Evidence map›Paper›PMID 34688905›Full record

ArticleAcademic pediatrics

Asthma Ambulatory Care Quality in Foreign-Born Latino Children in the United States.

John Heintzman, Jorge Kaufmann, Steffani Bailey, Jennifer Lucas, Shakira F Suglia, Jon Puro, Sophia Giebultowicz, David Ezekiel-Herrera, Miguel Marino

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

John HeintzmanDepartment of Family Medicine, Oregon Health & Science University (J Heintzman, J Kaufmann, S Bailey, J Lucas, and D Ezekiel-Herrera), Portland, Ore; OCHIN Inc. (J Heintzman, J Puro, and S Giebultowicz), Portland, Ore. Electronic address: heintzma@ohsu.edu.
Jorge KaufmannDepartment of Family Medicine, Oregon Health & Science University (J Heintzman, J Kaufmann, S Bailey, J Lucas, and D Ezekiel-Herrera), Portland, Ore.
Steffani BaileyDepartment of Family Medicine, Oregon Health & Science University (J Heintzman, J Kaufmann, S Bailey, J Lucas, and D Ezekiel-Herrera), Portland, Ore.
Jennifer LucasDepartment of Family Medicine, Oregon Health & Science University (J Heintzman, J Kaufmann, S Bailey, J Lucas, and D Ezekiel-Herrera), Portland, Ore.
Shakira F SugliaDepartment of Epidemiology, Emory University Rollins School of Public Health (SF Suglia), Atlanta, Ga.
Jon PuroOCHIN Inc. (J Heintzman, J Puro, and S Giebultowicz), Portland, Ore.
Sophia GiebultowiczOCHIN Inc. (J Heintzman, J Puro, and S Giebultowicz), Portland, Ore.
David Ezekiel-HerreraDepartment of Family Medicine, Oregon Health & Science University (J Heintzman, J Kaufmann, S Bailey, J Lucas, and D Ezekiel-Herrera), Portland, Ore.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University (J Heintzman, J Kaufmann, S Bailey, J Lucas, and D Ezekiel-Herrera), Portland, Ore; Biostatistics Group, OHSU-PSU School of Public Health (M Marino), Portland, Ore.
Oregon Health & Science University · USVolgoUralNIPIgaz (Russia) · RUEmory University · US

Funding

BACKGROUND: Bettering Asthma Care in Kids - Geographic Social Determinants Data to Understand DisparitiesR01MD011404 · NIMHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2017 to 2021
$2.5M
NIMHD NIH HHS R01 MD011404
6 · The paper itself

Abstract

backgroundForeign-born Latino children in the United States (US) have poor asthma outcomes, but the role of routine care utilization in these outcomes is unclear. Our objective was to compare select ambulatory care utilization measures for asthma between foreign-born Latino, US-born Latino, and non-Hispanic white children.

methodsUsing a multistate network of clinics with a linked electronic health record, we compared the International Classification of Disease (ICD)-coded asthma diagnosis among those with respiratory symptoms, electronic health records documentation of diagnosis, prescriptions, and influenza vaccination of foreign-born and US-born Latino children, and non-Hispanic white children over a 10+ year study period. We also examined outcomes by country of birth in children from Mexico, Cuba, and Guatemala.

resultsAmong our study population (n = 155,902), 134,570 were non-Hispanic white, 19,143 were US-born Latino, and 2189 were foreign-born Latino. Among those with suspicious respiratory symptoms, there was no difference between these groups in the predicted probability of an ICD-coded asthma diagnosis. US-born Latino children with asthma were less likely to have asthma documented on their problem list, more likely to have an albuterol prescription, and less likely to have an inhaled steroid prescribed. All Latino children had higher rates of influenza vaccination than non-Hispanic white children.

conclusionsIn a national network, there were few disparities between Latino (US- and foreign-born) children and non-Hispanic white comparators in many common asthma care services, except some measures in US-born Latino children. Providers should understand that their US-born Latino children may be at elevated risk for not receiving adequate asthma care.

Indexed as

AsthmaInfluenza, HumanAmbulatory CareChildHispanic or LatinoHumansQuality of Health CareUnited Statesasthmachildrenforeign-bornlatino

Identifiers

PMID34688905
PMCPMC10602714
OpenAlexW3207531923

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.