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American Journal of Public Health, Vol 90, Issue 3 428-430, Copyright © 2000 by American Public Health Association


JOURNAL ARTICLE

The effects of race/ethnicity and income on early childhood asthma prevalence and health care use

JE Miller
Institute for Health, Rutgers University, New Brunswick, NJ 08903-5070, USA. jem@rci.rutgers.edu

OBJECTIVES: Asthma is the most common chronic illness among US children and is most prevalent in low-income and minority groups. We used multivariate models to disentangle the effects of race/ethnicity, income, and other individual-level risk factors on asthma in a population-based sample of children aged 3 years. METHODS: Data are from the 1988 National Maternal and Infant Health Survey and 1991 Longitudinal Follow-Up. Odds ratios of asthma prevalence, hospitalization, and emergency room use were estimated, with control for socioeconomic characteristics, health behaviors, and insurance. RESULTS: Asthma prevalence, hospitalization, and emergency room use declined with increasing income for non-Black but not Black children. CONCLUSIONS: Lifetime income and sociodemographic characteristics do not explain the excess risks of asthma and emergency health care use for asthma among young Black children.


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