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. 2000 Dec;90(12):1923–1925. doi: 10.2105/ajph.90.12.1923

The relation of socioeconomic factors and racial/ethnic differences in US asthma mortality.

E N Grant 1, C S Lyttle 1, K B Weiss 1
PMCID: PMC1446442  PMID: 11111268

Abstract

OBJECTIVES: This study described relations between socioeconomic factors and race/ethnicity as risk factors for asthma mortality. METHODS: A cross-sectional study was conducted of US mortality records from 1991 through 1996. RESULTS: Higher standardized mortality ratios were seen for Blacks vs Whites (3.34 vs 0.65), low vs high educational level (1.51 vs 0.69), and low vs high income (1.46 vs 0.71). Excess mortality for Blacks vs Whites was present in the highest and lowest quintiles of median county income and educational level. The disparity in asthma mortality rates according to median county income and education remained after control for race/ethnicity. CONCLUSIONS: Black race/ethnicity appears to be associated, independently from low income and low education, with an elevated risk for asthma mortality.

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Selected References

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  1. Anderson G. F., Poullier J. P. Health spending, access, and outcomes: trends in industrialized countries. Health Aff (Millwood) 1999 May-Jun;18(3):178–192. doi: 10.1377/hlthaff.18.3.178. [DOI] [PubMed] [Google Scholar]
  2. Anderson R. T., Sorlie P., Backlund E., Johnson N., Kaplan G. A. Mortality effects of community socioeconomic status. Epidemiology. 1997 Jan;8(1):42–47. doi: 10.1097/00001648-199701000-00007. [DOI] [PubMed] [Google Scholar]
  3. Cantwell M. F., McKenna M. T., McCray E., Onorato I. M. Tuberculosis and race/ethnicity in the United States: impact of socioeconomic status. Am J Respir Crit Care Med. 1998 Apr;157(4 Pt 1):1016–1020. doi: 10.1164/ajrccm.157.4.9704036. [DOI] [PubMed] [Google Scholar]
  4. Carr W., Zeitel L., Weiss K. Variations in asthma hospitalizations and deaths in New York City. Am J Public Health. 1992 Jan;82(1):59–65. doi: 10.2105/ajph.82.1.59. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cunningham J., Dockery D. W., Speizer F. E. Race, asthma, and persistent wheeze in Philadelphia schoolchildren. Am J Public Health. 1996 Oct;86(10):1406–1409. doi: 10.2105/ajph.86.10.1406. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Evans R., 3rd, Mullally D. I., Wilson R. W., Gergen P. J., Rosenberg H. M., Grauman J. S., Chevarley F. M., Feinleib M. National trends in the morbidity and mortality of asthma in the US. Prevalence, hospitalization and death from asthma over two decades: 1965-1984. Chest. 1987 Jun;91(6 Suppl):65S–74S. [PubMed] [Google Scholar]
  7. Gergen P. Social class and asthma--distinguishing between the disease and the diagnosis. Am J Public Health. 1996 Oct;86(10):1361–1362. doi: 10.2105/ajph.86.10.1361. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Greenwald H. P., Borgatta E. F., McCorkle R., Polissar N. Explaining reduced cancer survival among the disadvantaged. Milbank Q. 1996;74(2):215–238. [PubMed] [Google Scholar]
  9. Lang D. M., Polansky M. Patterns of asthma mortality in Philadelphia from 1969 to 1991. N Engl J Med. 1994 Dec 8;331(23):1542–1546. doi: 10.1056/NEJM199412083312302. [DOI] [PubMed] [Google Scholar]
  10. Mackenbach J. P., Kunst A. E., Cavelaars A. E., Groenhof F., Geurts J. J. Socioeconomic inequalities in morbidity and mortality in western Europe. The EU Working Group on Socioeconomic Inequalities in Health. Lancet. 1997 Jun 7;349(9066):1655–1659. doi: 10.1016/s0140-6736(96)07226-1. [DOI] [PubMed] [Google Scholar]
  11. Mannino D. M., Homa D. M., Pertowski C. A., Ashizawa A., Nixon L. L., Johnson C. A., Ball L. B., Jack E., Kang D. S. Surveillance for asthma--United States, 1960-1995. MMWR CDC Surveill Summ. 1998 Apr 24;47(1):1–27. [PubMed] [Google Scholar]
  12. Marder D., Targonski P., Orris P., Persky V., Addington W. Effect of racial and socioeconomic factors on asthma mortality in Chicago. Chest. 1992 Jun;101(6 Suppl):426S–429S. doi: 10.1378/chest.101.6_supplement.426s. [DOI] [PubMed] [Google Scholar]
  13. Nelson D. A., Johnson C. C., Divine G. W., Strauchman C., Joseph C. L., Ownby D. R. Ethnic differences in the prevalence of asthma in middle class children. Ann Allergy Asthma Immunol. 1997 Jan;78(1):21–26. doi: 10.1016/S1081-1206(10)63365-0. [DOI] [PubMed] [Google Scholar]
  14. Pappas G., Queen S., Hadden W., Fisher G. The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986. N Engl J Med. 1993 Jul 8;329(2):103–109. doi: 10.1056/NEJM199307083290207. [DOI] [PubMed] [Google Scholar]
  15. Schwartz J., Gold D., Dockery D. W., Weiss S. T., Speizer F. E. Predictors of asthma and persistent wheeze in a national sample of children in the United States. Association with social class, perinatal events, and race. Am Rev Respir Dis. 1990 Sep;142(3):555–562. doi: 10.1164/ajrccm/142.3.555. [DOI] [PubMed] [Google Scholar]
  16. Sly R. M., O'Donnell R. Stabilization of asthma mortality. Ann Allergy Asthma Immunol. 1997 Apr;78(4):347–354. doi: 10.1016/S1081-1206(10)63195-X. [DOI] [PubMed] [Google Scholar]
  17. Smith P. M., Illig S. B., Fiedler R. C., Hamilton B. B., Ottenbacher K. J., Fielder R. C. Intermodal agreement of follow-up telephone functional assessment using the Functional Independence Measure in patients with stroke. Arch Phys Med Rehabil. 1996 May;77(5):431–435. doi: 10.1016/s0003-9993(96)90029-5. [DOI] [PubMed] [Google Scholar]
  18. Tepper S., DeJong G., Wilkerson D., Brannon R. Criteria for selection of a payment method for inpatient medical rehabilitation. Arch Phys Med Rehabil. 1995 Apr;76(4):349–354. doi: 10.1016/s0003-9993(95)80660-1. [DOI] [PubMed] [Google Scholar]
  19. Turkeltaub P. C., Gergen P. J. Prevalence of upper and lower respiratory conditions in the US population by social and environmental factors: data from the second National Health and Nutrition Examination Survey, 1976 to 1980 (NHANES II). Ann Allergy. 1991 Aug;67(2 Pt 1):147–154. [PubMed] [Google Scholar]
  20. Waitzman N. J., Smith K. R. Phantom of the area: poverty-area residence and mortality in the United States. Am J Public Health. 1998 Jun;88(6):973–976. doi: 10.2105/ajph.88.6.973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Weiss K. B., Gergen P. J., Wagener D. K. Breathing better or wheezing worse? The changing epidemiology of asthma morbidity and mortality. Annu Rev Public Health. 1993;14:491–513. doi: 10.1146/annurev.pu.14.050193.002423. [DOI] [PubMed] [Google Scholar]
  22. Weiss K. B., Wagener D. K. Changing patterns of asthma mortality. Identifying target populations at high risk. JAMA. 1990 Oct 3;264(13):1683–1687. [PubMed] [Google Scholar]
  23. Weitzman M., Gortmaker S., Sobol A. Racial, social, and environmental risks for childhood asthma. Am J Dis Child. 1990 Nov;144(11):1189–1194. doi: 10.1001/archpedi.1990.02150350021016. [DOI] [PubMed] [Google Scholar]
  24. Wissow L. S., Gittelsohn A. M., Szklo M., Starfield B., Mussman M. Poverty, race, and hospitalization for childhood asthma. Am J Public Health. 1988 Jul;78(7):777–782. doi: 10.2105/ajph.78.7.777. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Zeger S. L., Liang K. Y. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986 Mar;42(1):121–130. [PubMed] [Google Scholar]

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