• J Am Board Fam Med · Sep 2020

    Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children.

    • John Heintzman, Jorge Kaufmann, Jennifer Lucas, Shakira Suglia, Arvin Garg, Jon Puro, Sophia Giebultowicz, David Ezekiel-Herrera, Andrew Bazemore, and Miguel Marino.
    • From the Department of Family Medicine, Oregon Health & Science University, Portland (JH, JK, JL, DEH, MM); OCHIN Inc., Portland, OR (JH, JP, SG); Emory University, Atlanta, GA (SS); American Board of ... more Family Medicine, Lexington, KY (AB); Boston Medical College, Boston, MA (AG). heintzma@ohsu.edu. less
    • J Am Board Fam Med. 2020 Sep 1; 33 (5): 707-715.

    IntroductionPrior research has documented disparities in asthma outcomes between Latino children and non-Hispanic whites, but little research directly examines the care provided to Latino children over time in clinical settings.MethodsWe utilized an electronic health record-based dataset to study basic asthma care utilization (timely diagnosis documentation and medication prescription) between Latino (Spanish preferring and English preferring) and Non-Hispanic white children over a 13-year study period.ResultsIn our study population (n = 37,614), Latino children were more likely to have Medicaid, be low income, and be obese than non-Hispanic white children. Latinos (Spanish preferring and English preferring) had lower odds than non-Hispanic whites of having their asthma recorded on their problem list on the first day the diagnosis was noted (odds ratio [OR] = 0.83; 95% CI, 0.77 to 0.89 Spanish preferring; OR = 0.93; 95% CI, 0.87 to 0.99 English preferring). Spanish-preferring Latinos had higher odds of ever receiving a prescription for albuterol (OR = 1.96; 95% CI, 1.52 to 2.52), inhaled corticosteroids (OR = 1.45; 95% CI, 1.01 to 2.09), or oral steroids (OR = 1.48; 95% CI, 1.07 to 2.04) than non-Hispanic whites. Among those with any prescription, Spanish-preferring Latinos had higher rates of albuterol prescriptions compared with non-Hispanic whites (adjusted rate ratio [aRR] = 1.0; 95% CI, 1.01 to 1.13).ConclusionsIn a multi-state network of clinics, Latino children were less likely to have their asthma entered on their problem list the first day it was noted than non-Hispanic white children, but otherwise did not receive inferior care to non-Hispanic white children in other measures. Further research can examine other parts of the asthma care continuum to better understand asthma disparities.© Copyright 2020 by the American Board of Family Medicine.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        

    hide…