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Changes in the health burden of a national sample of children with asthma

Nazli Baydar1, Gail Kieckhefer, Jutta M Joesch

  • 1Koc University and University of Washington, Department of Sociology and Psychology, Rumelifeneri Yolu, 34450 Sariyer, Istanbul, Turkey. nbaydar@ku.edu.tr

Social Science & Medicine (1982)
|October 24, 2009
PubMed

Insights

Modifiable factors like asthma control activities and stable health insurance significantly impact childhood asthma burden. Effective health policies targeting these areas are crucial for improving children

Area of Science:

  • Pediatric Health
  • Health Services Research
  • Public Health Policy

Background:

  • Childhood asthma represents a significant health burden.
  • Understanding modifiable factors influencing asthma burden is critical for effective interventions.
  • Previous research has explored various determinants of childhood asthma.

Purpose of the Study:

  • To examine the influence of modifiable factors on the level and changes in childhood asthma burden.
  • To identify key targets for health policies and provider recommendations.
  • To assess the impact of demographic factors, healthcare access, and asthma control on children's asthma burden.

Main Methods:

  • Utilized data from the Medical Expenditure Panel Survey (1996-1999).
  • Analyzed data from 784 U.S. children aged 3-11 years with asthma.
  • Employed multilevel models to analyze perceived and objectively measured asthma burden.

Main Results:

  • Unfavorable asthma burden trajectories were observed in families with public health insurance.
  • Asthma control activities were linked to favorable trajectories in both perceived and objectively measured burden.
  • Healthcare access and stability were identified as significant factors.

Conclusions:

  • Asthma control activities are vital for improving childhood asthma outcomes.
  • Access to high-quality, stable healthcare services should be a priority for health policies.
  • Policy interventions should focus on modifiable factors to reduce the burden of childhood asthma.

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