospitalizations or ED visits during follow-up: past history of hospitalization [OR=3.7; 95% CI=1.4-9.9], past history of ED visits for asthma [OR=4.0; 95% CI=1.6-10.2], use of a liquid bronchodilator during the four weeks prior to baseline [OR=4.0; 95% CI=1.6-10.2], and use of an inhaled bronchodilator during the four weeks prior to baseline [OR=2.5; 95% CI=1.1-5.9]. Among the 75% of children with at least one of these factors, 36% were hospitalized or visited the ED within the 12 month follow-up versus 7% of children without a risk factor. The screening instrument identified children with a high rate of emergency hospital care for asthma. Though a higher risk subgroup could be identified to target for intervention, a substantial percent of children with none of the risk factors experienced hospitalizations or ED visits.
Learning Objectives:
Keywords: Asthma, Child Health
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.