ArticleHealth services research2012
The association of health insurance and disease impairment with reported asthma prevalence in U.S. children.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Psychological Factors Influencing the Decision of Urban Adolescents With Undiagnosed Asthma to Obtain Medical Care.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Environmental lead exposure and clinical infectious respiratory disease in a sample of urban and disadvantaged children.Journal of exposure science & environmental epidemiology · 2026Article
- Acculturation is associated with asthma burden and pulmonary function in Latino youth: The GALA II study.The Journal of allergy and clinical immunology · 2019Article
- Individual and Neighborhood Factors Associated with Undiagnosed Asthma in a Large Cohort of Urban Adolescents.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Article
- Health literacy and asthma among Hispanic and African-American urban adolescents with undiagnosed asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2018Article
- Evaluating early-life asthma definitions as a marker for subsequent asthma in an electronic medical record setting.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2016Article
- Operational definitions of asthma in recent epidemiological studies are inconsistent.Clinical and translational allergy · 2014Review
- Socioeconomic status and childhood asthma in urban minority youths. The GALA II and SAGE II studies.American journal of respiratory and critical care medicine · 2013Article
- Building a bridge to somewhere better: linking health care research and health policy.Health services research · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo test the hypotheses that reported asthma prevalence is higher among insured than uninsured children and that insurance-based differences in asthma diagnosis, treatment, and health care utilization are associated with disease severity. DATA SOURCES: National Health and Nutrition Examination Survey, 2003-2008. STUDY
designWe used multivariate logistic regression to examine the relationship between insurance and asthma symptom severity with asthma diagnosis, treatment, and acute care utilization. PRINCIPAL
findingsIn multivariate analysis, insured children had greater odds of reporting a current diagnosis of asthma than uninsured children (odds ratio [OR] = 2.08, 95% confidence interval [CI]: 1.47-2.94). When interactions between insurance and asthma impairment were included, insurance was associated with greater odds of diagnosis among children with intermittent (OR = 4.08, 95% CI: 1.57-10.61), but not persistent, symptoms. Among children with intermittent symptoms, insurance was associated with inhaled corticosteroid use (OR = 4.51, 95% CI: 1.18-17.24) and asthma-related acute care utilization (OR = 5.21, 95% CI: 1.21-23.53); these associations were nonsignificant among children with persistent symptoms.
conclusionBeing insured increases only the likelihood that a child with intermittent, not persistent, asthma symptoms will receive an asthma diagnosis and control medication, and it may not reduce acute care utilization. Although universal insurance may increase detection and management of undiagnosed childhood asthma, theorized cost savings from reduced acute care utilization might not materialize.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.