Race and Asthma. What is the link?
November 7th, 2007 | by Timothy Kintzel, M.D. |
A recent study was conducted to help try to explain why asthma causes more morbidity in Blacks than in other races. Is it due to lack of access to care, severity of the disease itself, or to socioeconomic factors? This was a prospective trial ( one where the investigators looked forward at cases of asthma, not back at previous data. These are generally considered more powerful studies by the scientific community) looking at over 600 admitted asthma patients. They were interviewed upon discharge from the hospital as to their disease history, socioeconomic status, asthma treatments they were receiving, and general health. From there they were followed for subsequent Emergency Dept visits or hospitalisations. The results showed the Black race was associated with an increase in emergency visits and hospitalisations indepenent of socioeconomic status and asthma therapy received.
The investigators conclude that even in a uniform health care setting, blacks are at greater risk for worse outcomes from asthma irrespective of their disease severity, treatments, or socioeconomic status. This could be due to a genetic difference and warrents further study.
Reference: Erickson SE, et al (Arch Intern Med. 2007 Sep 24;167(17):1846-52)
Tags: african american, Asthma, Race, socioeconomic issues in health care, wheezing
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