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Related Experiment Videos

Stabilization of asthma mortality

R M Sly1, R O'Donnell

  • 1Section of Allergy and Immunology, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|April 1, 1997
PubMed
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Asthma mortality rates in the US have increased significantly since 1978, particularly for Black individuals and white females. While rates have stabilized for most ages since 1988, improvements in asthma management are crucial for reducing deaths.

Area of Science:

  • Epidemiology
  • Public Health
  • Respiratory Medicine

Background:

  • Asthma mortality rates in the United States have shown an upward trend since 1978.
  • This trend necessitates an evaluation of recent patterns in asthma-related deaths.

Purpose of the Study:

  • To identify and evaluate recent trends in asthma mortality.
  • To analyze demographic disparities in asthma death rates.

Main Methods:

  • Utilized National Center for Health Statistics data (ICD 493) for asthma deaths in the US.
  • Incorporated US Census Bureau population data for age-specific and age-adjusted rate calculations.
  • Included international data from Australia, Canada, Great Britain, and New Zealand for comparative analysis.

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Main Results:

  • US asthma death rates rose from 0.8 per 100,000 in 1977-1978 to 2.1 in 1994.
  • Age-adjusted rates for Black individuals increased from 1.5 to 3.7, while white rates rose from 0.5 to 1.2 between 1977-1978 and 1994.
  • Significant disparities observed, with higher rates in Black populations compared to white, and among white females compared to white males.

Conclusions:

  • Asthma death rates have stabilized at over 50% higher than 1979 levels since 1988 for most age groups.
  • Significant racial and gender disparities persist, suggesting potential differences in prevalence, severity, or diagnostic accuracy.
  • Enhanced asthma management strategies are recommended to mitigate mortality.