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Asthma in Women of Color And/or Low Income
Asthma in Women of Color And/or Low Income
Noreen M. Clark, PhD, Molly Gong, MD, Sijian Wang, MS, Melissa Valerio, MPH, William Bria, MD,
Xihong Lin, PhD, Timothy Johnson, MD
University of Michigan - School of Public Health
Data Collection: Telephone interview data collected: Yearly average days of daytime 6.1 (SD=5.9) 4.6 (SD=5.5) <.05
Demographic Medication use symptoms Women of Color were more likely:
Disease severity Health care utilization Yearly Average nights of nighttime 4.3 (SD=4.9) 3.1 (SD=4.1) <.05
Quality of life and self-esteem symptoms • To have more severe disease and use more health care.
56% 45% OR=1.6 • To use less controller medication.
Persistent Asthma (%) .016 • To have lower levels of self esteem, asthma knowledge, and perceptions of
Data Analysis: quality of life.
Poisson and Logistic regression models controlling for age and disease severity
and Chi-square or t-tests were performed to compare differences in outcomes Comparison of health care use
between minority and/or low income women with non minority, non low Women of Color and/or low income bear a greater asthma burden.
1 = Minority & low Hospital admission ED visits Unscheduled Visits
income women. income
0 = White & not low Follow-up visits
Study Participants: income Supported by NHLBI grant 1R18 HL60884
•806 women Estimation 1.59 0.61 0.29 0.38
•18 years and older S.E. 0.30 0.20 0.09 0.14
•Physician diagnosis of asthma
•Cared for in the University of Michigan Health System Relative Risk 4.90 1.84 1.34 1.46
p-value <.0001 .0019 .0007 .0055
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