The Status of Asthma in the United States.

IF 4.4 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventing Chronic Disease Pub Date : 2024-07-18 DOI:10.5888/pcd21.240005

Cynthia A Pate, Hatice S Zahran

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Abstract

Introduction: Asthma imposes a substantial health and economic burden on patients and their families and on the health care system. An assessment of the status of asthma in the US may lead to effective strategies to improve health and quality of life among people with asthma. The objective of our study was to assess the historical trends and current state of asthma illness and death among children and adults in the US.

Methods: We assessed asthma-related emergency department visits and hospitalizations among children and adults by using data from the 2010-2021 National Health Interview Survey (NHIS), the 2010-2020 Nationwide Emergency Department Sample (NEDS), the National (Nationwide) Inpatient Sample (NIS), the Healthcare Cost and Utilization Project (HCUP), and the Agency for Healthcare Research and Quality (AHRQ). Asthma death rates were calculated by using 2010-2021 National Vital Statistics System data.

Results: Asthma prevalence increased significantly among adults from 2013 through 2021 (P = .04 for the annual percentage change [APC] slope) and decreased among children from 2010 through 2021 (P values for slopes: 2010-2017, P = .03; 2017-2021, P = .03). Prevalence of current asthma was higher among non-Hispanic Black people (children, 12.5%; adjusted prevalence ratio [APR] = 2.19; 95% CI, 1.68-2.84 and adults, 10.6%; APR = 1.25; 95% CI, 1.09-1.43) compared with non-Hispanic White people (children, 5.7%; adults, 8.2%). Prevalence of asthma attacks and use of asthma-related health care declined among adults and children. Asthma prevalence and asthma-related emergency department visits, hospitalization, and death rates differed by select characteristics.

Conclusions: Although asthma attacks, ED visits, hospitalizations, and deaths have declined since 2010 among all ages, current asthma prevalence declined only among children, and significant disparities in health and health care use still exist.

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美国哮喘病的现状。

导言：哮喘给患者及其家庭和医疗保健系统带来了巨大的健康和经济负担。对美国的哮喘状况进行评估，可以为改善哮喘患者的健康和生活质量提供有效的策略。我们的研究旨在评估美国儿童和成人哮喘疾病和死亡的历史趋势和现状：我们利用 2010-2021 年全国健康访谈调查 (NHIS)、2010-2020 年全国急诊科抽样调查 (NEDS)、全国住院病人抽样调查 (NIS)、医疗保健成本与利用项目 (HCUP) 以及医疗保健研究与质量局 (AHRQ) 的数据，评估了儿童和成人中与哮喘有关的急诊就诊和住院情况。哮喘死亡率是根据 2010-2021 年国家生命统计系统数据计算得出的：从 2013 年到 2021 年，成人哮喘患病率显著上升（年度百分比变化 [APC] 斜率 P = .04），而儿童患病率从 2010 年到 2021 年显著下降（斜率 P 值：2010-2017 年，P = .03；2017-2021 年，P = .03）。与非西班牙裔白人（儿童，5.7%；成人，8.2%）相比，非西班牙裔黑人目前的哮喘患病率更高（儿童，12.5%；调整患病率比 [APR] = 2.19；95% CI，1.68-2.84；成人，10.6%；调整患病率比 [APR] = 1.25；95% CI，1.09-1.43）。成人和儿童的哮喘发作率和哮喘相关医疗保健的使用率均有所下降。哮喘发病率和与哮喘相关的急诊就诊率、住院率和死亡率因所选特征而异：尽管自 2010 年以来，各年龄段的哮喘发作率、急诊就诊率、住院率和死亡率均有所下降，但目前只有儿童的哮喘发病率有所下降，而且在健康和医疗保健使用方面仍存在显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Preventing Chronic Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.70

自引率

3.60%

发文量

期刊介绍： Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. The mission of PCD is to promote the open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The vision of PCD is to be the premier forum where practitioners and policy makers inform research and researchers help practitioners and policy makers more effectively improve the health of the population. Articles focus on preventing and controlling chronic diseases and conditions, promoting health, and examining the biological, behavioral, physical, and social determinants of health and their impact on quality of life, morbidity, and mortality across the life span.