National Healthcare Disparities Report - LDI Health Economist

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Effectiveness of Care Chapter 2 Respiratory Diseases n From 2003 to 2008, the percentage of people with current asthma who reported taking preventive asthma medicine daily or almost daily did not change significantly (data not shown). A significant decline was observed among Blacks and people with any college education. No change was observed among other racial/ethnic or education groups (Figure 2.42). n In 3 of 6 years, non-Hispanics Blacks were less likely to take daily preventive asthma medicine than non-Hispanic Whites. Also, in the NHQR: n From 2003 to 2008, people ages 18-44 were less likely than other age groups to take daily preventive asthma medicine. n Uninsured people under age 65 were less likely than people under age 65 with any private health insurance to take daily preventive asthma medicine. Focus on Asian and Hispanic Subgroups National data on Asian and Hispanic subgroups are limited. In this section, we show rates of daily asthma medicine use among Asian and Hispanic subgroups in California. Data come from the 2009 California Health Interview Survey, which asks about daily medication to control asthma, similar to the Medical Expenditure Panel Survey question presented above. Figure 2.43. People with current asthma who report taking prescription medication to control asthma, by Asian and Hispanic subgroups and English proficiency, California, 2009 75 75 50 50 Percent Percent 25 25 0 California Total Asian Total Vietnamese South Asian Well/Very Well Not Well/Not at All 0 California Total Hispanic Total Central American Mexican English at Home Well/Very Well Not Well/Not at All Source: UCLA, Center for Health Policy Research, California Health Interview Survey, 2009. Denominator: Civilian noninstitutionalized population in California. Note: Estimates for Asians who speak English at home were not statistically reliable. 108 National Healthcare Disparities Report, 2011
Effectiveness of Care n In 2009, among Asian Californians, there was large variation among subgroups in the percentage of people with current asthma who took prescription medication to control asthma (Figure 2.43). Asians who did not speak English at home but reported speaking English very well or well were less likely to take medication to control asthma compared with Asians who reported speaking English not well or not at all. Other differences were not statistically significant due in part to large standard errors for many subpopulations. n In 2009, among Hispanic Californians, there also was large variation among subgroups in the percentage of people with current asthma who took prescription medication to control asthma. Central Americans were less likely to take medication to control asthma compared with Californians as a whole. Hispanics who did not speak English at home but reported speaking English very well or well were more likely to take asthma medication compared with Hispanics who did speak English at home. Again, other differences were not statistically significant due in part to large standard errors for many subpopulations. Chapter 2 Respiratory Diseases National Healthcare Disparities Report, 2011 109
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Introduction and Methods With rapid
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