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Disparities Between Asthma Management and Insurance Type Among Children

机译:儿童哮喘管理与保险类型之间的差异

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摘要

Asthma is a chronic illness among children. Minority children may be vulnerable to asthma complications since more than half are from households that are poor or near poor, and some have no health insurance. Asthma management plans are important for the long-term treatment of asthma and beneficial for self-management. This study analyzed insurance type and the relationship between having an asthma management plan among children across all races with asthma. This study utilized the 2002 and 2003 National Health Interview Survey. Findings showed that whites were significantly more likely than Non-Hispanic blacks and Hispanics to have an asthma management plan (OR, 1.66; p = .0031). In this study, children who reported Children's Health insurance Program (CHIP) coverage were twice as likely to have an asthma management plan (OR, 2.67; p = .0004). Mandating all insurers to provide an asthma management plan to children with asthma may reduce the race-based inequities and differences in asthma management plan status.
机译:哮喘是儿童中的慢性病。少数民族儿童可能容易患上哮喘并发症,因为一半以上的儿童来自贫困或接近贫困的家庭,有些家庭没有医疗保险。哮喘管理计划对于哮喘的长期治疗很重要,对自我管理也很有益。这项研究分析了所有种族哮喘儿童的保险类型以及制定哮喘管理计划之间的关系。这项研究利用了2002年和2003年的国家健康访问调查。研究结果表明,白人比非西班牙裔黑人和西班牙裔人更有可能制定哮喘治疗计划(OR,1.66; p = .0031)。在这项研究中,报告儿童健康保险计划(CHIP)覆盖范围的儿童制定哮喘管理计划的可能性是其两倍(OR,2.67; p = .0004)。责成所有保险公司向哮喘儿童提供哮喘管理计划,可以减少基于种族的不平等和哮喘管理计划状态的差异。

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  • 来源
    《Journal of the National Medical Association》 |2010年第7期|p.556-561|共6页
  • 作者单位

    Crystal N. Piper, MPH, MHA, PhD, Keith Elder, PhD, Saundra Glover, PhD, Jong-Deuk Baek, PhD, Keva Murph, MHAAuthor Affiliations: College of Health and Human Services-Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina (Dr Piper), Department of Health Services Administration, University of Alabama Birmingham, Birmingham, Alabama (Dr Elder), Institute for Partnership to Eliminate Health Disparities, University of South Carolina Arnold School of Public Health, Columbia, South Carolina (Dr Glover and Ms Murph), Graduate School of Public Health, San Diego State University, San Diego, California (Dr Baek).Correspondence: Crystal N. Piper, MPH, MHA, PhD, University of North Carolina at Charlotte, College of Health and Human Services-Department of Public Health Sciences, 9201 University City Blvd, Charlotte, NC 28223 (cpiper1@uncc.edu).,;

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  • 入库时间 2022-08-17 13:49:19

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