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Underutilization of Preventive Asthma Visits Among Urban Children With Persistent Asthma

Anisha Gundewar1, Rebecca David1, Sean M Frey1

  • 11 University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Clinical Pediatrics
|February 4, 2017
PubMed

Insights

Few children with persistent asthma receive recommended preventive asthma visits (PAVs). PAVs are underutilized, despite being linked to better asthma management and medication adherence in urban children.

Area of Science:

  • Pediatric Pulmonology
  • Public Health
  • Asthma Management

Background:

  • National guidelines recommend at least 2 annual preventive asthma visits (PAVs) for children with persistent asthma.
  • Persistent asthma affects a significant pediatric population, necessitating effective management strategies.

Purpose of the Study:

  • To determine the utilization rate of PAVs in urban children with persistent asthma.
  • To identify demographic, health-related, and management factors associated with PAVs.

Main Methods:

  • Analysis of data from 530 children (aged 3-10 years) in a school-based asthma trial.
  • Assessment of PAV receipt, demographics, health variables, and asthma management practices.

Main Results:

  • Only 25% of children had at least 1 PAV; only 5% received ≥2 PAVs.
  • PAV receipt was not associated with demographics or health variables.
  • PAVs were associated with preventive medication use, daily adherence, and medication adjustments.

Conclusions:

  • Preventive asthma visits are significantly underutilized in urban children with persistent asthma.
  • PAVs are linked to improved asthma control measures, underscoring their importance.
  • Novel strategies are needed to improve access and care delivery for this vulnerable pediatric group.

Keywords:
childhood asthmadisparitieshealth care utilizationurban health

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