The Burden and Social Determinants of Asthma Among Children in the State of Georgia

Mark H Ebell1, Christian Marchello2, Lu Meng3

  • 1Department of Epidemiology, College of Public Health, University of Georgia, 125 Miller Hall UGA Health Sciences Campus, Athens, GA, 30602, USA. ebell@uga.edu.

Insights

African-American children face a higher prevalence of asthma and disproportionately higher rates of hospitalizations and emergency department visits. Addressing social determinants is crucial for improving pediatric asthma outcomes.

Area of Science:

  • Pediatric Health
  • Public Health
  • Epidemiology

Background:

  • Asthma is a prevalent chronic condition in children.
  • Social determinants significantly influence pediatric asthma risk and outcomes.
  • Understanding disparities in asthma care is critical for public health initiatives.

Purpose of the Study:

  • To investigate the association between social determinants and asthma-related outcomes in children in Georgia.
  • To identify key risk factors and predictors of asthma in a pediatric population.
  • To analyze disparities in asthma prevalence and healthcare utilization among different racial and ethnic groups.

Main Methods:

  • Utilized Georgia data from the Behavioral Risk Factor Surveillance System (BRFSS) and hospital/emergency department surveys (2011-2016).
  • Employed SAS and SUDAAN for weighted prevalence estimates and univariate/multivariate analyses.
  • Examined associations between social determinants, demographics, and asthma outcomes.

Main Results:

  • Asthma prevalence is higher in African-American children and those from households with annual incomes under $75,000.
  • African-American race was the strongest independent predictor of asthma (aOR 2.9, 95% CI 1.5-5.8).
  • African-American and multiracial children experienced 2-5 times higher rates of asthma-related hospitalizations and ED visits, despite declining secular trends.

Conclusions:

  • African-American race is a significant independent predictor of childhood asthma in Georgia.
  • Substantial disparities exist in asthma burden, with African-American and multiracial children facing disproportionately higher rates of severe outcomes.
  • Targeted programmatic efforts are essential to improve asthma care access, adherence, and knowledge for vulnerable pediatric populations.

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