Published on August 11, 2007
Connecting Asthma Care from the Clinic to the Community: A Role for Health Departments & Their Partners: Connecting Asthma Care from the Clinic to the Community: A Role for Health Departments andamp; Their Partners Welcome! The Burden of Asthmain New England: The Burden of Asthma in New England Produced by the Asthma Regional Council Results from the 2003-2004 National Survey of Children’s Health 2004 Behavioral Risk Factor Surveillance System THANK YOU!: THANK YOU! Mary Adams, Author Betsy Rosenfeld, Co-Editor Funders: Jessie B. Cox Charitable Trust; US DHHS, Reg. I; and EPA, Reg. I (New England) Executive Committee: Suzanne Condon, Betsy Rosenfeld, Dr. Megan Sandel, Dr. Eileen Storey The Medical Foundation: Steven Ridini and Stacey Roberts State Asthma Managers andamp; their Public Health Colleagues Jeanne Moorman, CDC Teak Media Childhood Asthma in New England: Childhood Asthma in New England Current 9.6% (1 in 10) Lifetime 13.9% (1 in 7) Do You Know Someone With Asthma?: Do You Know Someone With Asthma? Adult Asthma in New England: Adult Asthma in New England Current 9.7% ( 1 in 10) Lifetime 15.0% (1 in 7) New England vs. USA: New England vs. USA Significantly higher rates here in NE Adult andamp; Child asthma rates among the highest of any of the other 10 US DHHS regions The problem is growing (Adults: 12.7% to 15.0% in 3 years) US NE Children Adults Lifetime 2003-2004 How Many New Englanders Affected?: How Many New Englanders Affected? 2.1 million (lifetime 2004) up from 1.7 million (lifetime 2001) lifetime andamp; current adult asthma prevalence increased significantly Who Gets Asthma?EVERYONE, BUT….: Who Gets Asthma? EVERYONE, BUT…. Older Children and Young Adults Children: Boys Adults: Women Obese Children and Adults Adult Smokers; Children Exposed to Smoke (children living with smoker 44% more likely to develop asthma) Low Income Children and Adults Hispanic and Black Children ASTHMA IS TAKING A LARGE TOLL ON: ASTHMA IS TAKING A LARGE TOLL ON INDIVIDUALS FAMILIES ECONOMY HEALTH CARE SYSTEM CHILDREN with ASTHMA: CHILDREN with ASTHMA 1 in 3 children experience severe health difficulties 60% children had asthma attack in past year 1 in 3 children used the emergency room in past year Three times more likely to be depressed and limited in activities Twice as many sick visits to doctor Significantly more school days missed ADULTS WITH ASTHMA: ADULTS WITH ASTHMA 9% can’t work* 21% of people classified as unable to work have asthma 31% report life activity limitations* 17% report frequent mental distress* * These measures were about twice as likely as those without asthma Perceived Environmental Illness: Perceived Environmental Illness Slide14: Disparities in Risk ASTHMA Low Income Children: Low Income Children Poorest children had 2x higher asthma rates than those in highest income brackets Low income children have more severe disease Low income families report the largest burden Children of Color Black and Latino highest rates: Children of Color Black and Latino highest rates Fair or Poor Health Hospitalized Depressed Children with Asthma White Black Latino Poor IN PRIOR YEAR: 25% of highest income children went to emergency room 42% of poorest children went to emergency room Low Income Adults with Asthma: Low Income Adults with Asthma Comparing Lowest andamp; Highest Income Brackets: Six times more likely to be in fair or poor overall health Four times more likely to be in poor mental health Five times less likely to be able to see doctor when needed Eight times less likely to have insurance Adults of Color with Asthma: Adults of Color with Asthma Latino* andamp; Black Compared with White Adults with Asthma were Significantly More Likely to Be: In Poorer Overall Health Depressed Unable to Work Unable to See Doctor When Needed Uninsured Believe air pollution was affecting their health *Always significant MOST IMPORTANT CONCLUSIONS: MOST IMPORTANT CONCLUSIONS The Epidemic is growing in New England. Asthma mostly affects adults, especially women Asthma is not being adequately controlled The disease is much more prevalent among low income adults and children (especially Latino children) The disease is much more severe among low income and minority children and adults Children who are obese and living with smokers are at higher risk of developing the disease Indoor air quality is perceived to be a much bigger problem than outdoor air WHY? What Can We Do?: What Can We Do? Focus Resources on those at highest risk and in greatest need. Improving asthma management through: Increasing access to culturally appropriate clinical care that follows national guidelines Connecting clinical care to coordinated community care, including with schools, local public health departments, legal agencies and social service organizations Providing education and supports in the homes of high risk families. Conducting healthy homes assessments with tailored interventions. 3. Identifying policies that strengthen and support program goals.