The Impact of Socioeconomic Factors on Asthma Hosp

Authors: Robert J McGrath Michelle L Stransky John W Seavey

Publish Date: 2010/11/24

Volume: 36, Issue: 3, Pages: 495-503

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Abstract

Asthma hospitalization rates have increased in the past decade Research has shown that there are multiple correlates for this increase but that driving causal factors may differ for asthma hospitalization rates in rural and nonrural settings Here we examine the socioeconomic correlates to asthma hospitalization rates in Maine for both rural and nonrural populations to examine the similarity and differences in causal factors Findings indicate a clear SES gradient relative to asthma hospitalization rates as population measured SES decreased asthma hospitalization rates increased The associated causal factors were found to differ in rural and nonrural areas In nonrural areas the presence of insurance was associated with increases in the asthma hospitalization rates while in rural areas income occupation and the percentage of nonEnglish language speaking persons were associated with lower asthma hospitalization rates Public policy should focus on targeted prevention strategies at the community level especially in rural areas where cultural competency and socioeconomic factors are increasingly important

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