Asthma disparities in the prevalence, morbidity, and treatment of Latino children.
The paper reviews the existing research related to asthma disparities and frames the results of this research within a conceptual model modified from the Institute of Medicine model in order to explain asthma health disparities in Latino children in the USA. The model of pediatric asthma disparity presented is based on the conceptualization of health disparities as the result of a complex interaction of factors related to four main domains: the individual and family, the environment or context in which the child lives, the health-care system, and provider characteristics. Asthma disparities are discussed as they are reflected in the process of care (access and quality of treatment) and outcome (prevalence, morbidity, severity) experienced by Latino children. The potential mechanisms that may account for the asthma disparities documented as reflected by the conceptual model proposed are discussed. Finally, several suggestions for future research examining determinants that account for asthma disparities are examined.
Canino
Glorisa
G
University of Puerto Rico, Medical School San Juan, Puerto Rica. gcanino@rcm.upr.edu
Koinis-Mitchell
Daphne
D
Ortega
Alexander N
AN
McQuaid
Elizabeth L
EL
Fritz
Gregory K
GK
Alegría
Margarita
M
D001249:Asthma / Q000188:drug therapy* / Q000453:epidemiology* / Q000503:physiopathology; D002648:Child; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D009017:Morbidity; D014481:United States / Q000453:epidemiology