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Original Articles

Racial disparities in family-provider interactions for pediatric asthma care

, MD, MPH, , PhD, , MD, MPH, , PhD, , PharmD, MPH, PhD, , MPH, , MD, MPH & , MD, MPH show all
Pages 424-429 | Received 10 Mar 2017, Accepted 29 May 2017, Published online: 14 Jul 2017
 

ABSTRACT

Objective: Black and Latino children experience significantly worse asthma morbidity than their white peers for multifactorial reasons. This study investigated differences in family-provider interactions for pediatric asthma, based on race/ethnicity. Methods: This was a cross-sectional study of parent surveys of asthmatic children within the Population-Based Effectiveness in Asthma and Lung Diseases Network. Our study population comprised 647 parents with survey response data. Data on self-reported race/ethnicity of the child were collected from parents of the children with asthma. Outcomes studied were responses to the questions about family-provider interactions in the previous 12 months: (1) number of visits with asthma provider; (2) number of times provider reviewed asthma medications with patient/family; (3) review of a written asthma treatment plan with provider; and (4) preferences about making asthma decisions. Results: In multivariate adjusted analyses controlling for asthma control and other co-morbidities, black children had fewer visits in the previous 12 months for asthma than white children: OR 0.63 (95% CI 0.40, 0.99). Additionally, black children were less likely to have a written asthma treatment plan given/reviewed by a provider than their white peers, OR 0.44 (95% CI 0.26, 0.75). There were no significant differences by race in preferences about asthma decision-making nor in the frequency of asthma medication review. Conclusion: Black children with asthma have fewer visits with their providers and are less likely to have a written asthma treatment plan than white children. Asthma providers could focus on improving these specific family-provider interactions in minority children.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Funding

The Population-Based Effectiveness in Asthma and Lung Diseases (PEAL) Network is supported by Agency for Healthcare Research and Quality (AHRQ) 1R01HS019669 (PI: Steve Soumerai).

Role of the funder

The AHRQ had no role in design and conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Financial disclosure statement

The authors do not have financial relationships to disclose.

Clinical trial registration

Not applicable.

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