title: Country of Birth and Variations in Asthma and Wheezing Prevalence, and Emergency Department Utilization in Children: A NHANES Study.
abstract: Asthma prevalence and asthma-related healthcare utilization differ across racial/ethnic groups and geographical areas. This study builds on previous research to examine the relationship between country of birth and asthma prevalence and healthcare utilization using a national data set. The National Health and Nutrition Examination Survey (NHANES) Demographic and Questionnaire Files from 2007 to 2012 were used for this study. We used SPSS complex sampling design to estimate the association between country of birth and asthma prevalence, wheezing and emergency department (ED) use. The sample size was 8272 children and adolescents between the ages of 5 and 19 years old. US-born children had more reported episodes of wheezing (p = 0.024) 95 % CI 1.06; 2.54. There was no association between country of birth and asthma and ED use. US-born children and adolescents compared to foreign-born children and adolescents are more likely to have episodes of wheezing.
authors.affiliation: School of Business, Southern Adventist University, 4881 Taylor Cir, Collegedale, TN, 37363, USA. lmcroy@southern.edu.
authors.forename: Luceta
authors.initials: L
authors.lastname: McRoy
authors.affiliation: Department of Health Administration, Governors State University, University Park, IL, USA.
authors.forename: Zo
authors.initials: Z
authors.lastname: Ramamonjiarivelo
authors.affiliation: Department of Health Care Administration and Policy, University of Nevada Las Vegas, Las Vegas, NV, USA.
authors.forename: Josue
authors.initials: J
authors.lastname: Epané
authors.affiliation: Department of Pediatrics, Morehouse School of Medicine, Atlanta, GA, USA.
authors.forename: Makia
authors.initials: M
authors.lastname: Powers
authors.affiliation: National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA, USA.
authors.forename: Junjun
authors.initials: J
authors.lastname: Xu
authors.affiliation: Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Weech-Maldonado
authors.affiliation: National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA, USA.
authors.forename: George
authors.initials: G
authors.lastname: Rust
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D001249:Asthma / Q000208:ethnology*; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009749:Nutrition Surveys; D018802:Patient-Centered Care / Q000706:statistics & numerical data; D015995:Prevalence; D012135:Respiratory Sounds; D012737:Sex Factors; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Asthma; Country of birth; Emergency department; Immigration; Wheezing