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Trends in Racial and Ethnic Disparities in Childhood Asthma in Miami, Florida: 2005-2013

机译:佛罗里达州迈阿密儿童哮喘患者哮喘患者的趋势:2005-2013

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摘要

Nationally, racial and ethnic disparities in childhood asthma plateaued from 2005 to 2013. We assessed trends in childhood asthma in Miami, Florida using Youth Risk Behavior Surveillance System (YRBSS) data and emergency department (ED) utilization and hospitalization rates by zip code population characteristics. Asthma prevalence in Miami did not vary significantly by race/ethnicity in YRBSS respondents in 2005 (16.2-17.2%, all groups), but rose in African-Americans and Hispanics and declined in Whites by 2013 to 27.9, 20.9 and 12.6%, respectively (P=0.02). Median asthma ED visit rates rose from 106.8 (2006-2008) to 138.2 (2011-2013; P=0.004) per 10,000 children. High-poverty and majority African-American zip codes were 6.3 and 7.3 times more likely to have asthma ED visit rates200 than others (P0.001). In high-poverty zip codes, majority African-American population was not associated with significantly higher ED utilization. In low-poverty zip codes, the association became stronger. Greater poverty explains much, but not all of Miami African-Americans' higher asthma risk.
机译:来自2005年至2013年的儿童哮喘的国家,种族和民族差异。我们评估了佛罗里达州佛罗里达州迈阿密的童年哮喘趋势,使用青少年风险行为监测系统(YRBS)数据和急诊部门(ED)利用和住院率,通过邮政编码群体特征。迈阿密的哮喘患病率在2005年的YRBSS受访者中的种族/民族没有显着变化(16.2-17.2%,所有群体),但在非洲裔美国人和西班牙裔人中上涨,并分别在2013年到27.9,20.9和12.6%下降(p = 0.02)。中位哮喘ed访问率从106.8(2006-2008)到138.2(2011-2013; P = 0.004)每10,000名儿童。高贫困和大多数非洲裔美国邮政编码为6.3%,哮喘射频访问率为6.3倍,而且比其他人更容易获得7.3倍(P <0.001)。在高贫困邮政编码中,大多数非洲裔美国人口与显着更高的利用率无关。在低贫困邮政编码中,该协会变得更加强大。更大的贫困解释了很多,但并非所有迈阿密非裔美国人的哮喘风险更高。

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