Asthma Nighttime Symptoms in the Past 30 Days in Children (0–17 Years), New York State, July for New York City residents (7 1 ) was lower than adults residing in to describe the health, socioeconomic, behavioral, and environmental
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Asthma Nighttime Symptoms in the Past 30 Days in Children (0–17 Years), New York State, July for New York City residents (7 1 ) was lower than adults residing in to describe the health, socioeconomic, behavioral, and environmental
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National Asthma Survey-New York State Summary Report
Public Health Information Group
Center for Community Health
New York State Department of Health
1Table of Contents
Executive Summary
Lifetime and Current Asthma Prevalence
Detailed Asthma Interview
Introduction
Asthma Burden in New York State
The National Asthma Survey-New York State
Methodology for Report
Results
Lifetime and Current Asthma Prevalence
Total Asthma Prevalence
Asthma Prevalence by Age Group
Asthma Prevalence by Gender
Asthma Prevalence by Age and Gender
Asthma Prevalence by Race
Asthma Prevalence by Ethnicity
Asthma Prevalence by Region
Asthma Prevalence by Federal Poverty Level
Asthma Prevalence by Highest Level of Household
Educational Attainment
Asthma Prevalence by Body Mass Index
Detailed Asthma Interview
Asthma Daytime Symptoms
Asthma Nighttime Symptoms
Asthma Episodes/Attacks
Health Care Coverage
Continuous Health Insurance or Coverage
Asthma Routine Visits
Asthma Urgent Visits
Asthma Emergency Room Visits
Asthma Hospitalizations
Asthma Patients Who Were Taught to Recognize
Early Symptoms of an Asthma Episode
Asthma Patients Who Were Taught What to Do
During an Asthma Attack
Asthma Patients Who Were Given an Asthma
Management Plan
Days Missed School, Children (0-17 Years)
Days Missed Work,Adults (18+ Years)
Quality of Life
References
Data Sources
Acknowledgments7
7 8 9 9 13 14 16 16 17 19 2123
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List of Figures
9 Figure 1
Prevalence of Adult Current Asthma by Survey Year, New York State and Nationwide, 1996-2004 (BRFSS)10 Figure 2
Current Asthma Diagnosed by a Medical Professional, New York State CountyGroupings, 2003 (Expanded BRFSS)
10 Figure 3
Asthma Mortality Rate Per 1,000,000 Residents: New York State,United States and Healthy People 2010 Objectives
11 Figure 4
Asthma Mortality Crude and Age-Adjusted Rates Per 1,000,000 Residents by Race/Ethnicity, New York State, 2001-200311 Figure 5
Asthma Hospital Discharge Rates Per 10,000 Residents, New York State,1995-2004
12 Figure 6
Asthma Hospitalization Rate Per 10,000 Residents: New York State,United States and Healthy People 2010 Objectives
12 Figure 7
Asthma Hospitalization Crude and Age-Adjusted Rates Per 10,000 Residents by Race/Ethnicity, New York State, 2001-200317 Figure 8
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years),New York State, July 2002-August 2003
18 Figure 9
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years),New York State, July 2002-August 2003
19 Figure 10
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Age Group, New York State, July 2002-August 200320 Figure 11
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Age Group, New York State, July 2002-August 200321 Figure 12
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Gender, New York State, July 2002-August 200322 Figure 13
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Gender, New York State, July 2002-August 2003 323 Figure 14
Self-reported Lifetime Asthma Prevalence in Children (0-17 Years) by Age and Gender, New York State, July 2002-August 200324 Figure 15
Self-reported Lifetime Asthma Prevalence in Adults (18+ Years) by Age and Gender, New York State, July 2002-August 200325 Figure 16
Self-reported Current Asthma Prevalence in Children (0-17 Years) by Age and Gender, New York State, July 2002-August 200326 Figure 17
Self-reported Current Asthma Prevalence in Adults (18+ Years) by Age and Gender, New York State, July 2002-August 200327 Figure 18
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Race, New York State, July 2002-August 200328 Figure 19
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Race, New York State, July 2002-August 200329 Figure 20
Self-reported Asthma Prevalence in Children (0-17 Years) by Ethnicity,New York State, July 2002-August 2003
30 Figure 21
Self-reported Asthma Prevalence in Adults (18+ Years) by Ethnicity,New York State, July 2002-August 2003
31 Figure 22
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Region, New York State, July 2002-August 200332 Figure 23
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Region, New York State, July 2002-August 200333 Figure 24
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Federal Poverty Level (FPL), New York State, July 2002-August 200334 Figure 25
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Federal Poverty Level (FPL), New York State, July 2002-August 200335 Figure 26
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Highest Level of Household Educational Attainment, New York State,July 2002-August 2003
36 Figure 27
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Highest Level of Educational Attainment, New York State,July 2002-August 2003
37 Figure 28
Self-reported Lifetime and Current Asthma Prevalence in Children (0-17 Years) by Body Mass Index (BMI), New York State, July 2002-August 2003 438 Figure 29
Self-reported Lifetime and Current Asthma Prevalence in Adults (18+ Years) by Body Mass Index (BMI), New York State, July 2002-August 200340 Figure 30
Asthma Daytime Symptoms in the Past 30 Days Among Individuals,New York State, July 2002-August 2003
41 Figure 31
Asthma Daytime Symptoms in the Past 30 Days in Children (0-17 Years),New York State, July 2002-August 2003
42 Figure 32
Asthma Daytime Symptoms in the Past 30 Days in Adults (18+ Years),New York State, July 2002-August 2003
43 Figure 33
Asthma Nighttime Symptoms in the Past 30 Days Among Individuals,New York State, July 2002-August 2003
44 Figure 34
Asthma Nighttime Symptoms in the Past 30 Days in Children (0-17 Years),New York State, July 2002-August 2003
45 Figure 35
Asthma Nighttime Symptoms in the Past 30 Days in Adults (18+ Years),New York State, July 2002-August 2003
46 Figure 36
Asthma Episodes/Attacks in the Past 12 Months Among Individuals,New York State, July 2002-August 2003
47 Figure 37
Asthma Episodes/Attacks in the Past 12 Months in Children (0-17 Years),New York State, July 2002-August 2003
48 Figure 38
Asthma Episodes/Attacks in the Past 12 Months in Adults (18+ Years),New York State, July 2002-August 2003
49 Figure 39
Health Care Coverage Among Asthma Patients, New York State,July 2002-August 2003
50 Figure 40
Health Care Coverage Among Pediatric Asthma Patients (0-17 Years),New York State, July 2002-August 2003
51 Figure 41
Health Care Coverage Among Adult Asthma Patients (18+ Years),New York State, July 2002-August 2003
52 Figure 42
Continuity of Health Insurance or Coverage Among Asthma Patients in the Past12 Months, New York State, July 2002-August 2003
53 Figure 43
Continuity of Health Insurance or Coverage Among Pediatric Asthma Patients (0-17 Years) in the Past 12 Months, New York State, July 2002-August 2003 554 Figure 44
Continuity of Health Insurance or Coverage Among Adult Asthma Patients (18+ Years) in the Past 12 Months, New York State, July 2002-August 200355 Figure 45
Asthma Routine Visits in the Past 12 Months Among Individuals,New York State, July 2002-August 2003
56 Figure 46
Asthma Routine Visits in the Past 12 Months in Children (0-17 Years),New York State, July 2002-August 2003
57 Figure 47
Asthma Routine Visits in the Past 12 Months in Adults (18+ Years),New York State, July 2002-August 2003
58 Figure 48
Asthma Urgent Visits in the Past 12 Months Among Individuals, New York State,July 2002-August 2003
59 Figure 49
Asthma Urgent Visits in the Past 12 Months in Children (0-17 Years), New YorkState, July 2002-August 2003
60 Figure 50
Asthma Urgent Visits in the Past 12 Months in Adults (18+ Years), New YorkState, July 2002-August 2003
61 Figure 51
Asthma Emergency Room Visits in the Past 12 Months,New York State, July 2002-August 2003
62 Figure 52
Asthma Emergency Room Visits in the Past 12 Months in Children (0-17 Years),New York State, July 2002-August 2003
63 Figure 53
Asthma Emergency Room Visits in the Past 12 Months in Adults (18+ Years),New York State, July 2002-August 2003
64 Figure 54
Asthma Hospitalizations in the Past 12 Months, New York State,July 2002-August 2003
65 Figure 55
Asthma Hospitalizations in the Past 12 Months in Children (0-17 Years),New York State, July 2002-August 2003
66 Figure 56
Asthma Hospitalizations in the Past 12 Months in Adults (18+ Years),New York State, July 2002-August 2003
67 Figure 57
Asthma Patients Who Were Taught to Recognize Early Symptoms of an AsthmaEpisode, New York State, July 2002-August 2003
68 Figure 58
Children (0-17 Years) With Asthma Who Were Taught to Recognize Early Symptoms of an Asthma Episode, New York State, July 2002-August 2003 669 Figure 59
Adults (18+ Years) With Asthma Who Were Taught to Recognize Early Symptoms of an Asthma Episode, New York State, July 2002-August 200370 Figure 60
Asthma Patients Who Were Taught What to Do During an Asthma Attack,New York State, July 2002-August 2003
71 Figure 61
Children (0-17 Years) With Asthma Who Were Taught What to Do During an Asthma Attack, New York State, July 2002-August 200372 Figure 62
Adults (18+ Years) With Asthma Who Were Taught What to Do During an Asthma Attack, New York State, July 2002-August 200373 Figure 63
Asthma Patients Who Were Given an Asthma Management Plan, New York State,July 2002-August 2003
74 Figure 64
Children (0-17 Years) With Asthma Who Were Given an Asthma ManagementPlan, New York State, July 2002-August 2003
75 Figure 65
Adults (18+ Years) With Asthma Who Were Given an Asthma Management Plan,New York State, July 2002-August 2003
76 Figure 66
Days Missed School in the Past 12 Months in Children (0-17 Years) Due to Asthma, New York State, July 2002-August 200377 Figure 67
Days Missed Daycare or Preschool in the Past 12 Months in Children (0-4 Years) Due to Asthma, New York State, July 2002-August 200378 Figure 68
Days Missed School in the Past 12 Months in Children (5-13 Years) Due to Asthma, New York State, July 2002-August 200379 Figure 69
Days Missed School or Work in the Past 12 Months in Children (14-17 Years) Due to Asthma, New York State, July 2002-August 200380 Figure 70
Days Missed Work or Unable to Carry out Usual Activities in the Past 12 Months in Adults (18+ Years) Due to Asthma, New York State, July 2002-August 200381 Figure 71
Quality of Life Due to Asthma in the Past 12 Months, New York State,July 2002-August 2003
82 Figure 72
Quality of Life Due to Asthma in the Past 12 Months in Children (0-17 Years),New York State, July 2002-August 2003
83 Figure 73
Quality of Life Due to Asthma in the Past 12 Months in Adults (18+ Years),New York State, July 2002-August 2003
7Executive Summary
Lifetime and Current Asthma Prevalence
The National Asthma Survey-New York State
(NAS-NYS) Summary Report presents information collected from July 2002 through August 2003 for New York State children and adults.The survey provides comprehensive information
on asthma that are not available from other existingNYS data sources.
The NAS-NYS was a random digit dialing
(RDD) telephone survey that screened for the presence of asthma in the household. A maximum of one adult and one child who ever had asthma were randomly selected for a detailed interview. Overall, 31,090 individuals from 11,713 households were screened for asthma. Of these households,1,970 detailed asthma interviews were completed;
1,323 were adults and 647 were children.
The following are highlights from the results:
•Prevalence was generated for "lifetime" and "current" asthma based on the following questions:Lifetime:"Have you ever been told by a doctor or
other health care professional that you have asthma?"Current: If "yes," "Do you still have asthma?"
•Approximately 467,000 children 0-17 years (10.6% of the NYS child population) were told by a health professional that they ever had asthma and 368,000 children (8.4%) had current diagnosed asthma.Among adults 18+ years, 1,480,000 (10.6%) had lifetime asthma and 1,087,000 (7.6%) had current asthma. •Current asthma prevalence varied slightly by age for children (0-4 years,6.7%; 5-9 years,9.4%; 10-14 years,8.8%; 15-17 years,8.3%).For adults,the18-24 year age group had the highest current asthma
prevalence (9.8%) and the 65+ year age group had the lowest (6.0%). •Current asthma prevalence was significantly higher for male children (9.8%) compared to female children (6.8%).The reverse is true for adults; the current asthma prevalence for female adults (9.0%) wassignificantly higher than for male adults (6.0%).•Current asthma prevalence varied by race,with black
children having the highest prevalence at 10.0% compared to white (7.2%) and Asian (4.3%) children.Similarly,black adults had the highest current asthma prevalence (8.3%) compared to the white (6.6%) and Asian (1.8%) populations. •Hispanic New Yorkers had higher current asthma prevalence than non-Hispanics for both children (10.9% vs. 7.4%) and adults (9.0% vs. 6.3%). •Current asthma prevalence varied by region. New York City children had higher prevalence (9.7%) compared to children residing in the Rest of State (7.4%).The reverse is true for adults; the current asthma prevalence for New York City residents (7.1%) was lower than adults residing in the Rest of State (8.0%). •Both children and adults living below the federal poverty level had higher current asthma prevalence compared to those living above the federal poverty level (children, 10.1% vs. 8.7%; adults, 9.2% vs. 7.2%). •Current asthma prevalence increased as body mass index (BMI) increased; underweight children had the lowest asthma prevalence of 7.4%, while obese children had the highest prevalence of 10.1%. •Obese adults had the highest asthma prevalence of 12.3%; this was significantly higher than the other BMI groups. 8Detailed Asthma Interview
Detailed asthma interviews included questions concerning: a history of asthma symptoms and attacks; health care utilization; knowledge of asthma; and the effect of asthma on usual activities.The following are highlights from the results:
•For individuals with asthma, 10.9% had continual daytime symptoms while 72.5% had fewer than three daytime symptoms per week in the past month. Children were more likely to have mild daytime symptoms (< three days per week) compared to adults (86.0% vs. 67.6%); adults were more likely to have continual daytime symptoms (13.1% vs. 4.7%). •Among individuals with asthma, 14.0% experienced nighttime symptoms more than one night a week, while 81.2% had nighttime symptoms fewer than three times in the past month.Adults were more likely to have nighttime symptoms more than one night a week (14.7%) as compared to children (11.5%). •Among New Yorkers with asthma, 4.7% had seven or more asthma episodes/attacks in the last three months, while 55.1% had no asthma episodes/attacks in the past year.A lower percentage of children experienced no asthma episodes/attacks in the past year (45.8%) compared to adults (58.3%).Adults were more likely to have experienced seven or more asthma episodes/attacks in the past three months (5.3%) as compared to children (3.1%). •Almost 90% of New Yorkers with asthma were covered by health insurance.A larger proportion of children with asthma had health insurance (96.1%) compared to adults (87.1%). •For New Yorkers with asthma, 38.6% did not have a routine asthma checkup in the past year.Adults were more likely not to have a routine asthma checkup (42.0%) as compared to children (28.8%). •Among New Yorkers with asthma, 12.8% had three or more urgent outpatient visits for asthma in the past year; 68.3% did not have an urgent outpatient visit. Children were more likely to have three or more urgent outpatient visits due to asthma (17.8%) compared to adults with asthma (11.1%) and were also more likely to have at least one urgent visit due to asthma in thepast year (41.3%) as compared to adults (28.3%).•Among individuals with asthma, 16.1% utilized the
emergency room (ER) due to asthma and 8.2% visited the ER two or more times in the past year. Compared to adults, children were more likely to visit an ER at least once (23.4% vs.13.6%) as well as two or more times (14.3% vs. 6.2%). •Of New Yorkers with asthma, 4.3% had at least one hospitalization due to asthma in the past year.A higher percentage of children were hospitalized for asthma in the past year than adults (6.7% vs. 3.6%). •Almost 70% of New Yorkers with asthma were taught to recognize the early symptoms of an asthma attack and 78.6% were taught what to due during an asthma attack. Compared to adults, children were more likelyquotesdbs_dbs6.pdfusesText_11