Summer 2012 Child Asthma in North Carolina · 2016. 11. 21. · Summer 2012 Child Asthma in North...

S u m m e r 2 0 1 2

Child Asthma in North CarolinaThis issue of The Asthma Epidemiology Update presents prevalence and hospital-ization data for child lifetime (have ever had) and child current (still have) asthma in North Carolina. It also provides a look at selected asthma outcomes and manage-ment behaviors among children under the age of 18 years with asthma and school-

based asthma data.

Preva lence ■ Lifetime asthma prevalence in

North Carolina. decreased from 2005 (17.8%) to 2008 (14.2%), but increased from

2008 to 2010 (16.8%).1

■ Lifetime asthma prevalence in the United States remained stable from 2005 (12.9%) to

2010 (12.6%).2

■ Current asthma prevalence in North Carolina decreased from 2005 (11.5%) to 2008 (8.2%), but increased

from 2008 to 2010 (10.3%).1

■ Current asthma prevalence in the United States remained

stable from 2005 (9.0%) to 2010 (8.4%).2

N . C . D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s v D i v i s i o n o f P u b l i c H e a l t h

C o n t . o n p . 2

Sources: NC: 2005-2010 Child Health Assessment and Monitoring Program, N.C. State Center for Health Statistics; US: 2005-2010 Behavioral Risk Factor Survey System, National Center for Health Statistics (Data from 38 states plus the District of Columbia)

Child Lifetime Asthma Prevalence, NC and US, 2005-2010

20

15

10

5

0 2005 2006 2007 2008 2009 2010

Year

NC US

Perc

ent

Child Current Asthma Prevalence, NC and US, 2005-2010

15

10

5

0 2005 2006 2007 2008 2009 2010

YearNC US

Perc

ent

Sources: NC: 2005-2010 Child Health Assessment and Monitoring Program, N.C. State Center for Health Statistics; US: 2005-2010 Behavioral Risk Factor Survey System, National Center for Health Statistics (Data from 38 states plus the District of Columbia)

*Newborns not included; ages 1-4 yearsSource: N.C. Hospital Discharge Data (as of May 25, 2012), N.C. State Center for Health Statistics

T h e A s t h m a E p i - U p d a t e / S u m m e r 2 0 1 22

C h i l d A s t h m a i n N o r t h C a r o l i n a c o n t . f r o m p . 1

Hospita l izat ions

■ From 2001-2010, hospitaliza-

tions due to asthma among

children under 15 years of age

decreased by 18.0 percent

(202.5 per 100,000 to 166.0 per

100,000).3

■ In 2010, asthma hospitalization

rates were higher for children

less than 18 years old (144.4

per 100,000) than for adults

(98.9 per 100,000).3

■ Among four children’s age

groups, those under the

age of 5 years had an asthma

hospitalization rate (264.5 per

100,000) that was 1.7 times

that of the next highest age

group (5-10 years: 154.9 per

100,000).3

C o n t . o n p . 3

Hospitalizations with a Primary Diagnosis of Asthma, Ages 0-14 and All Ages,

North Carolina, 2001-2010

250

200

150

100

50

0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

0 to 14 Years All Ages

Rate

per

100

,000

Age Group (Years)<5* 5-10 11-13 14-17 18+ Total

Number of Hospitalizations

1,672 1,187 260 175 7,177 10,471

Age-specific Crude Rate (Per 100,000)

264.5 154.9 69.0 34.5 98.9 109.8

Hospitalizations with a Primary Diagnosis of Asthma, Number and Rate, by Age Group, North Carolina, 2010

Source: N.C. Hospital Discharge Data (as of May 25, 2012), N.C. State Center for Health Statistics

T h e A s t h m a E p i - U p d a t e / S u m m e r 2 0 1 2 3

Preva lence , by Gender, Race and Age

■ Boys (17.9%) have higher life time and current asthma prevalence rates than girls (15.4%).1

■ Non-Hispanic black children (22.1%, 17.4%) have higher lifetime and current asthma prevalence than their non-Hispanic white counterparts (14.6%,

7.4%).1

■ Children aged 11-13 years have the highest lifetime (25.3%) and current (19.5%) asthma preva-

lence.1

Child Current Asthma Prevalence, by Gender, Race, and Age,

North Carolina, 2010 Percent 95% C.I.

Total 10.3 8.7 – 12.1

Gender Boys 11.4 9.0 – 14.3 Girls 9.2 7.2 – 11.6

Race Non-Hispanic White 7.4 5.9 – 9.3 Non-Hispanic Black 17.4 13.0 – 22.8 Other Minorities 12.1 8.6 – 12.3

Age (Years) Under 5 5.4 3.3 – 8.7 5 through 10 10.5 7.7 – 14.0

11 through 13 19.5 14.6 – 25.6

14 through 17 8.2 5.9 – 11.3

Source: 2010 NC CHAMP, N.C. State Center for Health Statistics

Child Lifetime Asthma Prevalence, by Gender, Race, and Age,

North Carolina, 2010 Percent 95% C.I.

Total 16.8 14.8 – 18.9

Gender Boys 17.9 15.0 – 21.2 Girls 15.4 12.8 – 18.5

Race Non-Hispanic White 14.6 12.4 – 17.1 Non-Hispanic Black 22.1 17.3 – 27.8 Other Minorities 18.4 12.6 – 26.0

Age (Years) Under 5 8.3 5.5 – 12.3 5 through 10 16.2 12.8 – 20.2

11 through 13 25.3 19.9 – 31.5

14 through 17 20.1 16.3 – 24.4

Source: 2010 NC CHAMP, N.C. State Center for Health Statistics

C o n t . o n p . 4



Asthma Outcomes and Management Behav iors

2005-2010 North Carolina Childhood Health Assessment (NC CHAMP) data provide

additional information about child asthma outcomes and management behaviors.

Findings from the six-year period include:

Source: 2005-2010 N.C. CHAMP, N.C. State Center for Health Statistics

Emergency Department or Urgent Care Visits Due to Asthma, by Gender,


40

30

20

10

0 Boys Girls

GenderPe

rcen

t

26.2 25.4

Emergency Department or Urgent Care Visits Due to Asthma, by Race/Ethnicity,


30

20

10

0Non-Hispanic Non-Hispanic Hispanic Other White Black

Race/Ethnicity

Perc

ent

18.0 37.3 27.3 29.2



One of More Days of Day Care or School Missed Due to Asthma, by Gender,


80

60

40

20

0 Boys Girls

Gender

Perc

ent

46.9 45.8

C o n t . o n p . 5


■ The percentage of children who

had emergency department or

urgent care visits due to asthma

was similar among boys (26.2%)

and girls (25.4%).1

■ More non-Hispanic black chil-

dren (37.3%) had emergency

department or urgent care visits

due to asthma when compared

to non-Hispanic white children

(18.0%).1


missed one or more days of day

care or school was similar

among boys (46.9%) and girls

(45.8%).1



One of More Days of Day Care or School Missed Due to Asthma, by Race/Ethnicity,


60

40

20


Race/Ethnicity

Perc

ent

40.4 50.8 65.0 55.3


■ More Hispanic children (65.0%)

missed one or more days of

day care or school when com-

pared to non-Hispanic white

children (40.4%).1


used a daily (controller) medica-

tion for asthma was similar

among boys (53.0%) and girls

(50.6%).1

■ Use of a daily (controller) medi-

cation for asthma was similar

across all racial/ethnic groups.1


Use of Daily (Controller) Medication for Asthma, by Gender,


60

40

20

0 Boys Girls

Gender

Perc

ent

53.0 50.6


Use of Daily (Controller) Medication for Asthma, by Race/Ethnicity, North Carolina, 2005-2010

60

40

20


Race/Ethnicity

Perc

ent

49.9 54.2 57.1 53.0

C o n t . o n p . 6



Asthma Action Plan Received from Doctor or Other Health Professional, by Gender,


80

60

40

20

0 Boys Girls

Gender

Perc

ent

61.3 57.7


used a rescue medication for

asthma was similar among boys

(86.9%) and girls (84.1%).1

■ Use of a rescue medication for

asthma was similar across all

racial/ethnic groups.1

■ The percentage of children hav-

ing an asthma action plan was

similar for boys (61.3%) and

girls (57.7%).1

C o n t . o n p . 7


Use of Rescue Medication for Asthma, by Gender, North Carolina, 2005-2010

100806040200

Boys Girls

Gender

Perc

ent

86.9 84.1

Use of Rescue Medication for Asthma,by Race/Ethnicity,

North Carolina, 2005-2010100806040200

Non-Hispanic Non-Hispanic Hispanic Other White Black

Race/Ethnicity

Source: 2005-2010 NC CHAMP, N.C. State Center for Health Statistics

84.9 87.9 80.7 84.7


Perc

ent


Source: 2005-2010 NC CHAMP, N.C. State Center for Health Statistics

Child Allowed to Self-Administer Emergency Medication for Asthma at School,

by Gender, North Carolina, 2005-2010

60

40

20

0 Boys Girls

Gender

Perc

ent

56.3 54.8


Asthma Action Plan Received from Doctor or Other Health Professional, by Race/Eth-

nicity, North Carolina, 2005-2010

60

40

20


Race/Ethnicity

Perc

ent

59.9 59.7 55.8 60.8


Child Allowed to Self-Administer Emergency Medication for Asthma at School, by Race/Ethnicity, North Carolina, 2005-2010

60

40

20


Race/Ethnicity

Perc

ent

57.2 58.0 46.2 39.8

■ The percentage of children hav-

ing an asthma action plan

was similar across all racial/

ethnic groups.1


are allowed to self- administer

emergency medication for asth-

ma at school was similar for

boys (56.3%) and girls (54.8%).1


are allowed to self-administer

emergency medication for asth-

ma at school was similar for the

non-Hispanic white (57.2%),

non-Hispanic black (58.0%),

and Hispanic (46.2%) groups.1

C o n t . o n p . 8



Asthma in Schools

According to the Centers for Disease Control and Prevention (CDC), asthma is a lead-

ing cause of school absenteeism.4 The number of students with asthma in North

Carolina public elementary, middle and high schools has been increasing since the

2004-2005 school year (77,276) to the 2010-2011 school year (101,599).5

■ From the 2004-2005 school

year to the 2010-2011 school

year, asthma has accounted for

31-39 percent of all chronic

health conditions reported by

North Carolina public school

nurses.5

State of North CarolinaDepartment of Health and Human Services

Division of Public HealthNorth Carolina Asthma Program

www.ncdhhs.gov

N.C. DHHS is an equal opportunity employer and provider. 7/12

This publication was supported by cooperative agreement number U59EH000518 from the Centers

for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not

necessarily represent the official views of the CDC.

Future TopicsAs always, the North Carolina Asthma Pro-gram welcomes your comments and sugges-tions on this and future issues of the Asthma Epidemiology Update. Please contact usat 919-707-5213.

1. 2005-2010 Child Health Assessment and Monitoring Program, NC State Center for Health Statistics (http://www.schs.state.nc.us/schs/champ/).

2. 2005-2010 Behavioral Risk Factor Surveillance System, Na-tional Center for Health Statistics, CDC (http://www.cdc.gov/asthma/brfss/default.htm).

3. 2010 NC Hospital Discharge Data (as of May 18, 2012), NC State Center for Health Statistics.

4. 2005-2011 North Carolina Annual School Health Services Report, NC Division of Public Health.

5. Asthma and Schools, Adolescent and School Health, CDC (http://www.cdc.gov/HealthyYouth/asthma/).

References

Source: 2004-2011 North Carolina Annual School Health Services Reports, N.C. Healthy Schools

Asthma Among Students: Number and As Percentage of All Chronic Health

Conditions Reported by Public School Nurses, North Carolina, 2004-2011

1201080604020

2004- 2005- 2006- 2007- 2008- 2009- 2010-2005 2006 2007 2008 2009 2010 2011

School Year

Num

ber

(Tho

usan

ds)

61.3 57.7

50403020100

Perc

ent

39.4 38.6 36.6 36.4

31.4

35.034.8


Summer 2012 Child Asthma in North Carolina · 2016. 11. 21. · Summer 2012 Child Asthma in North...

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