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Ppt11 Group E8135 5[1] Marti


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Ppt11 Group E8135 5[1] Marti

  1. 1. Socioeconomic Status as it Affects the Treatment of Asthma PUBH 8135-5 Group Project by: T. Fillingame, C. Floyd, M. Kessack, K. Trojak, & E. Uche
  2. 2. <ul><li>The Current Reality </li></ul><ul><li>and </li></ul><ul><li>Unacceptability </li></ul><ul><li>of this Situation </li></ul><ul><li>by </li></ul><ul><li>Marti Kusack </li></ul>
  3. 3. The Current Reality <ul><li>Incidence of Asthma Rising Each Year </li></ul><ul><ul><li>Current Cases of Childhood Asthma at 8% of the Population (Moorman, 2007) </li></ul></ul><ul><ul><li>Compared with 3% of population in 1970 </li></ul></ul><ul><ul><li>The number of cases in the lower socioeconomic status is 10% of the population in the United States </li></ul></ul><ul><ul><li>White population: 6.9% </li></ul></ul><ul><ul><li>vs. Black population: 9.2% </li></ul></ul>
  4. 4. Current Reality <ul><li>Mortality Rates for Asthmatic Children </li></ul><ul><ul><li>1979: 0.9 deaths per 100,000 </li></ul></ul><ul><ul><li>1998: 1.4 deaths per 100,000 (AMA, 2002) </li></ul></ul><ul><ul><li>African-American Children 6 times more likely to die than white children </li></ul></ul><ul><ul><li>(Carlson & Stroebel, 2001) </li></ul></ul>
  5. 5. Unacceptability of this Situation <ul><li>Asthma Lasts a Lifetime </li></ul><ul><ul><li>Over 50% of children diagnosed with Asthma will have it as an adult (Children’s Hospital </li></ul></ul><ul><ul><li>Boston, n.d.) </li></ul></ul><ul><ul><li>Survey conducted in 2006: </li></ul></ul><ul><ul><ul><li>Asthmatic Children Health Status 34% ranked fair to good </li></ul></ul></ul><ul><ul><ul><li>Non-Asthmatic Children Health Status 10% ranked fair to good </li></ul></ul></ul><ul><ul><ul><li>(DOH, 2006) </li></ul></ul></ul>
  6. 6. Unacceptability of this Situation <ul><li>Large Urban Areas have Greater Numbers of Asthma Cases </li></ul><ul><ul><li>Direct correlation between increased auto traffic and numbers of Asthma </li></ul></ul><ul><ul><li>(Jarrett, 2008) </li></ul></ul><ul><ul><li>In-Home air pollution in these regions increase asthma attacks in these children </li></ul></ul><ul><ul><li>(McCormack, et al., 2008) </li></ul></ul>
  7. 7. References <ul><li>AMA (American Medical Association). (2002). Response to Resolution 412. Retrieved from American Medical Association Web site: </li></ul><ul><li>Carlson, J., & Stroebel, C. (2001). Childhood Asthma: A Growing American Epidemic. Retrieved from Population Reference Bureau Web site: mericanEpidemic.aspx </li></ul><ul><li>Children’s Hospital Boston. (n.d.) My child has Asthma . Retrieved from Harvard Medical School Web site: .html </li></ul><ul><li>DeWalt, D., Dilling, M., Rosenthal, M., & Pignone, M. (2007). Low Parental Literacy Associated with Worse Asthma Care Measures in Children. Ambulatory Pediatrics . 7(1): 25-31. </li></ul>
  8. 8. References <ul><li>DOH (Department of Health). (2006). Asthma Among Washington’s Children: A Report from the 2003 National Survey of Children’s Health. Retrieved from Department of Health Web site: dren_update.doc </li></ul><ul><li>Holgate, S., Boushey, H., & Fabbri, L. (1999 ). Difficult Asthma . London, UK: Martin Dunitz, Ltd. </li></ul><ul><li>Jarrett, M., et al. (2008). Traffic-Related Air Pollution and Asthma Onset in Children: A Prospective Cohort Study with Individual Exposure Measurement. Environmental Health Perspectives. 116(19): 1433-1438. </li></ul><ul><li>McCormack, M., et al. (2008). In-home air pollution heightens asthma symptoms. Environmental Health Perspectives. Doi:10.1289/ehp.11770. </li></ul><ul><li>Moorman, M., et al. (2007). National Surveillance for Asthma—United States, 1980-2004. Morbidity and Mortality Weekly Report . 56(SS08): 1-14; 18-54. </li></ul>
  9. 9. Unacceptability of this Situation <ul><li>Socioeconomic Status and Asthma </li></ul><ul><ul><li>Lower Socioeconomic children had more hospital admissions and worse outcomes </li></ul></ul><ul><ul><li>Less Asthma medications were dispensed in poorer areas (Holgate, Boushey, & Fabbri, 1999) </li></ul></ul><ul><ul><li>Children from low literacy rate homes had more exacerbations of Asthma attacks – missed more school </li></ul></ul><ul><ul><li>(DeWalt, Dilling, Rosenthal, & Pignone, 2007) </li></ul></ul>