ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2026
Pediatric asthma specialist care utilization among marginalized children with poorly controlled asthma.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Associations of rurality, child opportunity, and distance with use of pediatric asthma specialists.The Journal of allergy and clinical immunology · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo describe the use of guideline-recommended specialist care (i.e., pulmonology, allergy) among historically marginalized children with uncontrolled asthma and explore factors associated with specialist care use.
methodsWe analyzed baseline data from the Telemedicine Enhanced Asthma Management - Uniting Providers (TEAM-UP) trial in Rochester, NY (2018-2023). Caregivers reported on their child's demographics, specialist care utilization/perceptions, and recent asthma symptoms. We conducted bivariate and multivariate analyses to compare specialist care use with demographics, asthma outcomes, primary care physician (PCP) referrals, and caregiver beliefs regarding specialist care.
resultsAmong the 325 enrolled children ages 4-12 years (participation rate 62%; 60% male, 35% Hispanic, 58% Black, 80% public insurance), 37% had ever been seen by a specialist and 16% saw a specialist in the prior year. Compared to children who did not see a specialist in the prior year, those who received specialist care were younger, and more were Hispanic, lived in smoke-free homes, had married caregivers, and had household incomes of at or >$35,000. While PCP referrals increased the likelihood of children receiving specialist care, only 23% of children were referred to a specialist by their PCP. Among those not seen by a specialist, 38% reported allergic rhinitis, 42% had smoke exposure within the home, and 81% of caregivers felt specialist care would be helpful for their child.
conclusionsThis study emphasizes inadequate use of asthma specialist care among marginalized communities, and how PCP referrals may improve the receipt of guideline-recommended specialist care for vulnerable youth with poorly controlled asthma.
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Registered trials
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