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Changes in the health burden of a national sample of children with asthma

Author

Listed:
  • Baydar, Nazli
  • Kieckhefer, Gail
  • Joesch, Jutta M.
  • Greek, April
  • Kim, Hyoshin

Abstract

This paper focused on the extent to which factors that are modifiable by health policies or provider recommendations influenced the level and changes in the burden of childhood asthma. Demographic factors, access to health care services, and asthma control activities were posited to potentially influence the level and changes in health burden of children with asthma. The Medical Expenditure Panel Survey data from 1996-1999 on 3-11 year old U.S. children with asthma (NÂ =Â 784) were used. The findings of multilevel models of perceived burden indicated unfavorable trajectories among those families who had public health insurance. Asthma control activities were associated with favorable trajectories of both perceived and objectively measured burden. These findings emphasized the significance of asthma control and access to high quality and stable health care services as health policy targets.

Suggested Citation

  • Baydar, Nazli & Kieckhefer, Gail & Joesch, Jutta M. & Greek, April & Kim, Hyoshin, 2010. "Changes in the health burden of a national sample of children with asthma," Social Science & Medicine, Elsevier, vol. 70(2), pages 321-328, January.
  • Handle: RePEc:eee:socmed:v:70:y:2010:i:2:p:321-328
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    References listed on IDEAS

    as
    1. Nazli Baydar & Jutta Joesch & Gail Kieckhefer & Hyoshin Kim & April Greek, 2007. "Employment Behaviors of Mothers Who have a Child with Asthma," Journal of Family and Economic Issues, Springer, vol. 28(3), pages 337-355, September.
    2. McDonough, Peggy & Sacker, Amanda & Wiggins, Richard D., 2005. "Time on my side? Life course trajectories of poverty and health," Social Science & Medicine, Elsevier, vol. 61(8), pages 1795-1808, October.
    3. Gabe, Jonathan & Bury, Michael & Ramsay, Rosemary, 2002. "Living with asthma: the experiences of young people at home and at school," Social Science & Medicine, Elsevier, vol. 55(9), pages 1619-1633, November.
    4. Donnelly, J. E. & Donnelly, W. J. & Thong, Y. H., 1987. "Parental perceptions and attitudes toward asthma and its treatment: A controlled study," Social Science & Medicine, Elsevier, vol. 24(5), pages 431-437, January.
    5. Buetow, Stephen & Richards, Deborah & Mitchell, Ed & Gribben, Barry & Adair, Vivienne & Coster, Gregor & Hight, Makere, 2004. "Attendance for general practitioner asthma care by children with moderate to severe asthma in Auckland, New Zealand," Social Science & Medicine, Elsevier, vol. 59(9), pages 1831-1842, November.
    6. Quinn, K. & Shalowitz, M.U. & Berry, C.A. & Mijanovich, T. & Wolf, R.L., 2006. "Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1599-1603.
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