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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Asthma Surveillance - United States, 2006-2018
Cynthia A Pate1, Hatice S Zahran1, Xiaoting Qin1
1Division of Environmental Health Science and Practice, National Center for Environmental Health, CDC.
Asthma prevalence and severity vary significantly across the U.S. based on demographics and location. Targeted public health interventions are crucial to address these persistent disparities in asthma outcomes and healthcare access.
Area of Science:
- Public Health and Epidemiology
- Environmental Health
- Health Disparities Research
Background:
- Asthma is a chronic respiratory condition requiring continuous medical management.
- Socioeconomic, demographic, and geographic factors, particularly in rural areas, influence asthma prevalence, exacerbations, and healthcare utilization.
- Understanding these variations is critical for identifying at-risk populations and improving health outcomes.
Purpose of the Study:
- To characterize asthma indicators, including prevalence, attacks, emergency department/urgent care center (ED/UCC) visits, and mortality.
- To determine variations in asthma exacerbations and healthcare use across U.S. geographic areas (urban vs. rural) and sociodemographic factors.
- To identify subpopulations at higher risk for asthma-related complications.
Main Methods:
- Utilized data from the National Health Interview Survey (NHIS) for asthma indicators (current asthma, attacks, ED/UCC visits) from 2016-2018.
- Incorporated National Vital Statistics System (NVSS) data for asthma-associated deaths.
- Analyzed trends using Metropolitan Statistical Area (MSA) categories (2006-2018) and detailed urban-rural classifications (2013 NCHS data merged with 2016-2018 NHIS data).
Main Results:
- Higher asthma prevalence observed in boys, women, non-Hispanic Black individuals, multiple-race individuals, and Puerto Rican persons.
- Increased asthma attacks in children, females, and multiple-race individuals; higher ED/UCC visits across most racial/ethnic groups compared to non-Hispanic White persons.
- Asthma mortality rates were elevated in adults, females, Black persons, and individuals with low incomes, with geographic variations noted across MSAs and urban-rural classifications.
Conclusions:
- Significant disparities in asthma indicators persist based on demographic characteristics, poverty, and geographic location, despite some improvements.
- Findings highlight the need for targeted public health programs and interventions to address these inequities.
- Data can inform strategic goals, such as the CDC's CCARE initiative, to reduce childhood asthma hospitalizations and ED visits.
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