Racial disparities in family-provider interactions for pediatric asthma care
Authors
Trivedi, Michelle K.Fung, Vicki
Kharbanda, Elyse O.
Larkin, Emma K.
Butler, Melissa G.
Horan, Kelly
Lieu, Tracy A.
Wu, Ann Chen
UMass Chan Affiliations
Department of Pediatrics, Division of Pediatric PulmonologyDocument Type
Journal ArticlePublication Date
2018-04-01Keywords
Childrenlung disease
race
disparity
treatment plan
Health Services Administration
Pediatrics
Pulmonology
Race and Ethnicity
Respiratory Tract Diseases
Metadata
Show full item recordAbstract
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.Source
Trivedi M, Fung V, Kharbanda EO, Larkin EK, Butler MG, Horan K, Lieu TA, Wu AC. Racial disparities in family-provider interactions for pediatric asthma care. J Asthma. 2018 Apr;55(4):424-429. doi: 10.1080/02770903.2017.1337790. Epub 2017 Jul 14. PMID: 28708958; PMCID: PMC6340291. Link to article on publisher's site
DOI
10.1080/02770903.2017.1337790Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29983PubMed ID
28708958Related Resources
ae974a485f413a2113503eed53cd6c53
10.1080/02770903.2017.1337790