Anne M. Fitzpatrick|Scott Gillespie|David T. Mauger|Brenda R. Phillips|Eugene R. Bleecker|Elliot Israel|Deborah A. Meyers|Wendy C. Moore|Ronald L. Sorkness|Sally E. Wenzel|Leonard B. Bacharier|Mario Castro|Loren C. Denlinger|Serpil C. Erzurum|John V. Fahy|Benjamin Gaston|Nizar N. Jarjour|Allyson Larkin|Bruce D. Levy|Ngoc P. Ly|Victor E. Ortega|Stephen P. Peters|Wanda Phipatanakul|Sima K. Ramratnam|W. Gerald Teague
Racial disparities in asthma-related health care use in the National Heart, Lung, and Blood Institute's Severe Asthma Research Program
Emory University|Emory University|Pennsylvania State University|Pennsylvania State University|University of Arizona|Brigham and Women's Hospital|Harvard University|University of Arizona|Wake Forest University|University of Wisconsin–Madison|University of Pittsburgh|Washington University in St. Louis|Washington University in St. Louis|University of Wisconsin–Madison|Cleveland Clinic Lerner College of Medicine|University of California, San Francisco|Case Western Reserve University|University of Wisconsin–Madison|University of Pittsburgh|Brigham and Women's Hospital|Harvard University|University of California, San Francisco|Wake Forest University|Wake Forest University|Boston Children's Hospital|Harvard University|University of Wisconsin–Madison|University of Virginia
despite advances asthma care disparities persist black patients disproportionally affected asthma also poorer outcomes compared white patientswe sought determine associations black white patients asthmarelated health care use accounting complex relationshipsthis study completed part national heart lung blood institutes severe asthma research program prospective observational cohort november 2012 february 2015 enrolled 579 participants 6 years older 1 year observation time complete data inverse probability treatment weighting used balance racial groups respect community family socioeconomic variables environmental exposure variables primary outcome emergency department ed use asthma secondary outcomes included inhaled corticosteroid use outpatient physicians office visits asthma asthmarelated hospitalizationblack patients greater odds ed use 1 year odds ratio 219 95 ci 143335 also differed majority 50 baseline variables measured statistical balancing racial groups difference black white patients respect ed use longer reached level significance instead secondary analyses black patients less likely see outpatient physician asthma management adjusted odds ratio 057 95 ci 038085the disparity ed use eliminated consideration multiple variables social environmental policies interventions tailored black populations high burden asthma critical reduction elimination disparities