College of Health and Human Services-Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina 28223, USA.
J Natl Med Assoc. 2010 Jul;102(7):556-61. doi: 10.1016/s0027-9684(15)30633-7.
Asthma is a chronic illness among children. Minority children may be vulnerable to asthma complications since more than half are from households that are poor or near poor, and some have no health insurance. Asthma management plans are important for the long-term treatment of asthma and beneficial for self-management. This study analyzed insurance type and the relationship between having an asthma management plan among children across all races with asthma. This study utilized the 2002 and 2003 National Health Interview Survey. Findings showed that whites were significantly more likely than Non-Hispanic blacks and Hispanics to have an asthma management plan (OR, 1.66; p = .0031). In this study, children who reported Children's Health insurance Program (CHIP) coverage were twice as likely to have an asthma management plan (OR, 2.67; p = .0004). Mandating all insurers to provide an asthma management plan to children with asthma may reduce the race-based inequities and differences in asthma management plan status.
哮喘是儿童的一种慢性病。少数族裔儿童可能容易受到哮喘并发症的影响,因为超过一半的儿童来自贫困或接近贫困的家庭,有些甚至没有医疗保险。哮喘管理计划对于哮喘的长期治疗非常重要,有利于自我管理。本研究分析了所有种族患有哮喘的儿童的保险类型和是否有哮喘管理计划之间的关系。本研究利用了 2002 年和 2003 年的全国健康访谈调查。研究结果表明,白人比非西班牙裔黑人和西班牙裔更有可能制定哮喘管理计划(OR,1.66;p =.0031)。在这项研究中,报告有儿童健康保险计划(CHIP)覆盖的儿童制定哮喘管理计划的可能性是没有保险的儿童的两倍(OR,2.67;p =.0004)。强制所有保险公司为患有哮喘的儿童提供哮喘管理计划,可能会减少基于种族的不平等和哮喘管理计划状况的差异。