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Published on: November 4, 2010
Asthma prevalence among American Indian and Alaska Native children
J W Stout1, M Sullivan, L L Liu
1University of Washington, Seattle, USA. jstout@u.washington.edu
Insights
In 1987, asthma prevalence in American Indian and Alaska Native (AI/AN) children was similar to the general US child population. More current data are needed to understand contemporary AI/AN childhood asthma rates.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Asthma is a leading chronic childhood illness in the US.
- Limited data exist on asthma prevalence among American Indian and Alaska Native (AI/AN) children.
Purpose of the Study:
- To estimate the prevalence of asthma in AI/AN children using available survey data.
- To compare asthma rates in AI/AN children with the general US child population.
Main Methods:
- Analysis of data from the 1987 Survey of American Indians and Alaska Natives (SAIAN) and the 1987 National Medical Expenditure Survey (NMES).
- Inclusion of children aged 1-17 years.
- Focus on parent-reported asthma diagnoses.
Main Results:
- Weighted prevalence of parent-reported asthma was 7.06% in AI/AN children (ages 1-17).
- This is comparable to the US estimate of 8.40% for children aged 1-17 in 1987.
- The AI/AN sample size was insufficient for stratified comparisons by income or residence.
Conclusions:
- In 1987, asthma prevalence was similar between AI/AN children and the general US child population.
- Current asthma prevalence among AI/AN children remains largely unknown.
- Updated research is necessary to assess contemporary asthma rates in this demographic.
Objectives:
Although asthma is the most common chronic childhood illness in the United States, little is known about its prevalence among American Indian and Alaska Native (AI/AN) children. The authors used the latest available household survey data to estimate the prevalence of asthma in this population.
Methods:
The authors analyzed data for children ages 1 through 17 years from the 1987 Survey of American Indians and Alaska Natives (SAIAN) and the 1987 National Medical Expenditure Survey (NMES). At least one member of each AI/AN household included in the SAIAN was eligible for services through the Indian Health Service.
Results:
The weighted prevalence of parent-reported asthma was 7.06% among 2288 AI/AN children ages 1-17 (95% CI 5.08, 9.04), compared with a US estimate of 8.40% for children ages 1-17 based on the 1987 NMES (95% CI 7.65, 9.15). The AI/AN sample was too small to yield stable estimates for a comparison between AI/AN children and all US children when the data were stratified according to household income and metropolitan vs non-metropolitan residence. The unadjusted asthma prevalence rates were similar for AI/AN children and for children in the NMES sample.
Conclusions:
In 1987, the prevalence of parent-reported asthma was similar for AI/AN children in the SAIAN sample and for children in the NMES sample. More recent data are needed to better understand the current prevalence of asthma among AI/AN children.
Related Concept Videos
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma I: Introduction
Asthma III: Clinical Manifestations

