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Social Disparities in Children’s Respiratory Health in El Paso, Texas

The objectives of this study were to assess prevalence of children’s respiratory health conditions and to measure and describe social disparities in children’s respiratory problems and access to health resources for asthma/wheezing management. Data were collected through a cross-sectional, observati...

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Autores principales: Grineski, Sara E., Collins, Timothy W., Chavez-Payan, Paola, Jimenez, Anthony M., Clark-Reyna, Stephanie, Gaines, Marie, Kim, Young-an
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987014/
https://www.ncbi.nlm.nih.gov/pubmed/24619157
http://dx.doi.org/10.3390/ijerph110302941
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author Grineski, Sara E.
Collins, Timothy W.
Chavez-Payan, Paola
Jimenez, Anthony M.
Clark-Reyna, Stephanie
Gaines, Marie
Kim, Young-an
author_facet Grineski, Sara E.
Collins, Timothy W.
Chavez-Payan, Paola
Jimenez, Anthony M.
Clark-Reyna, Stephanie
Gaines, Marie
Kim, Young-an
author_sort Grineski, Sara E.
collection PubMed
description The objectives of this study were to assess prevalence of children’s respiratory health conditions and to measure and describe social disparities in children’s respiratory problems and access to health resources for asthma/wheezing management. Data were collected through a cross-sectional, observational mail survey of all primary caretakers of 4th and 5th grade children in El Paso Independent School District (El Paso, TX, USA). 6295 primary caretakers received surveys at their home address and 1904 surveys were completed and returned for a 30% response rate. El Paso children have high rates of asthma (17%) and allergies (51%). In terms of social disparities, children that are male, not poor, obese, Hispanic, born in El Paso, have a US-born caretaker, and have a caretaker who has lower levels Spanish proficiency have increased odds of respiratory problems. Among children with asthma and wheezing, disparities exist in access to care; those that are poor, with a Spanish-speaking caretaker, or with a foreign-born caretaker had increased odds of seeking care in urgent care center, emergency rooms and hospitals. Results have scholarly and practical implications for broader trends in terms of increasing prevalence of respiratory health problems across multiple scales (from El Paso to the US context to worldwide) and health disparities experienced within the rapidly growing US Hispanic population.
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spelling pubmed-39870142014-04-15 Social Disparities in Children’s Respiratory Health in El Paso, Texas Grineski, Sara E. Collins, Timothy W. Chavez-Payan, Paola Jimenez, Anthony M. Clark-Reyna, Stephanie Gaines, Marie Kim, Young-an Int J Environ Res Public Health Article The objectives of this study were to assess prevalence of children’s respiratory health conditions and to measure and describe social disparities in children’s respiratory problems and access to health resources for asthma/wheezing management. Data were collected through a cross-sectional, observational mail survey of all primary caretakers of 4th and 5th grade children in El Paso Independent School District (El Paso, TX, USA). 6295 primary caretakers received surveys at their home address and 1904 surveys were completed and returned for a 30% response rate. El Paso children have high rates of asthma (17%) and allergies (51%). In terms of social disparities, children that are male, not poor, obese, Hispanic, born in El Paso, have a US-born caretaker, and have a caretaker who has lower levels Spanish proficiency have increased odds of respiratory problems. Among children with asthma and wheezing, disparities exist in access to care; those that are poor, with a Spanish-speaking caretaker, or with a foreign-born caretaker had increased odds of seeking care in urgent care center, emergency rooms and hospitals. Results have scholarly and practical implications for broader trends in terms of increasing prevalence of respiratory health problems across multiple scales (from El Paso to the US context to worldwide) and health disparities experienced within the rapidly growing US Hispanic population. MDPI 2014-03-11 2014-03 /pmc/articles/PMC3987014/ /pubmed/24619157 http://dx.doi.org/10.3390/ijerph110302941 Text en © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Article
Grineski, Sara E.
Collins, Timothy W.
Chavez-Payan, Paola
Jimenez, Anthony M.
Clark-Reyna, Stephanie
Gaines, Marie
Kim, Young-an
Social Disparities in Children’s Respiratory Health in El Paso, Texas
title Social Disparities in Children’s Respiratory Health in El Paso, Texas
title_full Social Disparities in Children’s Respiratory Health in El Paso, Texas
title_fullStr Social Disparities in Children’s Respiratory Health in El Paso, Texas
title_full_unstemmed Social Disparities in Children’s Respiratory Health in El Paso, Texas
title_short Social Disparities in Children’s Respiratory Health in El Paso, Texas
title_sort social disparities in children’s respiratory health in el paso, texas
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987014/
https://www.ncbi.nlm.nih.gov/pubmed/24619157
http://dx.doi.org/10.3390/ijerph110302941
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