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Race and asthma control in the pediatric population of Hawaii

Brian H Wu1, Michael D Cabana, Joan F Hilton

  • 1Division of Pediatric Pulmonary Medicine, Department of Pediatrics, University of California San Francisco, California. wupedspulm@gmail.com.

Pediatric Pulmonology
|January 4, 2011
PubMed

Insights

Many children in Hawaii have poorly controlled asthma, regardless of race. Inadequate use of inhaled corticosteroids, despite regular checkups and education, may be the cause. Further education is needed for better asthma management.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Epidemiology

Background:

  • Hawaii exhibits one of the highest childhood asthma prevalence rates in the United States.
  • Understanding factors contributing to impaired asthma control in this unique population is crucial.

Purpose of the Study:

  • To estimate the prevalence of impaired asthma control among asthmatic children in Hawaii.
  • To identify factors associated with impaired asthma control in this demographic.

Main Methods:

  • Analysis of data from 477 asthmatic children in Hawaii from the 2006-2008 BRFSS Asthma Call-Back Surveys.
  • Impaired asthma control defined using 2007 National Asthma Education and Prevention Program guidelines.
  • Univariate and multivariate analyses employed to identify associated factors.

Main Results:

  • 35.6% of asthmatic children in Hawaii met criteria for impaired asthma control.
  • Native Hawaiian/Pacific Islander ethnicity was not significantly associated with impaired control.
  • Only 31.1% of children with impaired control used inhaled corticosteroids, despite high rates of routine checkups and asthma education.

Conclusions:

  • Impaired asthma control is prevalent in Hawaiian children, potentially linked to insufficient pharmacologic therapy rather than race.
  • A significant gap exists between asthma assessment/education and inhaled corticosteroid use.
  • Enhanced education for physicians, communities, and the healthcare system may improve asthma management and reduce morbidity.
Abstract

Keywords:
Asthma Call-Back Survey, Behavioral Risk Factor Surveillance SystemHawaiiasthmaasthma controlimpaired asthmapediatric

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