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Asthma and bronchiolitis hospitalizations among American Indian children

L L Liu1, J W Stout, M Sullivan

  • 1Child Health Institute, 146 N Canal St, Suite 300, Seattle, WA 98103-8652, USA.

Archives of Pediatrics & Adolescent Medicine
|October 13, 2000
PubMed

Insights

American Indian and Alaskan native infants have higher hospitalization rates for asthma and bronchiolitis. These disparities widened from 1987 to 1996, highlighting the need for targeted public health interventions.

Area of Science:

  • Pediatric respiratory illnesses
  • Public health disparities
  • Epidemiology

Background:

  • Asthma and bronchiolitis are significant causes of childhood hospitalization.
  • Understanding disparities in respiratory illness hospitalizations among diverse populations is crucial for public health.
  • American Indian and Alaskan native (AI/AN) children may face unique health challenges.

Purpose of the Study:

  • To compare hospitalization rates for asthma and bronchiolitis between AI/AN children and all children in Washington State.
  • To analyze trends in these hospitalization rates over a 10-year period.

Main Methods:

  • Retrospective analysis of Washington State hospitalization data (1987-1996).
  • Inclusion criteria: asthma or bronchiolitis as the first-listed diagnosis.
  • AI/AN children identified by linking hospitalization data with Indian Health Service enrollment data.

Main Results:

  • AI/AN children under 1 year had 2-3 times higher hospitalization rates for asthma and bronchiolitis compared to all children.
  • Hospitalization rates for asthma and bronchiolitis increased significantly between 1987 and 1996 for all infants, and nearly doubled for AI/AN infants.
  • Similar asthma hospitalization rates were observed for AI/AN children over 1 year old.

Conclusions:

  • AI/AN infants experience disproportionately high hospitalization rates for wheezing illnesses.
  • The gap in hospitalization rates between AI/AN infants and other children has widened over time.
  • Public health strategies should prioritize AI/AN infants for managing asthma and bronchiolitis.
Abstract

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