dc.contributor.author | Canino, Glorisa | |
dc.contributor.author | Garro, Aris | |
dc.contributor.author | Alvarez, Maria M. | |
dc.contributor.author | Colón-Semidey, Angel | |
dc.contributor.author | Esteban, Cynthia | |
dc.contributor.author | Fritz, Gregory | |
dc.contributor.author | Koinis-Mitchell, Daphne | |
dc.contributor.author | Kopel, Sheryl J. | |
dc.contributor.author | Ortega, Alexander N. | |
dc.contributor.author | Seifer, Ronald | |
dc.contributor.author | McQuaid, Elizabeth L. | |
dc.date.accessioned | 2017-06-01T01:45:28Z | |
dc.date.available | 2017-06-01T01:45:28Z | |
dc.date.issued | 2012 | |
dc.identifier | Annals of Allergy, Asthma & Immunology, 108(4): 266-270. | en |
dc.identifier.citation | Canino, G., Garro, A., Alvarez, M. M., Colón-Semidey, A., Esteban, C., Fritz, G., … McQuaid, E. L. (2012). Factors associated with disparities in ED use among latino children with asthma. Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, 108(4), 266–270. http://doi.org/10.1016/j.anai.2012.02.002 | en_US |
dc.identifier.issn | 1081-1206 | |
dc.identifier.uri | http://hdl.handle.net/11721/1626 | |
dc.description.abstract | BACKGROUND - Significant disparities in emergency department (ED) rates exist for Latinos; however, few studies have investigated the factors that may account for these disparities. | en_US |
dc.description.abstract | OBJECTIVES - To examine individual/family and health system factors among Latino and non-Latino white (NLW) children with asthma to explain disparities in ED rates. | en |
dc.description.abstract | METHODS - The study was carried out in Puerto Rico (PR) and Rhode Island (RI) with the same design: a cross-sectional, observational approach with repeated measurements of selected variables. | en |
dc.description.abstract | RESULTS - The sample was composed of 804 children ages 7 to 15 years, with 405 from PR and 399 from RI. Latino children from both sites had significantly higher rates of ED use as compared with NLWs from RI. Regression analyses showed site, asthma control, parental reported severity of asthma and public insurance to be significantly associated with ED use. | en |
dc.description.abstract | CONCLUSION - Latino ethnicity and public insurance were among the most important factors related to frequent ED use. Revisions of the policies driving public insurance to assure better access to specialists, preventive education, and evidence-based treatment are needed. The results also suggest the need for the development of interventions in the ED that are geared toward educating families on how best to use emergency services. | en |
dc.description.sponsorship | This study was supported by Grants # U01-Hl072438-01 and HL 072519-05 (G. Fritz and G. Canino, P.I.s) from the National Heart Lung and Blood Institute and from NIH Grant # 5P60 MD002261-02 funded by the National Center for Minority Health and Health Disparities (NCMHD-NH). In addition it was supported for technical assistance by the UPR School of Medicine Endowed Health Services Research Center, Grants 5S21MD000242 and 5S21MD000138 , from NCMHD-NIH. | en_US |
dc.Format.extent | 729 KB | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.subject.mesh | Puerto Rico/ethnology | en |
dc.subject.mesh | Healthcare Disparities | en |
dc.subject.mesh | Hispanic Americans | en |
dc.subject.mesh | Emergency Service, Hospital/statistics & numerical data | en |
dc.subject.mesh | Asthma/epidemiology | en |
dc.title | Factors associated with disparities in emergency department use among latino children with asthma | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1016/j.anai.2012.02.002 | |
dc.local.Department | Department of Medicine | en_US |
dc.local.Faculty | School of Medicine | en_US |
dc.contributor.campus | University of Puerto Rico, Medical Science Campus | |