ArticleBMJ (Clinical research ed.)1996
Influence of ethnic group on asthma treatment in children in 1990-1: national cross sectional study.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review.NPJ primary care respiratory medicine · 2018Pooled it
- A systematic review of explanatory factors of barriers and facilitators to improving asthma management in South Asian children.BMC public health · 2014Pooled it
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- Burden of allergic disease among ethnic minority groups in high-income countries.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022Review
- A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children.BMC medical research methodology · 2020Article
- Asthma prescribing, ethnicity and risk of hospital admission: an analysis of 35,864 linked primary and secondary care records in East London.NPJ primary care respiratory medicine · 2016Article
- The challenge of asthma in minority populations.Clinical reviews in allergy & immunology · 2012Review
- An unidentified monster in the bed--assessing nocturnal asthma in children.McGill journal of medicine : MJM : an international forum for the advancement of medical sciences by students · 2009Article
- Suboptimal asthma care for immigrant children: results of an audit study.BMC health services research · 2008Article
- Parental attitudes towards the management of asthma in ethnic minorities.Archives of disease in childhood · 2007Article
- Risk factors for accident and emergency (A&E) attendance for asthma in inner city children.Thorax · 2007Article
- Article
- Asthma: a major pediatric health issue.Respiratory research · 2002Review
- Article
- Parents' interpretations of children's respiratory symptoms on video.Archives of disease in childhood · 2001Article
- Understanding childhood asthma in focus groups: perspectives from mothers of different ethnic backgrounds.BMC family practice · 2001Article
- Asthma and poverty.Thorax · 2000Article
- Geographical and socioeconomic variation in the prevalence of asthma symptoms in English and Scottish children.Thorax · 1999Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the extent to which the prescription of drugs for asthma adhered to recommended guidelines in 1990-1 and to assess the influence of ethnic group on prescription.
designCross sectional.
settingPrimary schools in England and Scotland in 1990-1. SUBJECTS: Children aged mainly 5-11 years. The representative samples included 10628 children. The inner city sample included 7049 children, 4866 (69%) from ethnic minority groups. For the prevalence estimation 14490 children were included in the analysis (82% of the eligible children). For the treatment analysis a subgroup of 5494 children with respiratory symptoms was selected.
main outcome measuresPrevalence of respiratory symptoms and drugs commonly prescribed for asthma, method of administration, inappropriate treatment, and odds ratios to assess the effect of ethnic group on rate of prescription and method of administration.
resultsChildren with respiratory symptoms in the inner city sample were less likely to be diagnosed as having asthma. Of children with reported asthma attacks, those in inner city areas had a higher risk of not having been prescribed any drug for asthma (odds ratio 1.87 (95% confidence interval 1.26 to 2.77). Overall, 773 (75%) of these children had received a beta 2 agonist, 259 (25%) had received steroids, 148 (14%) had received sodium cromoglycate, and 194 (19%) had received no drug treatment in the previous year. When prescribed, beta 2 agonists were inhaled in 534 (69%) of cases, and this percentage was even lower in ethnic minority groups. Children of Afro-Caribbean and Indian subcontinent origin who had asthma were less likely to receive beta 2 agonists, and those from the Indian subcontinent were less likely to receive anti-inflammatory drugs. Antibiotics were less prescribed and antitussives more prescribed in children from ethnic minority groups than in white children.
conclusionIn 1990-1 the risk of underdiagnosis and undertreatment of asthma was higher in children from ethnic minority groups. The implementation of indicators and targets to monitor inequalities in the treatment of asthma in ethnic groups could improve equity and effectiveness in the NHS.
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