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California's Young Hispanic Children With Asthma: Disparities in Health Care Access and Utilization of Health Care Services

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Research is needed to examine what factors determine the health care utilization patterns of Hispanic children with asthma. The purpose of this study was to profile California's Hispanic children with asthma, from 1 to 5 years of age, including their demographics, their health care access, their asthma severity, their disability due to asthma, and their health care utilization patterns. An overall sample of 149 children ( = 149) was used, whose parents reported that they were Hispanic and had a current MD diagnosis of asthma. A secondary analysis of parental reports of their children's asthma was done using the California Health Interview Survey (CHIS), 2001. In the past 12 months, young Hispanic children with asthma had increased emergency department (ED) use due to their asthma (58.5%) as compared to visits to their regular care provider, increased hospitalizations (77.1%), and took daily asthma control medication (53.4%). Most children had mild asthma severity (43.6%) and sometimes had their physical activity limited (26.8%) due to asthma. California's young, Hispanic children with asthma have high utilization of health care services due to asthma.

Spanish
Para examinar los factores, que determinan la de utilización de cuidados de salud por parte de niños hispanos con asma, nuevos estudios son necesarios. El propósito de este estudio fue describir el perfil de los niños hispanos con asma, que viven en California y que tienen entre 1 y 5 años de edad. Se incluyo en el estudio el perfil demográfico, acceso a cuidado médico, severidad de sus discapacidades a causa del asma, y patrones de utilización de cuidado médico. Una muestra de 149 (N = 149) padres que reportaron que sus hijos eranhispanos y que tenían un diagnostico actual de asma fueron parte del estudio. Análisis secundario de datos, correspondientes a reportes de los padres sobre sus hijos con asma. Para el estudio se utilizo el California Health Interview Survey (CHIS), 2001. Los niños hispanos con asma, en California, aumentaron en un 58.5% el uso del servicio de emergencia debido a su asma en comparación con las visitas periódicas realizada al proveedor de atención primaria en los 12 meses previos al estudio. Las hospitalizaciones por causa del asma también aumentaron (77.1%), junto con el uso de medicamentos diarios para controlar el asma (53.4%). La mayoría de los niños tenían asma leve (43.6%) y en algunas ocasiones presentaban limitación de su actividad física (26.8%) por causa del asma. Los niños hispanos con asma, que viven en California, presentan una alta utilización de los servicios de salud debido a su asma.
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Keywords: ASTHMA; CHILDREN FROM 1 TO 5 YEARS OF AGE; DISPARITIES; HISPANIC

Document Type: Research Article

Publication date: September 1, 2010

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