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Carolina Alvarez-Garriga, MD, DrPH1, Joaquim G. Valente, MD, PhD1, Wei Yang, MD, PhD2, Federico Montealegre, DVM, MS, PhD3, Sandra Noffsinger1, Michelle Butler1, Dylan Linnell1, Danielle Moss1, Aaron Hull1, Joseph Wilson1, Kayla Bihler1, Jenna Huber1, Dea Minnitte1, Kristen Rose1, Justin Patay1, Amber Ramos1, Julie Pace1, and Manuel Bayona, MD, PhD1. (1) School of Public Health, University of Nevada, Reno, Lombardi/ 274, Reno, NV 89557, (775) 784-4041 Ext. 249, calvarez@unr.edu, (2) Center for Health Data and Research, Nevada State Health Division, 505 E. King Street, Room 102, Carson City, NV 89701, (3) Department of Microbiology, Ponce School of Medicine, P.O. Box 7004, Ponce, PR 00732
Prevalence and severity of asthma are rising and existing evidence is not sufficient to explain this process. The purpose of this study was to identify and assess important predictors for asthma severe enough to require hospitalization. Data was obtained from the “National Asthma Survey” of the “State and Local Area Integrated Telephone Survey” of the National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC). These cross-sectional data were analyzed by applying the appropriate sampling weights to multiple logistic regression, to assess the association of each potential predictor and the outcome (severe asthma) adjusting for all confounders simultaneously. Among other results, the likelihood of severe asthma was higher in children below five years of age and those 75 years and older. No important gender differences were found. Hispanics had considerably higher probability of severe asthma. Obesity was also found associated with severe asthma. As income increased, the likelihood of severe asthma decreased up to 87% when compared incomes above $ 65,000 with below $ 10,000 U.S. dollars a year. The results of this study can be used to identify modifiable predictors and high risk groups for asthma severe enough to require hospitalization.
Key Words: Epidemiology, asthma severity, telephone survey
Learning Objectives:
Presenting author's disclosure statement:
Any relevant financial relationships? No
The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA