TY - JOUR
T1 - Healthcare utilization for asthma exacerbation among children of migrant and seasonal farmworkers
AU - Kasten-Arias, Cassandra
AU - Hodes, Tahlia
AU - Marino, Miguel
AU - Kaufmann, Jorge
AU - Lucas, Jennifer A.
AU - Estela Vasquez Guzman, Cirila
AU - Giebultowicz, Sophia
AU - Chan, Brian
AU - Heintzman, John
N1 - Publisher Copyright:
© 2024 The Author(s)
PY - 2024/2
Y1 - 2024/2
N2 - Latino children of Migrant and Seasonal Farmworkers (MSFWs) with asthma are at risk for poor health outcomes due to medical access barriers. We compared differences in acute care utilization for asthma exacerbations among migrant and non-migrant Latino and non-Hispanic white (NHW) children at U.S. community health centers. A retrospective observational study utilizing electronic health record data from the ADVANCE Clinical Research Network of United States community health centers included 13,423 children ages 3–17 with a primary care visit between 2005 and 2017 from eight states. Emergency department (ED) and hospitalization data came from Oregon Medicaid claims. Outcomes included acute clinic visits, ED visits, and hospitalizations for asthma exacerbation. Regression analyses adjusted for patient-level covariates. Latino children had higher odds of acute clinic visits for asthma exacerbation compared to NHW children (MSFW odds ratio [OR] = 1.17, 95 % CI = 1.03–1.33; without migrant status OR = 1.13, 95 % CI = 1.03–1.23). MSFW children using Oregon Medicaid had fewer ED visits (rate ratio [RR] = 0.72, 95 % CI = 0.52–0.99) and hospitalizations (RR = 0.47, 95 % CI = 0.26–0.86) compared to NHW children. Increased community health center visits may help mitigate disparities in acute asthma care for MSFW children.
AB - Latino children of Migrant and Seasonal Farmworkers (MSFWs) with asthma are at risk for poor health outcomes due to medical access barriers. We compared differences in acute care utilization for asthma exacerbations among migrant and non-migrant Latino and non-Hispanic white (NHW) children at U.S. community health centers. A retrospective observational study utilizing electronic health record data from the ADVANCE Clinical Research Network of United States community health centers included 13,423 children ages 3–17 with a primary care visit between 2005 and 2017 from eight states. Emergency department (ED) and hospitalization data came from Oregon Medicaid claims. Outcomes included acute clinic visits, ED visits, and hospitalizations for asthma exacerbation. Regression analyses adjusted for patient-level covariates. Latino children had higher odds of acute clinic visits for asthma exacerbation compared to NHW children (MSFW odds ratio [OR] = 1.17, 95 % CI = 1.03–1.33; without migrant status OR = 1.13, 95 % CI = 1.03–1.23). MSFW children using Oregon Medicaid had fewer ED visits (rate ratio [RR] = 0.72, 95 % CI = 0.52–0.99) and hospitalizations (RR = 0.47, 95 % CI = 0.26–0.86) compared to NHW children. Increased community health center visits may help mitigate disparities in acute asthma care for MSFW children.
KW - And Child
KW - Asthma
KW - Community Health Centers
KW - Hispanic Americans
KW - Transients and Migrant
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U2 - 10.1016/j.pmedr.2024.102598
DO - 10.1016/j.pmedr.2024.102598
M3 - Article
AN - SCOPUS:85181895468
SN - 2211-3355
VL - 38
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
M1 - 102598
ER -